Hémorroïdectomie sous-muqueuse de Parks : étude prospective de 327 patients

All patients were interviewed using a standard questionnaire before surgery and at 1 and 3 weeks after surgery. An anal incontinence score was recorded before and after surgery in the first 198 patients. No serious operative complications were seen. The daily mean postoperative pain score was less than 3. Mean hospital stay was 2.2 days and work incapacity was 11 days. The anal incontinence score was unchanged or improved in 179 patients (90.4%) and was worsened in 19 patients (9.6%). This trial confirms that Parks hemorrhoidectomy is safe and leads to satisfactory outcome. Postoperative pain is reduced and anal functional sequelae are few.