Milligan - Morgan haemorrhoidectomy - Complications.

Aims: Based on a retrospective review of a personal experience with 480 modified Milligan-Morgan haemorrhoidectomies, technical suggestions for avoiding early and late complications are presented. Patients and Methods: The medical records of 480 patients operated for grade 3 and 4 haemorrhoids between 2005 and 2013 were reviewed and included 266 females (59.2%) and 214 males (40.8%). Their mean age was 42 years. Results: Postoperative urinary retention occurred in 80 patients (16%). This early complication was much more common among male patients: 71 males (89%) and 9 females (11%). No early postoperative haemorrhage was reported in this series; however, delayed bleeding was noted in eight patients (1.6%). None of these patients had to be re-operated and only in two (0.4%) was blood transfusion necessary. In three patients (0.6%), the convalescence period was prolonged due to the development of an anal ulcer. Conclusions: The problems of early and delayed bleeding, anal verge and mucosal stenosis, pain, and prolonged healing due to a persistent anal ulcer are the most frequent complications after Milligan-Morgan haemorrhoidectomy, The frequency can be diminished with implementation of meticulous and scholastic technique. [ABSTRACT FROM AUTHOR]