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

Abstract

Relevant changes in the surgical choice of haemorrhoid treatment have occurred in Italy over the last 17 years. MM haemorrhoidectomy remains the most frequently performed procedure for Grade III haemorrhoids. Stapled haemorrhoidopexy has become much less popular in contrast to DGHAL with mucopexy which is being performed much more frequently.

The use of sclerotherapy with polidocanol foam in the treatment of second‐degree haemorrhoidal disease – a video vignette

“…Depending on its severity, HD can be effectively treated with medical and office‐based procedures such as rubber‐band ligation or sclerotherapy or various surgical approaches . Sclerotherapy has been described for treating Grade I–III HD .…”

Haemorrhoid energy therapy versus rubber band ligation for the management of grade I and II haemorrhoids: a randomized trial

“…RBL for haemorrhoids is a commonly used alternative to more invasive interventions, including excisional haemorrhoidectomy, doppler guided haemorrhoid artery ligation, and stapled haemorrhoidectomy 7 and is the most commonly used procedure for grade I and II disease. 8 RBL is more effective then injection sclerotherapy and infrared coagulation. 9 RBL is usually performed in an ambulatory setting and often without sedation, however it is recognized that significant pain, vasovagal complications, oedema and urinary disturbance can result, particularly if more than one band is applied per session.…”

“…RBL for haemorrhoids is a commonly used alternative to more invasive interventions, including excisional haemorrhoidectomy, doppler guided haemorrhoid artery ligation, and stapled haemorrhoidectomy and is the most commonly used procedure for grade I and II disease . RBL is more effective then injection sclerotherapy and infrared coagulation .…”

First aid toolkit for anal fistulas, a detailed treatise for trainees – a video vignette (ESCP Trainee Video)

“…Depending on its severity, HD can be effectively treated with medical and office-based procedures such as rubber-band ligation or sclerotherapy [1] or various surgical approaches [2]. Sclerotherapy has been described for treating Grade I-III HD [3].…”

“…This video will not cover preoperative imaging [2]. For readers interested in this topic, please view other relevant European Society of Coloproctology (ESCP) Trainee Videos.…”