Evaluación funcional y encuesta de satisfacción de los pacientes operados de hemorroides con técnica de PPH |
Heine, Cápona, López, Larach, Larach, Kronberg, et al. (2010) |
Revista Chilena de Cirugía |
Knowing the evolution and perception of patients operated for hemorrhoids with the PPH technique in the medium term. |
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. |
Surgical complications in 2840 cases of hemorrhoidectomy by Milligan–Morgan, Ferguson and combined techniques |
Santos, Coutinho, Meyer, Sampaio and Cruz (2012) |
Journal of Coloproctology |
Review and update 87 cases of surgical complications from a series of 2840 patients undergoing hemorrhoidectomy using Milligan–Morgan, Ferguson and mixed techniques over the period of 46 years of professional activity in this specialty (1965–2011). |
Original article |
The acceptance of the surgical indication for hemorrhoidectomy was 25.7%, being more common and better accepted by women than by men. This operation was performed more often in patients in the fourth, fifth and third decades of life and the overall incidence of surgical complications was 3.0%. The most common complications were anal stenosis and severe bleeding, with no difference between surgical techniques. |
Hemorroidectomia convencional versus Hemorroidopexia Mecânica (PPH). Estudo retrospectivo de 253 casos |
Marianelli, Machado, Almeida, Baraviera, Falleiros, Lolli, et al. (2009) |
Revista Brasileira de Coloproctologia |
Review the experience of the coloproctology service, HSPM-SP, in surgical treatment of hemorrhoidal disease. |
Documentary study |
The most widely used method for the surgical treatment of hemorrhoids was conventional hemorrhoidectomy. It was also observed that mechanical hemorrhoidopexy (PPH) showed shorter operative time and faster postoperative recovery. Moreover, there was a greater tendency to late complications and recurrences, with the patients in need of a new surgery in the conventional hemorrhoidectomy group. |
Hemorroidectomía cerrada y semicerrada: Estudio prospectivo aleatorizado |
Azolas, Villalón, Danilla, Hasbún, Gatica and Salamanca (2010) |
Revista Chilena de Cirugía |
Compare the results of closed versus the half-closed semicerrada hemorrhoidectomy in terms of pain, complications, surgical time and healing. |
Investigative study |
The study revealed no significant differences for closed and semi-closed hemorrhoidectomy with respect to pain, postoperative complications, scarring and surgical time. |
Estudio comparativo entre hemorroidectomía cerrada de Ferguson y hemorroidectomía com LigaSure™ |
Jaramillo, Beltrán, Bozzo, and Larracheae González (2011) |
Revista Colombiana de Cirurgia |
Compare conventional hemorrhoidectomy, represented by Ferguson technique versus hemorrhoidectomy with LigaSure™. |
Original article |
The hemorrhoidectomy with LigaSure™ significantly shortens the surgical time, being comparable in terms of postoperative pain and of complications with Ferguson hemorrhoidectomy. |
Nueva técnica quirúrgica para el tratamiento de la enfermedad hemorroidal |
Roldós (2010) |
Revista Cubana de Cirurgia |
Reduce the morbidity of surgical treatment of the disease. |
Original article |
The proposed technique provides a new option to improve postoperative morbidity of surgical treatment in patients with hemorrhoidal disease. New randomized controlled trials on hemorrhoidectomy techniques are needed. |
Análisis y Resultados de la Operación de Ferguson em el Tratamiento de la Enfermedad Hemorroidal |
Ferrari, Jamier, Barrionuevo and Andrada (2013) |
Revista Argentina de Coloproctologia |
Prospectively evaluate the results obtained from a series of hemorrhoidectomy procedures performed with Ferguson technique. |
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. |
Procedimiento para hemorroides con prolapso de mucosa: Técnica de Longo. Reporte preliminar. |
Mederos, Pinto and Manzaneda (2009) |
Revista Medica Herediana |
Evaluate the efficacy and safety of PPH in patients with grades III and IV hemorrhoids with rectal mucosa prolapse. |
Original article |
Hemorrhoidectomy by PPH is effective in treating symptoms of grade III and IV hemorrhoids with prolapse of the mucosa, at least in the short and medium term. |
Hemorroidectomía com LigaSure™ vs. diatermia convencional: Análisis retrospectivo monocéntrico |
Papis, Parodi, Herrerías, Sánchez, Gómez, Sierra, et al. (2013) |
Acta Gastroenterologica Latinoamericana |
Compare the surgical outcomes between the hemorrhoidectomy performed according to Milligan–Morgan technique with use of LigaSure™ and that performed with conventional diathermy. |
Original article |
The hemorrhoidectomy performed with LigaSure™ proved to be a safe technique, with a low rate of postoperative pain and fewer complications. |
Milligan–Morgan hemorrhoidectomy with anal cushion suspension and partial internal sphincter resection for circumferential mixed hemorrhoids |
Lu, Shi, Wang, Wu, Liu and Wen (2013) |
World Journal of Gastroenterology |
Identify a more effective treatment protocol for mixed circumferential hemorrhoids. |
Original article |
