Risk factors associated with postoperative complications of Milligan Morgan Hemorrhoidectomy in a tertiary care hospital

Abstract

Introduction: Milligan Morgan hemorrhoidectomy, considered the gold standard surgical treatment, involves major postoperative complications such as pain, urinary retention, wound infection, anastomotic leakage, ileus, and bleeding.
Materials & Methods: A descriptive cross-sectional study was conducted in April 2019, based on review of retrospective data of patients that came to General Surgery department, Rehman Medical Institute, Peshawar, with hemorrhoids and underwent hemorrhoidectomy from March 2018 to March 2019. Stratified random sampling was used based on grades of hemorrhoids to retrieve data of all patients undergoing Milligan Morgan hemorrhoidectomy; patients with other colorectal or additional disease were excluded. Data were analyzed on SPSS 20 for descriptive statistics.
Results: A total of 103 patients were included in this study, 77 (74.7%) males were included and 26 (25.2%) females were included. The major risk factors present were loose stools 24 (23%), constipation 20 (19.4%) and portal hypertension 07(6.7%). Main postoperative complications were pain 62(60.1%), wound infection 60(58%) and bleeding 53(51%).
Conclusion: Postoperative complications of Milligan Morgan hemorrhoidectomy remain sizable factors to be considered preoperatively and relevant risk factors promoting complications should be addressed prior to surgery.
Keywords: Milligan Morgan Hemorrhoidectomy, Hemorrhoids, loose stools, constipation, Post-operative pain, Post-operative wound infection.