Evaluation and management of hemorrhoids: Italian society of colorectal surgery (SICCR) consensus statement

Abstract

Hemorrhoids are one of the most common medical and surgical diseases and the main reason for a visit to a coloproctologist. This consensus statement was drawn up by the Italian society of colorectal surgery in order to provide practice parameters for an accurate assessment of the disease and consequent appropriate treatment. The authors made a careful search in the main databases (MEDLINE, PubMed, Embase and Cochrane), and all results were classified on the basis of the grade of recommendation (A-C) of the American College of Chest Physicians.

Hemorrhoidectomy; Stapled Versus Conventional Hemorrhoidectomy in Terms of Post-Operative Pain and Hospital Stay

“…In group A, 11 patients were having satisfactory outcome and in group B, 8 patients were have satisfactory outcome. When results of two groups were compared for postoperative pain it shows significant statistical difference in between two groups like those of the other controlled studies conducted by Ortiz H et al 18 and Rowsell M et al 19 reported in the literature, 20 the results reported here show that stapled hemorrhoidectomy is associated with significantly less postoperative discomfort than conventional hemorrhoidectomy.…”

Surgical management of haemorrhoids: an Italian survey of over 32 000 patients over 17 years

“…Nevertheless, their long-term outcome needs to be confirmed by further studies. In fact, the reported long-term outcome in terms of recurrences after these operations widely varies from 9.5% in large case series [26] to 30% in RCT [11]. The results of this survey indicate that today haemorrhoids management in Italy is aligned to the recently published Italian position paper 27 and to most of the international guidelines [6][7][8][9]27].…”

Diathermy excisional haemorrhoidectomy – still the gold standard – a video vignette

“…Open excisional haemorrhoidectomy remains the gold standard technique for patients with Grade III–IV haemorrhoidal disease despite the risk of postoperative bleeding and associated sequelae such as anal stenosis and faecal incontinence .…”