The hemorrhoidectomy by Milligan–Morgan technique is the best treatment for circumferential mixed hemorrhoids, and can be widely used in the clinical setting. |
Clinical observations on the treatment of prolapsing hemorrhoids with tissue selecting therapy |
Wang, Zhang, Zeng, Zhang, Zhu, Liu, et al. (2015) |
World Journal of Gastroenterology |
Compare the effects and postoperative complications between the tissue from stapled therapeutics and Milligan–Morgan hemorrhoidectomy. |
Original article |
Therapy with the use of a stapler for severe prolapsed hemorrhoid is a satisfactory technique for obtaining faster recovery, lower complication rates and higher operating safety. |
Laser Hemorrhoidoplasty Procedure vs. Open Surgical Hemorrhoidectomy: a Trial Comparing 2 Treatments for Hemorrhoids of Third and Fourth Degree |
Maloku, Gashi, Lazovic, Islami and Juniku-Shkololli (2014) |
Acta Informatica Medica |
Compare the laser procedure for symptomatic hemorrhoids with an open surgical procedure in outpatient care |
Original article |
The laser procedure for hemorrhoids was more effective than open surgical hemorrhoidectomy. Postoperative pain and surgical time are only two indicators for this difference. |
Comparison of LigaSure™ Hemorrhoidectomy with Conventional Ferguson's Hemorrhoidectomy |
Khanna, Khanna, Bhadani, Singh and Khanna (2010) |
Indian Journal of Surgery |
Compare LigaSure™ hemorrhoidectomy versus conventional Ferguson's ‘closed’ hemorrhoidectomy for the treatment of grade III and IV hemorrhoids. |
Original article |
The LigaSure™ hemorrhoidectomy is a safe and effective procedure, with less blood loss, postoperative pain, and complications compared with conventional hemorrhoidectomy. Technically, it is much simpler, by obviating the use of sutures and hemostasis. |
Milligan–Morgan Hemorrhoidectomy vs Stapled Hemorrhoidopexy. |
Kashani, Mehrvarz, Nzeini and Erfanian (2012) |
Trauma Monthly |
Evaluate and compare the results of these two surgical procedures in terms of recovery, improvement of symptoms and incidence of complications |
Original article |
Both techniques are effective methods for the treatment of grade III and IV hemorrhoids and are associated with a recovery rate over 95%. Overall, the results are the same for both techniques. Low postoperative pain was the only advantage of stapling technique versus Milligan–Morgan technique. |
Como o Coloproctologista Brasileiro Vê a Doença Hemorroidária–Análise de Dados Colhidos de Questionário Dirigido aos Especialistas Filiados à Sociedade Brasileira de Coloproctologia |
Cruz, Alvarenga, Constantino, Andrade, Gomes, Faria, et al. (2009) |
Revista Brasileira de Coloproctologia |
Analyze the responses to an extensive questionnaire with 52 questions about hemorrhoidal disease (HD) |
Original article |
The main surgical indication for hemorrhoidal disease was the intensity of symptoms (64.47%), with a preference for the Milligan–Morgan open technique (65.79%). |
Transanal haemorrhoidal dearterialisation with mucopexy versus stapler haemorrhoidopexy: a randomized trial with long-term follow-up |
Lucarelli, Picchio, Caporossi, De Angelis, Di Filippo, et al. (2013) |
Annals of the Royal College of Surgeons of England |
Compare the long-term results of transanal hemorrhoidal dearterialization (THD) versus mucopexy and stapled haemorrhoidopexy (SH) in the treatment of grade III and IV hemorrhoids. |
Original article |
The recurrence rate after THD with mucopexy is significantly higher than after long-term SH, although the results were similar with respect to the control of symptoms and patient satisfaction. |
Resultados a um año tras desarterialización hemorroidal guiada por doppler |
Gomez-Rosado, Sanchez-Ramirez, Capitan-Morales, Valdes-Hernandez, Reyes-Diaz, Cintas-Catena, et al. (2012) |
Cirugia Española |
Evaluate the safety and efficacy of this technique (Doppler-guided hemorrhoidal dearterialization) after 1-year follow-up. |
Original article |
Doppler-guided hemorrhoidal dearterialization appears to be effective after one year, with a low complication rate. |
Stapled hemorrhoidectomy; results of a prospective clinical trial in Saudi Arabia |
Guraya and Khairy (2013) |
Journal of Clinical and Diagnostic Research |
Evaluate the effectiveness of stapled hemorrhoidectomy (SH) in terms of cure of symptoms and control of postoperative pain. |
Original article |
SH is a safe, fast and convenient surgical option grade III and IV hemorrhoids, with a low complication rate, minimal postoperative pain, and early discharge from hospital. |
Stapled hemorrhoidopexy e Initial experience from a general surgery center |
Jaiswal, Gupta and Davera (2013) |
Medical Journal of Armed Forces of India |
Knowing the initial experience of a hospital service, regarding stapling technique. |
Original article |
The PPH method is associated with less postoperative pain and early resumption of activities of daily living. Although the procedure seems simple to perform, it may be associated with serious complications and cannot yet be considered as the standard of care in the surgical treatment of internal hemorrhoids. |