This work was a retrospective prospective study
carried out in the general surgery department of the Cs ref of commune I from
January 2009 to December 2012. Our study aimed to determine the hospital
frequency of hemorrhoidal disease, to identify the contributing factors,
describe the clinical and therapeutic aspects and analyze the surgical
consequences. We collected 73 patients with an average age of 37.8 years
(range: 19 years and 77 years) with a sex ratio of 2.5 in favor of men. We
operated on 49 patients or 67.1% of cases. 71.2% of our patients were married
and lived in Bamako. Schoolchildren and middle managers made up 39.8% of cases.
82.2% of patients were seen in ordinary consultation and 69.9% complained of
progressive anal pain in 66.7% of cases. This pain was triggered by defecation
in 88.2% of our patients. The contributing factors were dominated by
constipation (53.4%), working in a seated position (41.1%) and a sedentary
lifestyle (16.4%) of cases. Stage IV external hemorrhoids and hemorrhoidal
thrombosis represented 53.8% of surgical indications. The most used surgical
technique was that of Milligan-Morgan, i.e. 51.9% of cases and 45.2% of patients treated medically received a combination
of transit regulator, venotonics and analgesics. The surgical aftermath was
marked by hemorrhage (3 cases), delayed healing (5 cases), urinary retention (1
case) and scarring anal stenosis (1 case). The morbidity rate was 5.48% of
cases and a zero mortality rate. The average length of hospitalization was 2
days with extremes of 1 and 5 days.
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