Learn more about Hemorroidectomía at Augusta Health Specialists DefiniciónRazones para realizar el procedimientoFactores de riesgo de complicaciones. PDF | Experiencia inicial de casos de Hemorroidectomia com PPH. hemorroidectomía con bisturí ultrasónico y la hemorroidectomía PPH. La morbilidad asociada a este procedimiento quirúrgico convencional no es despreciable.

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The choice of this method was due to the possibility of grouping, evaluate and synthesize the results of research on a particular subject in an organized and systematic manner, using it with the objective of obtaining a more comprehensive understanding of the studies on the proposed theme, besides working as a synthesis tool for published and scientifically established studies.

This is an exploratory study that outlined, from an integrative review of scientific literature on current surgical, the techniques used in the treatment of grades III and IV hemorrhoidal disease. Ann R Coll Surg Engl.

Evidence of lesser pain after surgery and faster recovery times for patients submitted to PPH was also observed, when this technique was compared with the conventional technique. With respect to the return to activity, patients returned after periods from 21 days to 10 weeks.

Pain and recurrence The variation in observed pain was similar to that found by Gomez-Rosado et al. Surgical time and return to normal activity Both studies of Kashani et al. Conventional techniques are still the most practiced, with good acceptance as to the long-term resolution and to the low recurrence rate, despite a period of slower recovery and more intense hemorrroidectomia. In contrast, the comparison between these same techniques described by the Department of Surgery, Banaras Hindu University, India, showed a surgical time for Ferguson’s technique of 29 min.

Analysis of the main surgical techniques for hemorrhoids

The yearsand produced one article each 5. Of these articles, 19 were selected, because they strictly followed the inclusion criteria.

In their study, Khanna et al. The hemorrhoidectomy by Milligan—Morgan technique is the best treatment for circumferential mixed hemorrhoids, and can be widely used in the clinical setting. Currently, there are several therapeutic possibilities for the treatment of hemorrhoids, ph the options ranging from changes in eating habits, medications that alleviate the symptoms, the use of outpatient techniques such as cryotherapy, sclerotherapy, laser photocoagulation and rubber band ligation, to surgical excision techniques for hemorrhoidal prolapses affected by the disease.


Review Article Hemorroidecyomia of the main surgical techniques for hemorrhoids. Analyze the responses to an extensive questionnaire with jemorroidectomia questions about hemorrhoidal disease HD.

Overall, the results are the same for both techniques. Prospectively evaluate the results obtained from a series of hemorrhoidectomy procedures performed with Ferguson technique.

Arq Bras Cir Dig. Introduction Hemorrhoidal disease HD is a condition that afflicts about 4. Identify a more effective treatment hemordoidectomia for mixed circumferential hemorrhoids.

Procedure for prolapsed hemorrhoid PPH This technique was described by Longo in as a new surgical option for the treatment of hemorrhoidal disease; with PPH, an annulus of mucosa and submucosa is removed with the use of a circular stapler above the dentate line, with fixation the hemorrhoidal pad for correction of the prolapse.

Pain and recurrences Postoperative pain evaluated in this study followed the VAS Visual Analog Scale scale that was used in most of the selected studies. On the other hand, in the study by Gomez-Rosado et al. Conventional techniques are still the most commonly performed with a good acceptance on the long-term resolution and low recurrence rate. Nineteen articles were selected.

The recurrence rate after THD with mucopexy hemirroidectomia significantly higher than after long-term SH, although the results were similar with respect to the control of symptoms and patient satisfaction.


The return to activity hemorroidrctomia in a shorter time when compared to conventional techniques and PPH. The titles and abstracts of articles were scrutinized for identification of those studies which looked at the proposed objective, considering the following inclusion criteria: Evaluate the safety and efficacy of this technique Doppler-guided hemorrhoidal dearterialization after 1-year follow-up.

Hemorrhoidectomy by PPH is effective in treating ehmorroidectomia of grade III and IV hemorrhoids with prolapse of the mucosa, at least in the short and medium term. As was seen with the henorroidectomia of the VAS scale, postoperative pain was lower, particularly on day 7, compared with the conventional technique.

Postoperative pain evaluated in this study followed the VAS Visual Analog Scale scale that was used in most of the selected studies.

HD is further classified into grades ranging from one to four, with three and four degrees the most serious ones. The possible etiologies of the disease include prolonged effort, pregnancy, constipation, heredity, increased intra-abdominal pressure with obstruction of the venous return, and probably aging.


Clinical observations on the treatment of prolapsing hemorrhoids with tissue selecting therapy. Pp study The study revealed no significant differences for closed and semi-closed hemorrhoidectomy with respect to pain, postoperative complications, scarring and surgical time.

Milligan—Morgan hemorroidectomiia with anal cushion suspension and partial internal sphincter resection for circumferential mixed hemorrhoids Lu, Shi, Wang, Wu, Liu and Wen World Journal of Gastroenterology Identify a more effective treatment protocol for mixed circumferential hemorrhoids. Most patients favorably assessed the hemorrhoidectomy treated by PPH in terms of resolution of postoperative symptoms, functional status, and overall satisfaction in the medium term.

Compare the results of closed versus the half-closed semicerrada hemorrhoidectomy in terms of pain, complications, surgical time and healing. On average, the EVA scale on day zero was 5. Original article The hemorrhoidectomy with the Ferguson technique resulted in an appropriate and effective procedure for the treatment of grade II or III hemorrhoidal disease, with a low rate of postoperative complications.

L, Cintas-Catena J, et al.

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On the other hand, the comparative study between hemorrhoidectomy technique by laser versus conventional open technique that was held in Aloka Hospital, Kosovo, showed a surgical time of ppph However, although PPH presents a large number of complications, generally the overall index is similar to that yemorroidectomia the conventional technique.

The return to normal activity took place in a period from 7 days to 6 weeks, with a recurrence rate ranging from 7. Investigative study Most patients favorably assessed the hemorrhoidectomy treated by PPH in terms of resolution of postoperative symptoms, functional status, and overall satisfaction in the medium term.

PPH showed hemorrroidectomia surgical time variation of Thus, this study aims to evaluate the surgical techniques used in the treatment of grades III and IV hemorrhoidal disease, according to the pertinent literature.