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Indian Journal of Surgery

Erschienen in:

01.12.2015 | Review Article

Clinical Outcome Following Hemorrhoid Surgery: a Narrative Review

verfasst von: Marcello Picchio, Ettore Greco, Annalisa Di Filippo, Giuseppe Marino, Francesco Stipa, Erasmo Spaziani

Erschienen in: Indian Journal of Surgery | Sonderheft 3/2015

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Abstract

Surgical therapy guaranties satisfactory results, which are significantly better than those obtained with conservative therapies, especially for Grade III and IV hemorrhoids. In this review, we present and discuss the results of the most diffuse surgical techniques for hemorrhoids. Traditional surgery for hemorrhoids aims to remove the hemorrhoids, with closure (Fergusson’s technique) or without closure (Milligan–Morgan procedure) of the ensuing defect. This traditional approach is effective, but causes a significant postoperative pain because of wide external wounds in the innervated perianal skin. Stapled hemorrhoidopexy, proposed by Longo, has gained a vast acceptance because of less postoperative pain and faster return to normal activities. In the recent literature, a significant incidence of recurrence after stapled hemorrhoidopexy was reported, when compared with conventional hemorrhoidectomy. Double stapler hemorrhoidopexy may be an alternative to simple stapled hemorrhoidopexy to reduce the recurrence in advanced hemorrhoidal prolapse. Transanal hemorrhoidal deartertialization was showed to be as effective as stapled hemorrhoidopexy in terms of treatment success, complications, and incidence recurrence. However, further high-quality trials are recommended to assess the efficacy and safety of this technique.

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Titel: Clinical Outcome Following Hemorrhoid Surgery: a Narrative Review
verfasst von: Marcello Picchio
Ettore Greco
Annalisa Di Filippo
Giuseppe Marino
Francesco Stipa
Erasmo Spaziani
Publikationsdatum: 01.12.2015
Verlag: Springer India
Erschienen in: Indian Journal of Surgery / Ausgabe Sonderheft 3/2015
Print ISSN: 0972-2068
Elektronische ISSN: 0973-9793
DOI: https://doi.org/10.1007/s12262-014-1087-5

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