Publication

[New modalities and concepts in the treatment of hemorrhoids]

Journal Paper/Review - Sep 17, 2003

Units
PubMed

Citation
Hetzer F, Wildi S, Demartines N. [New modalities and concepts in the treatment of hemorrhoids]. Praxis 2003; 92:1579-83.
Type
Journal Paper/Review (Deutsch)
Journal
Praxis 2003; 92
Publication Date
Sep 17, 2003
Issn Print
1661-8157
Pages
1579-83
Brief description/objective

The surgical treatment of haemorrhoids has significantly changed by introducing new techniques in the last years. Nowadays, low grade haemorrhoids, grade II and III, are easily and painfree treatable by a minimal invasive, Doppler transducer guided ligation of the haemorrhoidal arteries. In cases of circular protruding haemorrhoids, grade III and IV; the stapled mucosectomy described by Longo is also a new effective treatment. Both procedures can be performed for an outpatient or with short hospital stay and allows patients to return to work earlier compared to conventional techniques. Additionally, due to the new techniques the treatment of haemorrhoids is less painful and has increased patients' satisfaction. Therefore, the traditional haemorrhoidectomy, the Milligan-Morgan or the Ferguson procedure, has become less common and is only performed in a few special indications.