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CC BY-NC-ND 4.0 · Journal of Coloproctology 2016; 36(02): 104-114
DOI: 10.1016/j.jcol.2015.12.008
Review Article

Analysis of the main surgical techniques for hemorrhoids

Análise das principais técnicas cirúrgicas para doença hemorroidária
Magno Otávio Salgado de Freitas
a   Post-graduation Program in Primary Care in Health, Surgical Clinic Department, Universidade Estadual de Montes Claros (Unimontes), Montes Claros, MG, Brazil
,
Jaciara Aparecida Dias Santos
b   Universidade Estadual de Montes Claros (Unimontes), Montes Claros, MG, Brazil
c   Program of Undergraduate Research, Fundação de Amparo à Pesquisa do Estado de Minas Gerais (FAPEMIG), Belo Horizonte, MG, Brazil
,
Maria Fernanda Santos Figueiredo
a   Post-graduation Program in Primary Care in Health, Surgical Clinic Department, Universidade Estadual de Montes Claros (Unimontes), Montes Claros, MG, Brazil
,
Cristina Andrade Sampaio
a   Post-graduation Program in Primary Care in Health, Surgical Clinic Department, Universidade Estadual de Montes Claros (Unimontes), Montes Claros, MG, Brazil
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Abstract

Introduction Surgical treatment of hemorrhoidal disease is used in about 5–10% of cases where conservative treatments have not been effective.

Objective To learn the surgical techniques used in the treatment of hemorrhoidal disease grades III and IV in the light of literature.

Methods This is an exploratory study, with an integrative review of literature published from 2009 to 2015 from databases LILACS, SciELO, MEDLINE, PUBMED and the Portal of CAPES, using the following descriptors: “hemorrhoidectomy” and “hemorrhoids”, in the period from March to May 2015.

Results Nineteen articles were selected. In the four more described techniques, the surgical time ranged from 19.58 to 52 min, with relapses from 5%, from 17.5 to 35 min and recurrences of 7.5% to 8.2%, 23–35 min was 20% and 22.5% relapse, 12.5 and 13.2 min, 3.5% of relapses.

Conclusion Conventional techniques are still the most commonly performed with a good acceptance on the long-term resolution and low recurrence rate.

Resumo

Introdução O tratamento cirúrgico da doença hemorroidária é utilizado para cerca de 5 a 10% dos casos em que os tratamentos conservadores não surtiram efeito.

Objetivo Conhecer as técnicas cirúrgicas utilizadas no tratamento da doença hemorroidária grau III e IV à luz da literatura.

Métodos Trata-se de um estudo exploratório, com revisão integrativa da literatura publicada nos anos de 2009 a 2015, das bases de dados LILACS, SciELO, MEDLINE, PUBMED e no Portal da CAPES; a partir dos seguintes descritores: hemorroidectomia e hemorroidas, no período de março a maio de 2015.

Resultados Foram selecionados 19 artigos. Nas quatro técnicas mais descritas, o tempo cirúrgico variou de 19, 58 a 52 minutos e recidivas de 5%, de 17,5 a 35 minutos e as recidivas de 7,5% a 8, 2%, de 23 a 35 minutos e houve de 20% a 22,5% de recidivas, de 12,5 e 13,2 minutos e 3, 5% de recidivas.

Conclusão As técnicas convencionais ainda são as mais realizadas, com boa aceitação quanto à resolução a longo prazo e com baixo índice de recidivas.

Keywords

Hemorrhoidectomy - Hemorrhoids - PPH

Palavras-chave

Hemorroidectomia - Hemorroidas - PPH


Publication History

Received: 24 September 2015

Accepted: 06 December 2015

Article published online:
17 February 2021

© 2016. Sociedade Brasileira de Coloproctologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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