994 cases of ferguson hemorrhoidectomy: 10-years’ experience of a single surgeon

Abstract

AimTo evaluate the outcomes of hemorrhoidectomy surgeries performed by the Ferguson Hemorrhoidectomy (FH) method in patients with prolapsed internal hemorrhoids.MethodA total number of 994 patients who had undergone Ferguson Hemorrhoidectomy between January 2002 and December 2012 were included in this study. Patients’ medical files were re-viewed and data including their complaints, concomitant anorectal diseases, operation findings, and postoperative early- and late-term complications were recorded.ResultsOf all the cases, 70% were men and the mean age was 47 (18–79) years. Symptom duration ranged from 1 month to 5 years and the most common symptoms in order of frequency, were palpable lumps, bleeding, and pain. Piles had the usual (clock 3.7.11) localization in 74% of the cases. The majority of the patients (68%) had grade 4 hemorrhoids, and 23% had anal fistula as a concomitant anorectal disease. All patients were operated on under general anesthesia and at the lithotomy position. The mean duration of the operation using the Ferguson technique was 25 min-utes, and the mean duration of the hospital stay was 2 days. During the postoperative period, 102 patients developed early-term complications. Of these patients, 50 (4.3%) had severe pain, 17 (1.7%) had bleeding, and 38 (3.9%) had urinary retention. Nine patients developed complications in the long term; of these, 2 had anal stenosis, 6 had anal fistula, and 1 patient had anal fistula-abscess. Incontinence or recurrence was not noted in any patient.ConclusionFerguson Hemorrhoidectomy (FH) is still the most com-monly used procedure for hemorrhoid surgery. Our findings support that FH is an effective and safe procedure, thus representing a preferable option.

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