Cirurgias Pr octológicas em 3 Anos de Serviço de Colopr octologia: Série Histórica Anorrectal Surgery: Outcomes of 3 Years After Coloproctology Group

ABSTRACT: In 2007, 72,5% of all surgeries of Colopr octology Departament were from anal procedures. Three years experience of theMedical post-graduation wer e resumed and analyzed in this study r etr ospectively . Total 455 patients wer e submitted to hemorr hoidectomy(40%), fistulectomies (20%) and fissurectomies (13%) and others like pilonidal disease, rectovaginal fistulas. In general, thesepathologies are more prevalent in women (54%) from 30 to 50 years old. Hemorrhoids and fissure affected more women, while fistulasaffected men. Milligan and Morgan’s hemorrhoidectomy was realized in 53,7% of the cases with pain and bleeding patterns comparableto Ferguson technique. It had provided a bigger number of residual fissure and fecal incontinence. Stenosis was the same in bothmethods. Ferguson technique had lowest repair time, even with high tax of dehiscence. Fistula affects four times more men thanwomen. In 65% of the cases, fistulectomy was the technique choice, with better results in terms of pain and bleeding and worse tax ofincontinence. Seton was inserted in 14% of the cases, and it was used in average for 20 weeks, and after its withdrawal, 36% referredminor incontinence. The anal fissure showed preference to posterior place. The anterior fissures occurred more in men.Key words: Anorectal sur gery, hemorrhoids, anal fissure, anorectal fistula, complications.