[Differential surgical therapy in hemorrhoids]

Haemorrhoids 3 degrees should be treated operatively. In segmental lesions, excisional haemorrhoidectomy (Milligan-Morgan, Ferguson, Parks) is the procedure of choice. For more circular haemorrhoidal piles, circular stapled haemorrhoidectomy has been used in Germany since 1998. In cases of additional prolapsing anoderm reconstructive anoplasty might be superior. Using a classification orientated therapeutical regime for haemorrhoidal disease offers high healing rates with a low rate of complications and recurrences.