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Hemorrhoidectomy- making sense of the surgical options 被引量:21

Hemorrhoidectomy- making sense of the surgical options
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摘要 While debate continues as to which is the best surgical method for the treatment of hemorrhoids, none of the currently available surgical methods approach the ideal surgical option, which is one that is effective while being safe and painless. In reality, the less painful the procedure, the more likely it is to be associated with recurrence post-op. Where hemorrhoids surgery is concerned, there isn’t a “one size fits all” option. Most of the randomized controlled trials performed to date include hemorrhoids of various grades and with a focus on only comparing surgical methods while failing to stratify the outcomes according to the grade of hemorrhoid. We believe that surgery needs to be tailored not only to the grade of the hemorrhoids, but also to the size, circumferential nature of the disease, and prevailing symptomatology. While debate continues as to which is the best surgical method for the treatment of hemorrhoids,none of the currently available surgical methods approach the ideal surgical option,which is one that is effective while being safe and painless.In reality,the less painful the procedure,the more likely it is to be associated with recurrence post-op.Where hemorrhoids surgery is concerned,there isn’t a"one size fits all"option.Most of the randomized controlled trials performed to date include hemorrhoids of various grades and with a focus on only comparing surgical methods while failing to stratify the outcomes according to the grade of hemorrhoid.We believe that surgery needs to be tailored not only to the grade of the hemorrhoids,but also to the size,circumferential nature of the disease,and prevailing symptomatology.
机构地区 Department of Surgery
出处 《World Journal of Gastroenterology》 SCIE CAS 2014年第45期16976-16983,共8页 世界胃肠病学杂志(英文版)
关键词 HEMORRHOIDECTOMY Doppler-guided hemorrhoidal artery ligation STAPLER LIGASURE Conventional Hemorrhoidectomy Doppler-guided hemor-rhoidal arte
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参考文献11

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