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Hemorrhoids

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The ASCRS Textbook of Colon and Rectal Surgery

Abstract

Hemorrhoids are a normal component of anorectal anatomy. The terms “hemorrhoids” – as used by patients – or “hemorrhoidal disease” refer to the state of symptoms attributed to the vascular cushions present in the anal canal. It is critical for both surgeons and patients alike to consider this fact when evaluating and managing hemorrhoidal symptoms, as patients may desire removal of hemorrhoids, whereas control of symptoms should be the primary treatment goal.

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References

  1. Thomson WH. The nature of haemorrhoids. Br J Surg. 1975;62(7):542–52.

    Article  CAS  PubMed  Google Scholar 

  2. Thulesius O, Gores JE. Arterio-venous anastomoses in the anal region with reference to the pathogenesis and treatment of haemorrhoids. Acta Chir Scand. 1973;139(5):476–8.

    CAS  PubMed  Google Scholar 

  3. Parnaud E, Guntz M, Bernard A, et al. Anatomie normale macroscopique et microscopique du reseau vasculaire hemorrhoidal. Arch Fr Mal Appar Dig. 1976;65:501.

    CAS  Google Scholar 

  4. Hansen HH. Pathomorphologieund therapie des hamorrhoidalleidens. Hautartzt. 1977;28:364.

    CAS  Google Scholar 

  5. Lestar B, Penninck F, Kerremans R. The composition of anal basal pressure. An in vivo and in vitro study in man. Int J Colorectal Dis. 1989;4(2):118–22.

    Article  CAS  PubMed  Google Scholar 

  6. Haas PA, Fox TA, Hass GP. The pathogenesis of hemorrhoids. Dis Colon Rectum. 1984;27(7):442–50.

    Article  CAS  PubMed  Google Scholar 

  7. Galizia G, Lieto E, Castellano P, Pelosio L, Imperator V, Pigantelli C. Lateral internal sphincterotomy together with haemorhroidectomy for treatment for haemorrhoids: a randomized prospective study. Eur J Surg. 2000;166:223–8.

    Article  CAS  PubMed  Google Scholar 

  8. Farouk R, Duthie GS, MacGregor AB, Bartolo DC. Sustained internal sphincter hypertonia in patients with chronic anal fissure. Dis Colon Rectum. 1994;37:424–9.

    Article  CAS  PubMed  Google Scholar 

  9. Loder PB, Kamm MA, Nicholls RJ, Phillips RK. Haemorrhoids: pathology, pathophysiology, and aetiology. Br J Surg. 1994;81(7):946–54.

    Article  CAS  PubMed  Google Scholar 

  10. Johanson JF, Sonnenberg A. The prevalence of hemorrhoids and chronic constipation. An epidemiologic study. Gastroenterology. 1990;98(2):380–6.

    Article  CAS  PubMed  Google Scholar 

  11. Adams PF, Hendershot GE, Marano MA. Current estimates from the National Health Interview Survey, 1996. Natl Center Health Stat Vital Health Stat. 1999;10(200):1–203.

    Google Scholar 

  12. Abramowitz L, Godeberge P, Staumont G, Soudan D. Clinical practice guidelines for the treatment of hemorrhoid disease. Gastroenterol Clin Biol. 2001;25(6–7):674–702.

    CAS  PubMed  Google Scholar 

  13. National Center for Health Statistics. (Technical Appendix from Vital Statistics of the United States: Mortality). 2002. Hyattsville, Maryland: 2004.

    Google Scholar 

  14. Johanson JF, Sonnenberg A. Temporal changes in the occurrence of hemoohids in the United States and England. Dis Colon Rectum. 1991;34(7):585–91.

    Article  CAS  PubMed  Google Scholar 

  15. Burt CW, Schappert SM. Ambulatory care visits to physician offices, hospital outpatient departments, and emergency departments: United States, 1999–2000. Natl Center Health Stat Vital Health Stat. 2004;13(157):1–70.

    Google Scholar 

  16. Helmick CG, Griffin PM, Addiss DG, Tauxe RV, and Juranek DD. Chapter 3 in Everhart, James. E. (ed.), Digestive Diseases in the United States: Epidemiology and Impact. U.S. Dept. of Health and Human Services, Public Health Service, National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases: U.S. Government Printing Office, May 1994, NIH Pub. No. 94-1447, pp. 85–123

    Google Scholar 

  17. Kozak LJ, Owings MF, Hall MJ. National Hospital Discharge Survey: 2002 annual summary with detailed diagnosis and procedure data. Natl Center Health Stat Vital Health Stat. 2005;13(158):1–199.

