Surgical treatment of hemorrhoids: a critical appraisal of the current options
Autor(a) principal: | |
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Data de Publicação: | 2014 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-67202014000100066 |
Resumo: | Introduction : Surgical treatment of hemorrhoids is still a dilemma. New techniques have been developed leading to a lower rate of postoperative pain; however, they are associated with a greater likelihood of recurrence. Aim : To review current indications as well as the results and complications of the main techniques currently used in the surgical treatment of hemorrhoidal disease. Methods : A systematic search of the published data on the options for treatment of hemorrhoids up to December 2012 was conducted using Medline/PubMed, Cochrane, and UpToDate. Results : Currently available surgical treatment options include procedure for prolapse and hemorrhoids (PPH), transanal hemorrhoidal dearterialization (THD), and conventional hemorrhoidectomy techniques. Excisional techniques showed similar results regarding pain, time to return to normal activities, and complication rates. PPH and THD were associated with less postoperative pain and lower complication rates; however, both had higher postoperative recurrence rates. Conclusion : Conventional surgical techniques yield better long-term results. Despite good results in the immediate postoperative period, PPH and THD have not shown consistent long-term favorable results. |
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ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo) |
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Surgical treatment of hemorrhoids: a critical appraisal of the current optionsHemorrhoidsHemorrhoidectomySurgical proceduresPainRecurrenceBleeding and prolapsed hemorrhoids Introduction : Surgical treatment of hemorrhoids is still a dilemma. New techniques have been developed leading to a lower rate of postoperative pain; however, they are associated with a greater likelihood of recurrence. Aim : To review current indications as well as the results and complications of the main techniques currently used in the surgical treatment of hemorrhoidal disease. Methods : A systematic search of the published data on the options for treatment of hemorrhoids up to December 2012 was conducted using Medline/PubMed, Cochrane, and UpToDate. Results : Currently available surgical treatment options include procedure for prolapse and hemorrhoids (PPH), transanal hemorrhoidal dearterialization (THD), and conventional hemorrhoidectomy techniques. Excisional techniques showed similar results regarding pain, time to return to normal activities, and complication rates. PPH and THD were associated with less postoperative pain and lower complication rates; however, both had higher postoperative recurrence rates. Conclusion : Conventional surgical techniques yield better long-term results. Despite good results in the immediate postoperative period, PPH and THD have not shown consistent long-term favorable results.Colégio Brasileiro de Cirurgia Digestiva2014-03-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-67202014000100066ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo) v.27 n.1 2014reponame:ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo)instname:Colégio Brasileiro de Cirurgia Digestiva (CBCD)instacron:CBCD10.1590/s0102-67202014000100016info:eu-repo/semantics/openAccessCERATO,Marlise MelloCERATO,Nilo LuizPASSOS,PatríciaTREIGUE,AlbertoDAMIN,Daniel C.eng2019-03-26T00:00:00Zoai:scielo:S0102-67202014000100066Revistahttp://abarriguda.org.br/revista/index.php/revistaabarrigudaarepb/indexONGhttps://old.scielo.br/oai/scielo-oai.php||revistaabcd@gmail.com2317-63262317-6326opendoar:2019-03-26T00:00ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo) - Colégio Brasileiro de Cirurgia Digestiva (CBCD)false |
dc.title.none.fl_str_mv |
Surgical treatment of hemorrhoids: a critical appraisal of the current options |
title |
Surgical treatment of hemorrhoids: a critical appraisal of the current options |
spellingShingle |
Surgical treatment of hemorrhoids: a critical appraisal of the current options CERATO,Marlise Mello Hemorrhoids Hemorrhoidectomy Surgical procedures Pain Recurrence Bleeding and prolapsed hemorrhoids |
title_short |
Surgical treatment of hemorrhoids: a critical appraisal of the current options |
title_full |
Surgical treatment of hemorrhoids: a critical appraisal of the current options |
title_fullStr |
Surgical treatment of hemorrhoids: a critical appraisal of the current options |
title_full_unstemmed |
Surgical treatment of hemorrhoids: a critical appraisal of the current options |
title_sort |
Surgical treatment of hemorrhoids: a critical appraisal of the current options |
author |
CERATO,Marlise Mello |
author_facet |
CERATO,Marlise Mello CERATO,Nilo Luiz PASSOS,Patrícia TREIGUE,Alberto DAMIN,Daniel C. |
author_role |
author |
author2 |
CERATO,Nilo Luiz PASSOS,Patrícia TREIGUE,Alberto DAMIN,Daniel C. |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
CERATO,Marlise Mello CERATO,Nilo Luiz PASSOS,Patrícia TREIGUE,Alberto DAMIN,Daniel C. |
dc.subject.por.fl_str_mv |
Hemorrhoids Hemorrhoidectomy Surgical procedures Pain Recurrence Bleeding and prolapsed hemorrhoids |
topic |
Hemorrhoids Hemorrhoidectomy Surgical procedures Pain Recurrence Bleeding and prolapsed hemorrhoids |
description |
Introduction : Surgical treatment of hemorrhoids is still a dilemma. New techniques have been developed leading to a lower rate of postoperative pain; however, they are associated with a greater likelihood of recurrence. Aim : To review current indications as well as the results and complications of the main techniques currently used in the surgical treatment of hemorrhoidal disease. Methods : A systematic search of the published data on the options for treatment of hemorrhoids up to December 2012 was conducted using Medline/PubMed, Cochrane, and UpToDate. Results : Currently available surgical treatment options include procedure for prolapse and hemorrhoids (PPH), transanal hemorrhoidal dearterialization (THD), and conventional hemorrhoidectomy techniques. Excisional techniques showed similar results regarding pain, time to return to normal activities, and complication rates. PPH and THD were associated with less postoperative pain and lower complication rates; however, both had higher postoperative recurrence rates. Conclusion : Conventional surgical techniques yield better long-term results. Despite good results in the immediate postoperative period, PPH and THD have not shown consistent long-term favorable results. |
publishDate |
2014 |
dc.date.none.fl_str_mv |
2014-03-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-67202014000100066 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-67202014000100066 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/s0102-67202014000100016 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Colégio Brasileiro de Cirurgia Digestiva |
publisher.none.fl_str_mv |
Colégio Brasileiro de Cirurgia Digestiva |
dc.source.none.fl_str_mv |
ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo) v.27 n.1 2014 reponame:ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo) instname:Colégio Brasileiro de Cirurgia Digestiva (CBCD) instacron:CBCD |
instname_str |
Colégio Brasileiro de Cirurgia Digestiva (CBCD) |
instacron_str |
CBCD |
institution |
CBCD |
reponame_str |
ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo) |
collection |
ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo) |
repository.name.fl_str_mv |
ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo) - Colégio Brasileiro de Cirurgia Digestiva (CBCD) |
repository.mail.fl_str_mv |
||revistaabcd@gmail.com |
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1754208956873441280 |