[Post-operative evaluation of 1000 consecutive hemorrhoid cases].

From September 1983 to October 1988, one thousand consecutive hemorrhoid patients were hospitalized and treated at T.C.V.G.H.A retrospective evaluation based on their admission charts was conducted. Two surgical procedures, wedge hemorrhoidectomy and anoplasty, were compared. We collected and analyzed the following data: sex, age, surgical procedure, post-operative pain, complications and number of days of hospitalization. This study discovered that the larger the major operative area and the greater the number of suture knots, the severer the post-operative pain. For instance, anoplasties resulted in a higher incidence of urine retention (78.1%) and stool impaction (79.4%) than hemorrhoidectomies did. Early complications were found primarily in cases receiving anoplasty, but in later complications, there were no significant differences found between procedures. Anoplasty also resulted in a longer hospital stay, so when dealing with the same degree of hemorrhoid, the simpler the operation, the better the result, because the patients' discomfort can be reduced and hospitalization can be shortened.