    Google Scholar 

  18. Johanson JF. Hemorrhoids. In: Everhart JE, editor. Digestive diseases in the United States: epidemiology and impact. US Department of Health and Human Services, Public Health Service, National Institutes of Health, National Institute of ­Diabetes and Digestive and Kidney Diseases. Washington, DC: US Government Printing Office, 1994; NIH Publication No. 94-1447 pp. 271–298.

    Google Scholar 

  19. Everhart JE, ed. The burden of digestive diseases in the United States. US Department of Health and Human Services, Public Health Service, National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases. Washington, DC: US Government Printing Office, 2008; NIH Publication No. 09-6443.

    Google Scholar 

  20. Banov Jr J, Kneopp Jr JF, Erdman JH, Alia RT. Management of hemorrhoidal disease. J S C Med Assoc. 1985;81(7):398–401.

    PubMed  Google Scholar 

  21. Senagore AJ, Singer M, Abcarian H, et al. A prospective, randomized, controlled, multicenter trial comparing stapled hemorrhoidopexy and Ferguson hemorrhoidectomy: peripoperative and one year result. Dis Colon Rectum. 2004;47(11):824–36.

    Article  Google Scholar 

  22. O’Donnell LJD, Heaton KW. Pseudo-diarrhea in the irritable bowel syndrome: patients’ records of stool form reflect transit time while stool frequency does not. Gut. 1988;29:A1455.

    Google Scholar 

  23. Armstrong DN. Multiple hemorrhoidal ligation: a prospective, randomized trial evaluating a new technique. Dis Colon Rectum. 2003;46(2):179–86.

    Article  PubMed  Google Scholar 

  24. Segal WN, Greenberg PD, Rockey DC, Cello JP, McQuaid KR. The outpatient evaluation for hematochezia. Am J Gastroenterol. 1998;93(2):179–82.

    Article  CAS  PubMed  Google Scholar 

  25. Church JM. Analysis of the colonoscopic findings in patients with rectal bleeding according to the pattern of their presenting symptoms. Dis Colon Rectum. 1991;34:391–5.

    Article  CAS  PubMed  Google Scholar 

  26. Rex DK, Bond JH, Winawer S, et al. Quality in the technical performance of colonoscopy and the continuous quality improvement process for colonoscopy: recommendations of the U.S. Multi-Society Task Force on colorectal cancer. Am J Gastroenterol. 2002;97:1296–308.

    Article  PubMed  Google Scholar 

  27. Cataldo P, Ellis N, Gregorcyk S, et al. Practice parameters for the management of hemorrhoids (Revised). Dis Colon Rectum. 2005;48:189–94.

    Article  PubMed  Google Scholar 

  28. Clinical Practice Committee, American Gatroenterological Association. American Gastroenterological Association medical position statement; diagnosis and treatment of hemorrhoids. Gastroenterology 2004; 126(5); 1461–1462.

    Google Scholar 

  29. Korkis AM, McDougall CJ. Rectal bleeding in patients less than 50 years of age. Dig Dis Sci. 1995;40(7):1520–3.

    Article  CAS  PubMed  Google Scholar 

  30. Nakama H, Kamijo N, Fujimori K, Horiuchi A, Abdul Fattah S, Zhang B. Immunochemical fecal occult blood test is not suitable for diagnosis of hemorrhoids. Am J Med. 1997;102(6):551–4.

    Article  CAS  PubMed  Google Scholar 

  31. Madoff RD, Fleshman JW. American Gastroenterological Association technical review on the diagnosis and treatment of hemorrhoids. Gastroenterology. 2004;126(5):1463–73.

    Article  PubMed  Google Scholar 

  32. Kluiber RM, Wolff BG. Evaluation of anesmia caused by hemorrhoidal bleeding. Dis Colon Rectum. 1994;37(10):1006–7.

    Article  CAS  PubMed  Google Scholar 

  33. USDA, Agricultural research service. Dietary Intake Data from the Third National Health and Nutrition Examination Survey (NHANES III) 1988.

    Google Scholar 

  34. Moesgaard F, Nielsen ML, Hansen JB, Knudse JT. High fiber diet resuces bleeding and pain in patients with hemorrhoids: a double-blind trial of Vi-Siblin. Dis Colon Rectum. 1982;25(2):454–6.

    Article  CAS  PubMed  Google Scholar 

  35. Broader JH, Gunn IF, Alexander-Williams J. Evaluation of a bulk-forming evacuant in the management of haemorrhoids. Br J Surg. 1974;61(2):142–4.

    Article  CAS  PubMed  Google Scholar 

  36. Webster DJ, Gough DC, Craven JL. The use of bulk evacuant in patients with haemorrhoids. Br J Surg. 1978;65(4):291–2.

    Article  CAS  PubMed  Google Scholar 

  37. Perez-Miranda M, Gomez-Cedenilla A, Leon-Colombo T, Pajares J, Mate-Jimenez J. Effect of fiber supplements on internal bleeding hemorrhoids. Hepatogastroenterology. 1996;43(12):1504–7.

