2012
DOI: 10.1590/s2237-93632012000300011
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Abstract: The analysis of 2,840 cases of hemorrhoidectomy by open techniques of Milligan-Morgan (2,189 cases), Ferguson (341 cases) and mixed (310 cases) in 11,043 patients with hemorrhoidal disease (HD) allowed the following conclusions. The patients' acceptance of surgical indication for hemorrhoidectomy was 25.7%. Hemorrhoidectomy was more common among women (53.8%) than men (46.2%), and more accepted by women (26.5%) than men (24.8%). Hemorrhoidectomy was more common in patients of the fourth (27.7%), fifth (21.9%) … Show more

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Cited by 11 publications
(16 citation statements)
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“…Grade I and, in certain cases, grade II hemorrhoids may be treated with dietary and lifestyle modifications or medical treatment options such as sclerotherapy. However, high-grade hemorrhoids require highly invasive surgical options ( 10 , 53 ), which are usually associated with postoperative pain, bleeding and fecal urgency ( 15 , 16 , 54 ). Furthermore, owing to the high recurrence rates that ensue after performing these procedures, these surgical methods only have partial success ( 15 , 16 ).…”
Section: Discussionmentioning
confidence: 99%
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“…Grade I and, in certain cases, grade II hemorrhoids may be treated with dietary and lifestyle modifications or medical treatment options such as sclerotherapy. However, high-grade hemorrhoids require highly invasive surgical options ( 10 , 53 ), which are usually associated with postoperative pain, bleeding and fecal urgency ( 15 , 16 , 54 ). Furthermore, owing to the high recurrence rates that ensue after performing these procedures, these surgical methods only have partial success ( 15 , 16 ).…”
Section: Discussionmentioning
confidence: 99%
“…However, high-grade hemorrhoids require highly invasive surgical options ( 10 , 53 ), which are usually associated with postoperative pain, bleeding and fecal urgency ( 15 , 16 , 54 ). Furthermore, owing to the high recurrence rates that ensue after performing these procedures, these surgical methods only have partial success ( 15 , 16 ). Anal fissures have several symptoms that are similar to those of hemorrhoids, including severe pain.…”
Section: Discussionmentioning
confidence: 99%
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“…Although the rate of postoperative pain and urinary retention was lower, the rate of recurrence of disease was noted to be relatively higher. 10 This was modified by the addition of a mucosal proctoplasty to the THD procedure. This allowed retraction of the hemorrhoid out of the highpressure zone in the anal canal back to its anatomical site and thus reducing recurrent disease.…”
Section: Discussionmentioning
confidence: 99%
“…A retrospective study showed that septic complications after hemorrhoidectomy represent only 0.1% of all operated on patients (2840 patients) [ 9 ].…”
Section: Introductionmentioning
confidence: 99%