Symptomatic pile tailored procedure. A new perspective for hemorrhoidal disease treatment (original) (raw)

Annali italiani di chirurgia, 2017

Abstract

Aim of the present paper was to evaluate the role of tailored different single pile treatment in the clinical outcome of hemorrhoids. The surgical strategy considered to treat only pathological piles with different procedure according to each pathological Goligher's degree, presence of fibrous, inelastic redundant internal pile(F) and presence of external pathological pile (external pile congestion or subversion of dental line (E) and skin tag not tolerated from the patient (S)). We treated with Hemorrhoidopexy second and third degree pile without F or ES; with Hemorrhoidopexy and excision of external component every second and third degree pile with E or S and with complete semi-closed pile excision all third degree with F and IV degree piles. The number of post operative days of self administered analgesics was the primary end point and short/long term post operative complications, hospital stay, re-admission and recurrence were secondary end points. 157 patients were treated....

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