Introduction: Management of circumferential hemorrhoids is still a challenge to young gastrointestinal surgeons. The two aims of this study was to detennine the clinical features, investigations of circumferential hemorrhoids and early results of ligation-anopexy of circumferential hemorrhoids. Methods: This sectional, desctjptive study included 42 patients who had circumferential hemorrhoids and underwent ligation-anopexy in Can Tho University Hospital of Medicine and Phannacy from 25/7/2013 to 30/4/2014. Results: There were 57.1 percent male, 42.9 percent female with mean age 46.6 years. 61.9 percent patients had third-degree and 38.1 percent fourth-degree circumferential hemorrhoids, and 23,8 percent patients had other lesions such as anal fissure, anal polyp. Majority of patients underwent simple ligation-anopexy (81 percent) and the remainder underwent combined procedures (19 percent). One-day postoperative complications included severe pain (9.5 percent), mild bleeding (7.1 percent), urinary retention (7.1 percent) and ten emus 19 percent. After 1 week, one patient still had pain and urinary retention and another patient had severe bleeding required surgical intervention. And after 4 weeks, no complication recorded. Conclusions: Ligation-anopexy is effective in treatment of circumferential hemorrhoids with few and acceptable complications.
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