    CAS  PubMed  Google Scholar 

  38. Alonso-Coello P, Mills E, Heels-Ansdell D, López-Yarto M, Zhou Q, Johanson JF, et al. Fiber for the treatment of hemorrhoids complications: a systematic review and meta-analysis. Am J Gastroenterol. 2006;101(1):181–8.

    Article  PubMed  Google Scholar 

  39. Tejirian T, Abbas MA. Sitz bath: where is the evidence? Scientific basis for a common practice. Dis Colon Rectum. 2005;48(12):2336–40.

    Article  PubMed  Google Scholar 

  40. Smith PD. Neutrophil activation and mediators of inflammation in chronic venous insufficiency. J Vasc Res. 1999;36:24–36.

    Article  PubMed  Google Scholar 

  41. Shoab SS, Porter J, Scurr JH, Coleridge-Smith PD. Endothelial activation response to oral micronised flavonoid therapy in patients with chronic venous disease – a prospective study. Eur J Vasc Endovasc Surg. 1999;17:313–8.

    Article  CAS  PubMed  Google Scholar 

  42. Struckmann JR. Clinical efficacy of micronized purified flavonoid fraction: an overview. J Vasc Res. 1999;36:37–41.

    Article  CAS  PubMed  Google Scholar 

  43. Ibañez L, Ballarín E, Vidal X, Laporte JR. Agranulocytosis associated with calcium dobesilate. Clinical course and risk estimation with the case-control and the case-population approaches. Eur J Clin Pharmacol. 2000;56:763–7.

    Article  PubMed  Google Scholar 

  44. Godeberge P. Daflon 500 mg in the treatment of hemorrhoidal disease: a demonstrated efficacy in comparison with placebo. Angiology. 1994;45:574–8.

    CAS  PubMed  Google Scholar 

  45. Cospite M. Double-blind, placebo-controlled evaluation of clinical activity and safety of Daflon 500 mg in the treatment of acute hemorrhoids. Angiology. 1994;45:566–73.

    CAS  PubMed  Google Scholar 

  46. Thanapongsathorn W, Vajrabukka T. Clinical trial of oral disomin (Daflon) in the treatment of hemorrhoids. Dis Colon Rectum. 1992;35(11):1085–8.

    Article  CAS  PubMed  Google Scholar 

  47. Misra MC, Parshad R. Randomized clinical trial of micronized flavonoids in the early control of bleeding from acute internal haemorrhoids (comment). Br J Surg. 2000;87(7):868–72.

    Article  CAS  PubMed  Google Scholar 

  48. Ho YH, Foo CL, Seow-Choen F, Goh HS. Prospective randomized controlled trial of a micronized flavonidic fraction to reduce bleeding after haemorrhoidectomy. Br J Surg. 1995;82(8):1034–5.

    Article  CAS  PubMed  Google Scholar 

  49. Wijayanegara H, Mose JC, Achmad L, Sobarna R, Permadi W. A clinical trial of hydroxyethylrutoside in the treatment of haemorrhoids of pregnancy. J Int Med Res. 1992;20(1):54–60.

    Article  CAS  PubMed  Google Scholar 

  50. Squadrito F, Altavilla D, Oliaro Bosso S. Double blind, randomized clinical trial of troxerutin-carbazochrome in patients with hemorrhoids. Eur Rev Med Pharmacol Sci. 2000;4(1–2):21–4.

    CAS  PubMed  Google Scholar 

  51. Mentes BB, Gorgul A, Tatlicioglu E, Ayoglu F, Unal S. Efficacy of calcium dobesilate in treating acute attacks of hemorrhoidal disease. Dis Colon Rectum. 2001;4(10):1489–95.

    Article  Google Scholar 

  52. Alonso-Coello P, Zhou Q, Martinez-Zapata MJ, Heels-Ansdell D, Johanson JF, Guyatt G. Meta-analysis of flavonoids for the treatment of haemorrhoids. Br J Surg. 2006;93:909–20.

    Article  CAS  PubMed  Google Scholar 

  53. Budding J. Solo operated haemorrhoid ligator rectoscope. A report on 200 consecutive bandings. Int J Colorectal Dis. 1997;12(1):42–4.

    Article  CAS  PubMed  Google Scholar 

  54. Berkelhammer C, Moosvi SB. Retroflexed endoscopic band ligation of bleeding internal hemorrhoids. Gastroinest Endosc. 2002;55(4):532–7.

    Article  Google Scholar 

  55. Su MY, Chiu CT, Wu CS, et al. Endoscopic hemorrhoidal ligation of symptomatic internal hemorrhoids. Gastrointest Endosc. 2003;58(6):871–4.

