Current Methods in The Surgical Treatment of Hemorrhoids

Abstract

Abstract PURPOSE: Hemorrhoidal disease is a chronic disease of the lower rectum and anus because of increased pressure during straining. Millions of people around the world suffer from this disease. My aim here was to see with the non-surgical method could we achieve the success achieved with the surgical method, which could cause serious complications.METHODS: We compared two different treatment methods; surgical (Longo) technique and less invasive non-surgical (ADL) methods by examining the post-operative pain complaints and normal daily activities of our patients operated for hemorrhoids retrospectively. Patients operated for hemoroid from 2021 to 2022 were included.RESULTS: A total of 120 patients, sypmtomatic with bleeding per rectum included in this study. There was no statistically significant difference between the age and gender distributions of the Longo and ADL groups (p = 0,231, p = 0,711). When the daily activities of both groups were compared, the dressing(p = 0.042) and toileting (p = 0.012) activities in the Longo group were found to be statistically significantly lower than the ADL group. On the other hand there was a statistically significant difference within the groups (Longo; p = 0,0001, ADL; p = 0,0001) related to the pain assessments at the end of the 1st day, 1 week and 1 month.CONCLUSION: When both methods were compared, the adaptation of the ADL group to normal daily life was faster than the Longo group. I only detected tenesmus complaint in 12 stage III-IV patients whom I had the pexy procedure (n = 12) (20%).