caa a22 4500 606248889 CHVBK 20210128101352.0 cr unu---uuuuu 210128e20151201xx s 000 0 eng 10.1007/s12262-014-1087-5 doi (NATIONALLICENCE)springer-10.1007/s12262-014-1087-5 Clinical Outcome Following Hemorrhoid Surgery: a Narrative Review [Elektronische Daten] [Marcello Picchio, Ettore Greco, Annalisa Di Filippo, Giuseppe Marino, Francesco Stipa, Erasmo Spaziani] Surgical therapy guaranties satisfactory results, which are significantly better than those obtained with conservative therapies, especially for Grade III and IV hemorrhoids. In this review, we present and discuss the results of the most diffuse surgical techniques for hemorrhoids. Traditional surgery for hemorrhoids aims to remove the hemorrhoids, with closure (Fergusson's technique) or without closure (Milligan-Morgan procedure) of the ensuing defect. This traditional approach is effective, but causes a significant postoperative pain because of wide external wounds in the innervated perianal skin. Stapled hemorrhoidopexy, proposed by Longo, has gained a vast acceptance because of less postoperative pain and faster return to normal activities. In the recent literature, a significant incidence of recurrence after stapled hemorrhoidopexy was reported, when compared with conventional hemorrhoidectomy. Double stapler hemorrhoidopexy may be an alternative to simple stapled hemorrhoidopexy to reduce the recurrence in advanced hemorrhoidal prolapse. Transanal hemorrhoidal deartertialization was showed to be as effective as stapled hemorrhoidopexy in terms of treatment success, complications, and incidence recurrence. However, further high-quality trials are recommended to assess the efficacy and safety of this technique. Association of Surgeons of India, 2014 Hemorrhoids nationallicence Surgery nationallicence Indication nationallicence Resection nationallicence Stapler nationallicence Picchio Marcello Department of Surgery, Civil Hospital "P. Colombo”, Via Orti Ginnetti 7, 00049, Rome, Velletri, Italy aut Greco Ettore Department of Surgery, Civil Hospital "P. Colombo”, Via Orti Ginnetti 7, 00049, Rome, Velletri, Italy aut Di Filippo Annalisa Department of Surgery, Sapienza University of Rome, Polo Pontino Via Firenze, s.n.c., 04019, Latina, Terracina, Italy aut Marino Giuseppe Department of Surgery, Civil Hospital "P. Colombo”, Via Orti Ginnetti 7, 00049, Rome, Velletri, Italy aut Stipa Francesco Department of Surgery, Hospital "S. Giovanni-Addolorata”, Via dell'Amba Aradam 9, 00184, Rome, Italy aut Spaziani Erasmo Department of Surgery, Sapienza University of Rome, Polo Pontino Via Firenze, s.n.c., 04019, Latina, Terracina, Italy aut Indian Journal of Surgery Springer India 77(2015-12-01), 1301-1307 0972-2068 77<1301 2015 77 12262 https://doi.org/10.1007/s12262-014-1087-5 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 review-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s12262-014-1087-5 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Picchio Marcello Department of Surgery, Civil Hospital "P. Colombo”, Via Orti Ginnetti 7, 00049, Rome, Velletri, Italy aut NATIONALLICENCE 700 1- Greco Ettore Department of Surgery, Civil Hospital "P. Colombo”, Via Orti Ginnetti 7, 00049, Rome, Velletri, Italy aut NATIONALLICENCE 700 1- Di Filippo Annalisa Department of Surgery, Sapienza University of Rome, Polo Pontino Via Firenze, s.n.c., 04019, Latina, Terracina, Italy aut NATIONALLICENCE 700 1- Marino Giuseppe Department of Surgery, Civil Hospital "P. Colombo”, Via Orti Ginnetti 7, 00049, Rome, Velletri, Italy aut NATIONALLICENCE 700 1- Stipa Francesco Department of Surgery, Hospital "S. Giovanni-Addolorata”, Via dell'Amba Aradam 9, 00184, Rome, Italy aut NATIONALLICENCE 700 1- Spaziani Erasmo Department of Surgery, Sapienza University of Rome, Polo Pontino Via Firenze, s.n.c., 04019, Latina, Terracina, Italy aut NATIONALLICENCE 773 0- Indian Journal of Surgery Springer India 77(2015-12-01), 1301-1307 0972-2068 77<1301 2015 77 12262