대한대장항문학회

The clinical analysis was made on 311 cases of hemorrhoids who have been admitted<br>& treated at the department of surgery, Hanyang University Hospital, from August, 1989<br>to February, 1993 and the results were as follows:<br>1) The sex ratio of male to female was 1.87：1, the Peak incidence was 3rd decade in<br>male(35.0%) and 4th decade in female(42.5%).<br>2) The patient was first seen between one and five years after appearance of<br>symptom with 27.7% in frequency and the next was between six months and one year.<br>3) The frequent symptoms were bleeding(50.8%), pain(40.2%), mass(30.9%)<br>and<br>prolapse(22.0%).<br>4) The associated anal diseases with hemorrhoids were skin ta9(12.9%), anal fissure,<br>anal fistula, anal polyp and stricture in the order of frequency.<br>5) The previous hemorrhoidectomy was done in 5.9% and the sclerosing therapy in<br>10.3%.<br>6) The predominant location of hemorrhoids were right anterior(29.4%),<br>right<br>posterior(20.4%) and left lateral(20.2%).<br>7) The second grade of hemorrhoids were most frequent(58.5%).<br>8) The ratio of internal, external and mixed type was 44.1：26.4：23.2.<br>9) The most of patients were treated by Milligan-Morgan method. In seven cases<br>associated with fissure or anal stenosis, the sliding skin graft was applied and the<br>results were good.<br>10) The most common post-operative complication was acute urinary retention(42.4%).<br>11) The duration of hospitalization was between 5 to 7 days(60%) and the mean time<br>was 6.2 days.<br>