DOI: https://doi.org/10.36347/sasjs.2025.v11i11.007

Pages: 1069-1073

Introduction: Hemorrhoidal disease encompasses all clinical manifestations related to the dilation of the capillaries in the rectal cavernous body, which move downward from the anal canal. It is considered by the public as a shameful disease. Objective: To study the surgical management of hemorrhoidal disease in the general surgery department of CHU Pr Bocar Sidy Sall in Kati. Methodology: This is a retrospective and prospective, descriptive and analytical study from January 2014 to December 2022, conducted in the general surgery department of CHU BSS in Kati. Results: We collected 51 cases of patients operated on for hemorrhoidal disease, representing 0.9% of consultations, 4.3% of surgical interventions, and 54.8% of proctological pathologies. The average age was 39 years, with extremes of 16 and 74 years. There was a clear male predominance, with a sex ratio of 2.33. The main clinical signs observed were anal pain (66.7%), rectal bleeding (35.3%), and itching (27%). An anorectoscopy was requested and performed in 37% of cases. The diagnoses made were hemorrhoidal thrombosis (49%), hemorrhoidal prolapse (29.4%), and external hemorrhoid (21.6%). Hemorrhoidal disease was associated with an anal fissure in 3 patients. Hemorrhoidal prolapses were classified as Goligher stage IV in 66.7% and stage III in 33.3%. Surgical management consisted of hemorrhoidectomy using the Milligan-Morgan technique in all patients, and it was associated with fissurectomy in 3 cases. The immediate postoperative outcomes were uncomplicated in all our patients. We recorded 1 case of long-term anal stenosis, representing 3.9%. No deaths were recorded. The average hospital stay was 3 days. Conclusion: Hemorrhoidal disease is the most common anorectal condition, with a predilection for young adults. Therapeutic management depends on the stage of progression and the occurrence of complications.