{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,13]],"date-time":"2026-02-13T23:53:08Z","timestamp":1771026788333,"version":"3.50.1"},"reference-count":30,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2013,6,24]],"date-time":"2013-06-24T00:00:00Z","timestamp":1372032000000},"content-version":"vor","delay-in-days":23,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Colorectal Disease"],"published-print":{"date-parts":[[2013,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>An evaluation was performed of the 1\u2010year outcome of open haemorrhoidectomy (Milligan and Morgan alone or with posterior mucosal anoplasty [the Leopold Bellan procedure]).<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>A prospective, multicentre, observational study included all patients having a planned haemorrhoidectomy from January 2007 to June 2008. Data were collected before surgery, and at 3\u00a0months and 1\u00a0year after surgery. Patients assessed their anal symptoms and quality of life (<jats:styled-content style=\"fixed-case\">SF<\/jats:styled-content>\u201036).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Six\u2010hundred and thirty\u2010three patients (median age\u00a0=\u00a048\u00a0years, 56.5% women) underwent haemorrhoidectomy either by the Milligan and Morgan procedure alone (<jats:italic>n\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>231, 36.5%) or together with the Leopold Bellan procedure (posterior mucosal anoplasty) for resection of a fourth haemorrhoid (<jats:italic>n\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>345, 54.5%), anal fissure (<jats:italic>n\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>56, 8.9%) or low anal fistula (<jats:italic>n\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>1, 0.16%). The median healing time was 6\u00a0weeks. Early complications included urinary retention (<jats:italic>n\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>3), bleeding (<jats:italic>n\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>11), local infection (<jats:italic>n\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>7) and faecal impaction (<jats:italic>n\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>9). At 1\u00a0year, the main complications included skin tags (<jats:italic>n\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>2) and anal stenosis (<jats:italic>n\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>23). There were three recurrences requiring a second haemorrhoidectomy. On a visual analogue scale, anal pain at 1\u00a0year had fallen from a median of 5.5\/10 before treatment to 0.1\/10 (p\u00a0&lt;\u00a00.001), anal discomfort from 5.5\/10 to 0.1\/10 (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.001) and the Knowles\u2013Eckersley\u2013Scott Symptom (<jats:styled-content style=\"fixed-case\">KESS<\/jats:styled-content>) constipation score from 9\/45 to 6\/45 (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.001). The median Wexner score for anal incontinence was unchanged (2\/20). <jats:italic>De\u2010novo<\/jats:italic> anal incontinence (a Wexner score of &gt;5) affected 8.5% of patients at 1\u00a0year, but preoperative incontinence disappeared in 16.7% of patients with this symptom. All physical and mental domains of quality of life significantly improved, and 88% of patients were satisfied or very satisfied.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Complications of open haemorrhoidectomy were infrequent. Anal continence was not altered. Comfort and well\u2010being were significantly improved at 1\u00a0year after surgery. Patient satisfaction was high despite residual anal symptoms.<\/jats:p><\/jats:sec>","DOI":"10.1111\/codi.12090","type":"journal-article","created":{"date-parts":[[2012,12,5]],"date-time":"2012-12-05T23:02:03Z","timestamp":1354748523000},"page":"719-726","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":35,"title":["One\u2010year outcome of haemorrhoidectomy: a prospective multicentre French study"],"prefix":"10.1111","volume":"15","author":[{"given":"D.","family":"Bouchard","sequence":"first","affiliation":[{"name":"Service de Proctologie H\u00f4pital Bagatelle Talence France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L.","family":"Abramowitz","sequence":"additional","affiliation":[{"name":"Unit\u00e9 de Proctologie M\u00e9dico\u2010Chirurgicale H\u00f4pital Bichat\u2010Claude Bernard, AP\u2010HP Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Castinel","sequence":"additional","affiliation":[{"name":"Clinique Tivoli\u2010Th\u00e9odore Ducos Bordeaux France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J. 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