Surgical treatment of haemorrhoidal disease – the current situation in Poland

Abstract

IntroductionIn cases of haemorrhoidal disease resistant to conservative treatment, surgical treatment is necessary to relieve the symptoms.AimTo investigate the current methods used by Polish surgeons.Material and methodsSurveys were distributed to members of the Association of Polish Surgeons (APS), in which participants were asked a number of closed-ended questions regarding haemorrhoidal disease and the way they treated suffering patientsResultsOut of the 1523 members of APS who received questionnaires, responses were received from 807 (52.9%) members. The Milligan-Morgan technique was indicated by 72.5% of surgeons as a leading surgical treatment, followed by Ligasure (15.5%), Ferguson (3.5%), DGHL (3.5%), other methods (3.5%), Parks (1.7%), and Longo (0%). The majority of participants (93%) indicated from 0 to 1 life threatening complications, 5% – from 2 to 3, and 2% > 4. A total of 83% of participants use a single dose of antibiotics prior to surgery.ConclusionsThe Milligan-Morgan technique is the preferred method. The majority of procedures are performed in regional hospitals and university departments, and less commonly in private practices. The vast majority of surgeons in Poland are not convinced about the stapler technique, justifying this fact with the possibility of developing serious complications

Hemorrhoidal disease: Predilection sites, pattern of presentation, and treatment

“…[1011] A national study in a Caucasian population recorded hemorrhoids most commonly between the ages of 45–65 years affecting 5% of the population with no sex dominance. [12] In general, it is estimated that 50% of the people older than 50 years have hemorrhoids symptoms at least for a period. [13] This lends credence to the weakening of supporting connective tissue associated with aging as a predisposing factor.…”

The Use of PILA-Pack: Differences in Length of Stay of Hemorrhoidal Patients

“…According to a national survey in a caucasian community, hemorrhoids are most common in the average age of 45 and 65 years and affect 5% of the population regardless of gender dominance (16).…”