    Article  PubMed  Google Scholar 

  56. Ramzisham AR, Sagap I, Nadeson S, Ali IM, Hasni MJ. Prospective randomized clinical trial on suction elastic band ligator versus forceps ligator in the treatment of haemorrhoids. Asian J Surg. 2005;28(4):241–5.

    Article  PubMed  Google Scholar 

  57. Khaliq T, Shah SA, Mehboob A. Outcome of rubber band ligation of haemorrhoids using suction ligator. J Ayub Med Coll Abbottabad. 2004;16(4):34–7.

    PubMed  Google Scholar 

  58. O’Regan PH. Disposable device and a minimally invasive technique for rubber band ligation of haemorrhoids. Dis Colon Rectum. 1999;42(5):683–5.

    Article  PubMed  Google Scholar 

  59. Mattana C, Maria G, Pescatori M. Rubber band ligation of hemorrhoids and rectal mucosal prolapse in constipated patients. Dis Colon Rectum. 1989;32(5):372–5.

    Article  CAS  PubMed  Google Scholar 

  60. Lau WY, Chow HP, Poon GP, Wong SH. Rubber band ligation of three primary hemorrhoids in a single session. A safe an effective procedure. Dis Colon Rectum. 1982;25(4):336–9.

    Article  CAS  PubMed  Google Scholar 

  61. Khubchandani IT. A randomized comparison of single and multiple rubber band ligations. Dis Colon Rectum. 1983;26(11):705–8.

    Article  CAS  PubMed  Google Scholar 

  62. Poon GP, Chu KW, Lau WY. Conventional vs. triple rubber band ligation for hemorrhoids. A prospective, randomized trial. Dis Colon Rectum. 1986;29(12):836–8.

    Article  CAS  PubMed  Google Scholar 

  63. Lee HH, Spencer RJ, Beart Jr RW. Multiple hemorrhoidal bandings in a single session. Dis Colon Rectum. 1994;37(1):37–41.

    Article  CAS  PubMed  Google Scholar 

  64. Law WL, Chu KW. Triple rubber band ligation for hemorrhoids: prospective, randomized trial of use of local anesthetic injection. Dis Colon Rectum. 1999;42(3):363–6.

    Article  CAS  PubMed  Google Scholar 

  65. Ambrose NS, Hares MM, Alexander Williams J, Keighley MR. Prospective randomized comparison of photocoagulation and rubber band ligation in treatment of haemorrhoids. Br Med J (Clin Res Ed). 1983;286(6375):1389–91.

    Article  CAS  Google Scholar 

  66. Templeton JL, Spence RA, Kennedy TL, Parks TG, Mackenzie G, Hanna WA. Comparison of infrared coagulation and rubber band ligation for first and second degree haemorrhoids: a randomised prospective clinical trial. Br Med J (Clin Red Ed). 1983;286(6375):1387–9.

    Article  CAS  Google Scholar 

  67. Walker AJ, Leiceste RJ, Nicholls RJ, Mann CV. A prospective study of infrared coagulation injection and rubber band ligation in the treatment of haemorrhoids. Int J Colorectal Dis. 1990;5(2):113–6.

    Article  CAS  PubMed  Google Scholar 

  68. Bat L, Melzer E, Koler M, Dreznick Z, Shemesh E. Complications of rubber band ligation of symptomatic internal hemorrhoids. Dis Colon Rectum. 1993;36(3):287–90.

    Article  CAS  PubMed  Google Scholar 

  69. O’Hara VS. Fatal clostridial infection following hemorrhoidal banding. Dis Colon Rectum. 1980;23(8):570–1.

    Article  PubMed  Google Scholar 

  70. Russell TR, Donohue JH. Hemorrhoidal banding. A warning. Dis Colon Rectum. 1985;25(5):291–3.

    Article  Google Scholar 

  71. Scarpa FJ, Hillis W, Sabetta JR. Pelvic cellulitis: a life threatening complication of hemorrhoidal banding. Surgery. 1988;103(3):383–5.

    CAS  PubMed  Google Scholar 

  72. Quevedo-Bonilla G, Farkas AM, Abcarian H, Hambrick E, Orsay CP. Septic complications of hemorrhoidal banding. Arch Surg. 1988;123(5):650–1.

    Article  CAS  PubMed  Google Scholar 

  73. Shemesh EI, Kodner IJ, Fry RD, Neufeld DM. Sever complications of rubber band ligation of internal hemorrhoids. Dis Colon Rectum. 1987;30(3):199–200.

    Article  CAS  PubMed  Google Scholar 

  74. Wrobleski DE, Corman ML, Veidenheimer MC, Coller JA. Long-term evaluation of rubber ring ligation in hemorrhoidal disease. Dis Colon Rectum. 1980;23(7):478–82.

