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HEMORROIDECTOMIA PPH PDF

Learn more about Hemorroidectomía at Augusta Health Specialists DefiniciónRazones para realizar el procedimientoFactores de riesgo de complicaciones. PDF | Experiencia inicial de casos de Hemorroidectomia com PPH. hemorroidectomía con bisturí ultrasónico y la hemorroidectomía PPH. La morbilidad asociada a este procedimiento quirúrgico convencional no es despreciable.

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The study solely on PPH technique conducted by Mederos et al. It was found that the four most widely used techniques were: According to data henorroidectomia in Fig. This is an exploratory study that outlined, from an integrative review of scientific literature on current surgical, the techniques used in the treatment of grades III and IV hemorrhoidal disease.

The age distribution shows a higher incidence among patients aged 45—65 years with decreased involvement after 65 years, and the fact that men are more frequently affected than women.

Knowing the initial experience of a hospital service, regarding stapling technique. Postoperative pain evaluated in this study followed the VAS Hemorroidectoia Analog Scale scale that was used in most of the selected studies.

Original article Hemorrhoidectomy by PPH is hemorriodectomia in treating symptoms of grade III and IV hemorrhoids with prolapse of the mucosa, at least in the short and medium term.

Regarding the country of origin of the publications, it was clear Table 3 that Brazil and Chile had the highest number of publications: The main surgical indication for hemorrhoidal disease was the intensity of symptoms Method This is an exploratory study that outlined, from hemorrooidectomia integrative review of scientific literature on current surgical, the techniques used in the treatment of grades III and IV hemorrhoidal disease.

Hemorrhoidal disease HD is a condition that afflicts about 4. Estudo Retrospectivo de Casos. Patients returned to activity after 7 days; 3.

Hemorroidectomía | Augusta Health Specialists

The surgical procedure includes a reduced surgical time, besides providing the patient with less scar formation and preservation of anal sensitivity. Original article The hemorrhoidectomy by Milligan—Morgan technique is the best treatment for circumferential mixed hemorrhoids, and can be widely used in the clinical setting. Thus new studies are required for a safer evaluation.

However, although PPH presents a large number of complications, generally the overall index is similar to that of the conventional technique. This technique was described by Longo in as a new surgical option for the treatment of hemorrhoidal disease; with PPH, an annulus of mucosa and submucosa is removed with the use of a circular stapler above the dentate line, with fixation the hemorrhoidal pad for correction of the prolapse.

Initially, this technique was proposed by Salmon in and popularized since by Milligan and Morgan; basically it consists of the excision of the hemorrhoidal tissue with ligation and dissection of the vascular pedicle, leaving the wound open to heal by secondary intention.

Procedure for prolapsed hemorrhoid PPH This technique was described by Longo in as a new surgical option for the treatment of hemorrhoidal disease; with PPH, an annulus of mucosa and submucosa is removed with the use of a circular stapler above the dentate line, with fixation the hemorrhoidal pad for correction of the prolapse.

In the study of Khanna et al. Milligan—Morgan Hemorrhoidectomy vs Stapled Hemorrhoidopexy. Original article SH is a safe, fast and convenient surgical option grade III and IV hemorrhoids, with a low complication rate, minimal postoperative pain, and early discharge from hospital.

Conclusion Conventional techniques are still the most practiced, with good acceptance as to the long-term resolution and to the low recurrence rate, despite a period of slower recovery and more intense pain.

Hemorroidectomía

Thus, this study aims to evaluate the surgical techniques used in the treatment of grades III and IV hemorrhoidal disease, according to the pertinent literature. Technically, it is much simpler, by obviating the use of sutures and hemostasis. Resultados Foram selecionados 19 artigos. Stapled hemorrhoidopexy e Initial experience from a general surgery center.

Results Nineteen articles were selected. In this context, this study may provide subsidies to academic and public health professionals, so they have an overview of current and significant studies in the scientific environment that are crucial to a good understanding of the hemorrhoidectomy. Both studies of Kashani et al.

Pain and recurrence The variation in observed pain was similar to that found by Gomez-Rosado et al.

There were no recurrences. Conventional techniques are still the most commonly performed with a good acceptance on the long-term resolution and low recurrence rate. September 24, ; Accepted: Thus, an aspect exceedingly important, to be examined by the surgeon, is the proper care of the pain postoperatively, since pain can be a hindrance to the use of a particular technique, even when more modern and efficient.

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Comparison of ligasure hemorrhoidectomy with conventional Ferguson’s hemorrhoidectomy. Original article The hemorrhoidectomy with the Ferguson technique resulted in an appropriate and effective procedure for the treatment of grade II or III hemorrhoidal disease, with a low rate of postoperative complications.

After reading the titles and abstracts of these articles, 47 potentially relevant studies were found and then carefully read in their entirety. In their comparative study between the closed and semi-closed techniques performed in the Outpatient Surgery Department of the Hospital Barros Luco Trudeau in Chile, Azolas et al. Chang Gung Med J.

Analysis of the main surgical techniques for hemorrhoids

Described by Morinaga et al. This operation was performed more often in patients in the fourth, fifth and third decades of life and the overall incidence of surgical complications was 3.

Original article The PPH method is associated with less postoperative pain and early resumption of activities of hemorroidectkmia living. The hemorrhoidectomy with the Ferguson technique resulted in an appropriate and effective procedure for the treatment of grade II or III hemorrhoidal disease, with a low rate of postoperative complications.

Pain hemotroidectomia recurrences In studies using the VAS scale, the average pain on day zero was grade 5; on day 1, grade 3; and on day 7, grade 2.