Reduction of Incidence of Early Postoperative Complications of Anal Surgery for Benign Anorectal Diseases

Mohanad Gubari  Zukait; Samer Shakir  Jawad; Zahdam Shabeeb  Khallas; Mohammed Hemzah  Obayes

Mohanad Gubari Zukait F.I.B.M.S. In General Surgery, Al-Diwaniyah H.D, Iraqi M.O.H
Samer Shakir Jawad F.I.B.M.S. In General Surgery, Al-Diwaniyah H.D, Iraqi M.O.H
Zahdam Shabeeb Khallas F.A.B.H.S. In General Surgery , Al-Diwaniyah Teaching Hospital, Al-Diwaniyah H.D. , Iraqi M.O.H
Mohammed Hemzah Obayes Immunology , Department of Medical Laboratories Techniques,imam Jaafar Al-Sadiq University, Iraqi M.O.H

Keywords: Anorectal, Complications, Fistula, Fissure, Hemorrhoid, Pile and postoperative

Abstract

The anal canal, the final 4 cm of the alimentary tract, is commonly affected by anorectal conditions such as fissures, fistulas, and hemorrhoids, which may require surgical intervention. This study aimed to assess the incidence and timing of early postoperative complications following surgery for benign anorectal diseases, including hemorrhoids, anal fissures, and low-type fistula-in-ano. Conducted on 840 patients aged 20–65 years between August 2017 and May 2023, the study found that hemorrhoid surgery was the most frequent procedure associated with early complications (4.8%), followed by anal fissure surgery (0.7%), and fistulotomy (0.3%). The most common complication was urinary retention within the first 48 hours (2%), followed by thrombosed external hemorrhoids (1.5%), constipation (1%), fissures (0.47%), infection and abscess formation (0.46%), and clinically significant hemorrhage (0.36%). These findings highlight the importance of skilled surgical intervention to manage complications and improve patient outcomes following anorectal surgery.

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