    Article  CAS  PubMed  Google Scholar 

  75. Savioz D, Roche B, Glauser T, Dobrinov A, Ludwig C, Marti MC. Rubber band ligation of hemorrhoids: relapse as a function of time. Int J Colorectal Dis. 1998;12(4):154–6.

    Article  Google Scholar 

  76. Bayer I, Myslovaty B, Picovsky BM. Rubber band ligation of hemorrhoids. Convenient and economic treatment. J Clin Gastroenterol. 1996;23(1):50–2.

    Article  CAS  PubMed  Google Scholar 

  77. Dennison A, Whiston RJ, Rooney S, Chadderton RD, Wherry DC, Morris DL. A randomized comparison of infrared photocoagulation with bipolar diathermy for the outpatient treatment of hemorrhoids. Dis Colon Rectum. 1990;33(1):32–4.

    Article  CAS  PubMed  Google Scholar 

  78. Peon AC, Felt-Bersma RJ, Cuesta MA, Deville W, Meuwissen SG. A randomized controlled trial of rubber band ligation versus infra-red coagulation in the treatment of internal haemorrhoids. Eur J Gastroenterol Hepatol. 2000;12(5):535–9.

    Article  Google Scholar 

  79. Hinton CP, Morris DL. A randomized trial comparing direct current therapy and bipolar diathermy in the outpatient treatment of third-degree hemorrhoids. Dis Colon Rectum. 1990;33(11):931–2.

    Article  CAS  PubMed  Google Scholar 

  80. Randall GM, Jensen DM, Machicado GA, et al. Prospective randomized comparative study of bipolar versus direct current electrocoagulation for treatment of bleeding internal hemorrhoids. Gastrointest Endosc. 1994;40(4):403–10.

    Article  CAS  PubMed  Google Scholar 

  81. Jensen DM, Jutabha R, Machicado GA, et al. Prospective randomized comparative study of bipolar electrocoagulation versus hater probe for treatment of chronically bleeding internal hemorrhoids. Gastrointest Endosc. 1997;46(5):435–43.

    Article  CAS  PubMed  Google Scholar 

  82. Norman DA, Newton R, Nicholas GV. Direct current electrotherapy of internal hemorrhoids: an effective, safe, and painless outpatient approach. Am J Gastroenterol. 1989;84(5):482–7.

    CAS  PubMed  Google Scholar 

  83. Zinberg SS, Stern DH, Furman DS, Wittles JM. A personal experience in comparing three nonoperative techniques for treating internal hemorrhoids. Am J Gastroenterol. 1989;84(5):488–92.

    CAS  PubMed  Google Scholar 

  84. Varma JS, Chung SC, Li AK. Propsective randomized comparison of current coagulation and infection sclerotherapy for the outpatient treatment of haemorrhoids. Int J Colorectal Dis. 1991;6(1):42–5.

    Article  CAS  PubMed  Google Scholar 

  85. Sim AJ, Murie JA, Mackenzie I. Three year follow up study on the treatment of first and second degree hemorrhoids by sclerosant injection or rubber band ligation. Surg Gynecol Obstet. 1983;157(6):534–6.

    CAS  PubMed  Google Scholar 

  86. Bullock N. Importance after sclerotherapy of haemorrhoids: case reports. BMJ. 1997;314(7078):419.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  87. Khoury GA, Lake SP, Lewis MC, Lewis AA. A randomized trial to compare single with multiple phenol injection treatment for haemorrhoids. Br J Surg. 1985;72(9):741–2.

    Article  CAS  PubMed  Google Scholar 

  88. Senapati A, Nicholls RJ. A randomized trial to compare the results of injection sclerotherapy with a bulk laxative alone in the treatment of bleeding haemorrhoids. Int J Colorectal Dis. 1988;3(2):124–6.

    Article  CAS  PubMed  Google Scholar 

  89. Lord PH. A new regime for the treatment of haemorrhoids. Proc R Soc Med. 1968;61(9):935–6.

    CAS  PubMed  PubMed Central  Google Scholar 

  90. Speakman CT, Burnett SJ, Kamm MA, Bartram CI. Sphincter injury after anal dilatation demonstrated by anal endosonography. Br J Surg. 1991;78(12):1429–30.

    Article  CAS  PubMed  Google Scholar 

  91. MacDonald A, Smith A, McNeill AD, Finlay I. Manual dilatation of the anus. Br J Surg. 1992;79(12):1381–2.

    Article  CAS  PubMed  Google Scholar 

  92. Konsten J, Baeten CG. Hemorrhoidectomy vs Lord’s method: 17-year follow up of a prospective, randomized trial. Dis Colon Rectum. 2000;43(4):503–6.

