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[Hemorrhoids. Medico-surgical treatment]
1Servicio de Coloproctología en el Complejo Hospitalario Metropolitano de la Caja de Seguro Social de Panamá y en la Clínica San Fernando.
Revista Medica De Panama
|January 1, 1990
Summary
Conservative treatments are preferred for hemorrhoids, with surgery reserved for specific cases. Surgical techniques aim to prevent recurrence and complications like anal stenosis.
Area of Science:
- Gastroenterology
- Colorectal Surgery
Context:
- Study analyzed 390 patients (300 examined, 90 operated) at San Fernando Clinic and CHMCSS.
- Investigated hemorrhoid symptoms, demographics, clinical findings, classification, and treatments.
Purpose:
- Determine the frequency and characteristics of hemorrhoid symptoms.
- Evaluate the efficacy of various conservative and surgical therapeutic methods for hemorrhoids.
Summary:
- 84% of patients received conservative treatment (diet, sitz baths, psyllium, sclerosis, rubber band ligation).
- 16% underwent surgery, involving ligature and excision of primary hemorrhoids and the hemorrhoidal plexus.
- Surgical technique described aims for effectiveness, recurrence prevention, and avoidance of anal canal complications.
Impact:
- Highlights the prevalence of conservative management in hemorrhoid treatment.
- Describes a surgical approach designed to minimize recurrence and postoperative issues such as anal stenosis.