Surgical treatment of hemorrhoids: a critical appraisal of the current options

Detalhes bibliográficos
Autor(a) principal: CERATO,Marlise Mello
Data de Publicação: 2014
Outros Autores: CERATO,Nilo Luiz, PASSOS,Patrícia, TREIGUE,Alberto, DAMIN,Daniel C.
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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spelling 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
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dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-67202014000100066
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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
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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)
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