    Article  CAS  PubMed  Google Scholar 

  93. Goligher JC. Cryosurgery for hemorrhoids. Dis Colon Rectum. 1976;19(3):213–8.

    Article  CAS  PubMed  Google Scholar 

  94. Smith LE, Goodreau JJ, Fouty WJ. Operative hemorrhoidectomy versus cryodestruction. Dis Colon Rectum. 1979;22(1):10–6.

    Article  CAS  PubMed  Google Scholar 

  95. O’Callaghan JD, Matheson TS, Hall R. Inpatient treatment of prolapsing piles:cryosurgery versus Milligan-Morgan haemorrhoidectomy. Br J Surg. 1982;69(3):157–9.

    Article  PubMed  Google Scholar 

  96. Dennison AR, Whiston RJ, Rooney S, Morris DL. The ­management of hemorrhoids. Am J Gastroenterol. 1989;84(5):475–81.

    CAS  PubMed  Google Scholar 

  97. Bleday R, Pena JP, Rothenberger DA, Goldberg SM, Buls JG. Symptomatic hemorrhoids: current incidence and complications of operative therapy. Dis Colon Rectum. 1992;35(5):477–81.

    Article  CAS  PubMed  Google Scholar 

  98. Ferguson JA, Mazier WP, Ganchrow MI, Friend WG. The closed technique of hemorrhoidectomy. Surgery. 1971;70(3):480–4.

    CAS  PubMed  Google Scholar 

  99. Read TE, Henry SE, Hovis RM, Fleshman JW, Birnbaum EH, Caushaj PF, et al. Prospective evaluation of anesthetic technique for anorectal surgery. Dis Colon Rectum. 2002;45(11):1553–8.

    Article  PubMed  Google Scholar 

  100. Lohsiriwat V, Vongjirad A, Lohsiriwat D. Value of routine histopathologic examination of three common surgical specimens: appendix, gallbladder, and hemorrhoid. World J Surg. 2009;33(10):2189–93.

    Article  PubMed  Google Scholar 

  101. Milligan ET, Morgan CN, Jones LE. Surgical anatomy of the anal canal and the operative treatment of hemorrhoids. Lancet. 1937;2:119–24.

    Google Scholar 

  102. Whitehead W. The surgical treatment of hemorrhoids. Br Med J. 1882;1:148–50.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  103. Wolff BG, Culp CE. The Whitehead hemorrhoidectomy. An unjustly maligned procedure. Dis Colon Rectum. 1988;31(8):587–90.

    Article  CAS  PubMed  Google Scholar 

  104. Devien CV, Pujol JP. Total circular hemorrhoidectomy. Int Surg. 1989;74(3):154–7.

    CAS  PubMed  Google Scholar 

  105. Boccasanta P, Venturi M, Orio A, et al. Circular hemorrhoidectomy in advanced hemorrhoidal disease. Hepatogastroenterology. 1998;45(22):969–72.

    CAS  PubMed  Google Scholar 

  106. MacRae HM, Temple LK, McLeod RS. A meta-analysis for hemorrhoidal treatments. Semin C R Surg. 2002;13:77–83.

    Google Scholar 

  107. Ho YH, Seow-Choen F, Tan M, Leong AF. Randomized controlled trial of open and closed haemorrhoidectomy. Br J Surg. 1997;84(12):1729–30.

    CAS  PubMed  Google Scholar 

  108. Carapeti EA, Kamm MA, McDonald PH, Chadwick SJ, Phillips RK. Randomized trial of pen versus closed day-case haemorrhoidectomy. Br J Surg. 1999;86(5):612–3.

    Article  CAS  PubMed  Google Scholar 

  109. Arbman G, Krook H, Haapaniemi S. Closed vs. open hemorrhoidectomy – is there any difference? Dis Colon Rectum. 2000;43(1):31–4.

    Article  CAS  PubMed  Google Scholar 

  110. Gencosmanoglu R, Sad O, Koc D, Inceoglu R. Hemorrhoidectomy: open or closed technique? A prospective randomized clinical trial. Dis Colon Rectum. 2002;45(1):70–5.

    Article  PubMed  Google Scholar 

  111. Ho YH, Buettner PG. Open compared with closed haemorrhoidectomy: meta-analysis of randomized controlled trials. Tech Coloproctol. 2007;11(2):135–43.

    Article  CAS  PubMed  Google Scholar 

  112. Mehigan BJ, Monson JR, Hartley JE. Stapling procedure of haemorrhoids versus Milligan-Morgan haemorrhoidectomy: randomized controlled trial. Lancet. 2000;355(9206):782–5.

    Article  CAS  PubMed  Google Scholar 

  113. Shalaby R, Desoky A. Randomized clinical trial of stapled versus Milligan-Morgan haemorrhoidectomy. Br J Surg. 2001;88(8):1049–53.

    Article  CAS  PubMed  Google Scholar 

  114. Boccasanta P, Capretti PG, Venturi M, et al. Randomised controlled trial between stapled circumferential mucosectomy and conventional circular hemorrhoidectomy in advanced hemorrhoids with external mucosal prolapse. Am J Surg. 2001;182(1):64–8.

