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C Khosrovaninéjad1, Ph Marchal, S Daligaux
1Service de chirurgie viscérale et digestive de la clinique Fontvert - Avignon Nord.
Journal De Chirurgie
|July 24, 2012
Summary
Parks hemorrhoidectomy is a safe and effective treatment for advanced hemorrhoids, offering reduced postoperative pain and minimal anal incontinence. This surgical technique provides satisfactory outcomes for patients undergoing hemorrhoid removal.
Area of Science:
- Colorectal Surgery
- Surgical Outcomes
- Hemorrhoid Treatment
Context:
- Hemorrhoidectomy is the standard treatment for advanced hemorrhoids (Stage 3 and 4).
- Established techniques include Milligan hemorrhoidectomy and Parks hemorrhoidectomy.
- Stapled anopexy (Longo procedure) is a newer alternative, but long-term superiority is not yet proven.
Purpose:
- To evaluate the immediate and medium-term results of the Parks hemorrhoidectomy technique.
- To assess postoperative pain, hospital stay, work incapacity, and anal function.
- To determine the safety and efficacy of Parks hemorrhoidectomy.
Summary:
- A prospective trial assessed 327 patients undergoing Parks hemorrhoidectomy between 1997 and 2001.
- Postoperative pain scores were low (mean daily <3), hospital stay averaged 2.2 days, and work incapacity was 11 days.
- Anal incontinence scores improved or remained unchanged in 90.4% of patients, with no serious complications.
Impact:
- Parks hemorrhoidectomy is confirmed as a safe procedure with satisfactory outcomes.
- The technique leads to reduced postoperative pain and a low incidence of anal functional sequelae.
- This study supports Parks hemorrhoidectomy as a reliable surgical option for advanced hemorrhoids.
