[Radical reconstructive hemorrhoidectomy. Apropos of a new technic]

On the basis of personal experience of the surgical treatment of hemorrhoidal lesions of the third stage, the Authors describe a new technique for radical hemorrhoidectomy. Sixty-one patients (67% males and 33% females) affected by hemorrhoidal lesions of the third (96%) and second (2%) stage were treated using this method at the INRCA Surgical Centre in Ancona. 19% of patients also suffered from chronic anal fissure which were treated by internal lateral sphincterotomy. No major complications were observed, although minimum postoperative bleeding (17%) and a congestive edematous suffusion (20%) were observed, as was the partial leakage of the mucous-cutaneous suture in 7% of cases. The follow-up after 24 months of 50 patients revealed only one relapse (2%) and persistent soiling for approximately 90 days in 22% of cases.