    Article  CAS  PubMed  Google Scholar 

  115. Hetzer FH, Demartines N, Handschin AE, Clavien PA. Stapled vs excision hemorrhoidectomy: long term-results of a prospective randomized trial. Arch Surg. 2002;127(3):337–40.

    Google Scholar 

  116. Khan S, Pawlak SE, Eggenberger JC, et al. Surgical treatment of hemorrhoids: prospective, randomized trial comparing closed excisional hemorrhoidectomy and the Harmonic Scalpel technique for excisional hemorrhoidectomy. Dis Colon Rectum. 2001;44(6):845–9.

    Article  CAS  PubMed  Google Scholar 

  117. Armstrong DN, Ambroze WL, Schertzer ME, Orangio GR. Harmonic scalpel vs electrocautery hemorrhoidectomy: a prospective evaluation. Dis Colon Rectum. 2001;44(4):558–64.

    Article  CAS  PubMed  Google Scholar 

  118. Tan JJ, Seow-Choen F. Prospective, randomized trial comparing diathermy and Harmonic Scalpel hemorrhoidectomy. Dis Colon Rectum. 2001;44(5):677–9.

    Article  CAS  PubMed  Google Scholar 

  119. Franklin EJ, Seetharam S, Lowney J, Horgan PG. Randomized clinical trial of Ligasure vs conventional diathermy in hemorrhoidectomy. Dis Colon Rectum. 2003;46(10):1380–3.

    Article  PubMed  Google Scholar 

  120. Chung YC, Wu HJ. Clinical experience of sutureless closed hemorrhoidectomy with LigaSure. Dis Colon Rectum. 2003;4(1):87–92.

    Article  Google Scholar 

  121. Chung CC, Ha JP, Tai YP, Tsang WW, Li MK. Double blind randomized trial comparing Harmonic Scalpel hemorrhoidectomy, bipolar scissors hemorrhoidectomy, and scissor excision: ligation technique. Dis Colon Rectum. 2002;45(6):789–94.

    Article  CAS  PubMed  Google Scholar 

  122. Jayne DG, Botterill I, Ambrose NS, Brennan TG, Guilou PH, O’Riordain DS. Randomized clinical trial of Ligasure versus conventional diathermy for day case haemorrhoidectomy. Dr J Surg. 2002;89(4):428–32.

    CAS  Google Scholar 

  123. Palazzo FF, Francis DL, Cligton MA. Randomized clinical trial of Ligasure versus open haemorrhoidectomy. Br J Surg. 2002;89(2):154–7.

    CAS  PubMed  Google Scholar 

  124. Abo-hashem AA, Sarhan A, Aly AM. Harmonic Scalpel compared with bipolar electro-cautery hemorrhoidectomy: a randomized controlled trial. Int J Surg. 2010;8(3):243–7.

    Article  CAS  PubMed  Google Scholar 

  125. Sohn VY, Martin MJ, Mullenix PS, Cuadrado DG, Place RJ, Steele SR. A comparison of open versus closed techniques using the Harmonic Scalpel in outpatient hemorrhoid surgery. Mil Med. 2008;173(7):689–92.

    Article  PubMed  Google Scholar 

  126. Fareed M, El-Awady S, Abd-El monaem H, Aly A. Randomized trial comparing LigaSure to closed Ferguson hemorrhoidectomy. Tech Coloproctol. 2009;13(3):243–6.

    Article  CAS  PubMed  Google Scholar 

  127. Castellí J, Sueiras A, Espinosa J, Vallet J, Gil V, Pi F. Ligasure versus diathermy hemorrhoidectomy under spinal anesthesia or pudendal block with ropivacaine: a randomized prospective clinical study with 1-year follow-up. Int J Colorectal Dis. 2009;24(9):1011–8.

    Article  Google Scholar 

  128. Tan KY, Zin T, Sim HL, Poon PL, Cheng A, Mak K. Randomized clinical trial comparing LigaSure haemorrhoidectomy with open diathermy haemorrhoidectomy. Tech Coloproctol. 2008;12(2):93–7.

    Article  PubMed  PubMed Central  Google Scholar 

  129. Muzi MG, Milito G, Nigro C, Cadeddu F, Andreoli F, Amabile D, et al. Randomized clinical trial of LigaSure and conventional diathermy haemorrhoidectomy. Br J Surg. 2007;94(8):937–42.

    Article  CAS  PubMed  Google Scholar 

  130. Seow-Choen F, Ho YH, Ang HG, Goh HS. Prospective randomized trial comparing pain and clinical function after conventional scissors excision/ligation vs. diathermy excision without ligation for symptomatic prolapsed hemorhoides. Dis Colon Rectum. 1992;35(12):1165–9.

    Article  CAS  PubMed  Google Scholar 

  131. Andrews BT, Layer GT, Jackson BT, Nicholls RJ. Randomized trial comparing diathermy hemorrhoictomy with the scissor dissection in Milligan-Morgan operation. Dis Colon Rectum. 1993;36(6):580–3.

    Article  CAS  PubMed  Google Scholar 

  132. Ibrahim S, Tsang C, Lee YL, Eu KW, Seow-Choen F. Prospective, randomized trial comparing pain and complications between diathermy and scissors for closed hemorrhoidectomy. Dis Colon Rectum. 1998;41(11):1418–20.

    Article  CAS  PubMed  Google Scholar 

  133. Wang JY, Chang-Chien CR, Chen JS, Lai CR, Tang RP. The role of lasers in hemorrhoidectomy. Dis Colon Rectum. 1991;34(1):78–82.

    Article  CAS  PubMed  Google Scholar 

  134. Iwagaki H, Higuchi Y, Fuchimoto S, Ortia K. The laser treatment of hemorrhoids: results of a study on 1816 patients. Jpn J Surg. 1989;19(6):658–61.

    Article  CAS  PubMed  Google Scholar 

  135. Senagore A, Mazier WP, Luchtefeld MA, MacKeigan JM, Wengert T. Treatment of advanced hemorrhoidal disease: a prospective, randomized comparison of cold scalper vs contact ND:YAG laser. Dis Colon Rectum. 1993;36(11):1042–9.

    Article  CAS  PubMed  Google Scholar 

  136. Ui Y. Anoderm-preserving, completely closed hemorrhoidectomy with no mucosal incision. Dis Colon Rectum. 1997;40(10):S99–S101.

    Article  CAS  PubMed  Google Scholar 

  137. Patel N, O’Connor T. Suture haemorrhoidectomy: a day-only alternative. Aust N Z J Surg. 1996;66(12):830–1.

    Article  CAS  PubMed  Google Scholar 

  138. Mathai V, Ong BC, Ho YH. Randomized controlled trial of lateral internal sphincterotomy with haemorrhoidectomy. Br J Surg. 1996;83(3):380–2.

    Article  CAS  PubMed  Google Scholar 

  139. Carapeti EA, Kamm MA, McDonald PJ, Phillips RK. Double-blind randomized controlled trial of effect of metronidazole on pain after day-case haemorrhoidectomy. Lancet. 1998;351(9097):169–72.

    Article  CAS  PubMed  Google Scholar 

  140. Nicholson TJ, Armstron D. Topical metronidazole (10 percent) decreases posthemorrhoidectomy pain and improves healing. Dis Colon Rectum. 2004;47:711–6.

    Article  PubMed  Google Scholar 

  141. Wasvary HJ, Hain J, Mosed-Vogel M, Bendick P, Varkel DC, Klein SN. Randomized, prospective, double-blind, placebo controlled trial of effect of nitroglycerin ointment on pain after hemorrhoidectomy. Dis Colon Rectum. 2001;44(8):1069–73.

    Article  CAS  PubMed  Google Scholar 

  142. Karanlik H, Akturk R, Camlica H, Asoglu O. The effect of glyceryl trinitrate ointment on posthemorrhoidectomy pain and wound healing: results of a randomized, double-blind, placebo-controlled study. Dis Colon Rectum. 2009;52(2):280–5.

    Article  PubMed  Google Scholar 

  143. Hussein MK, Taha AM, Haddad FF, Bassim YR. Bupivacaine local injection in anorectal surgery. Int Surg. 1009;83(1):56–7.

    Google Scholar 

  144. Pryn SJ, Crosse MM, Murison MS, McGinn FP. Postoperative analgesia for haemorrhoidectomy. A comparison between caudal and local infiltration. Anaesthesia. 1989;44(12):964–6.

    Article  CAS  PubMed  Google Scholar 

  145. Chester JF, Standford BJ, Gazet JC. Analgesia benefit of locally injected bupivacaine after hemorrhoidectomy. Dis Colon Rectum. 1990;33(6):487–9.

    Article  CAS  PubMed  Google Scholar 

  146. Ho YH, Seow-Choen F, Low JY, Tn M, Leong AP. Randomized controlled trial of trimebutine (anal sphincter relaxant) for pain after haemorrhoidectomy. Br J Surg. 1997;84(3):377–9.

    CAS  PubMed  Google Scholar 

  147. Gottesman L, Milsom JW, Mazier WP. The use of anxiolytic and parasympathomimetic agents in the treatment of postoperative urinary retention following anorectal surgery. A prospective, randomized, double-blind study. Dis Colon Rectum. 1989;32(10):687–870.

    Article  Google Scholar 

  148. Cataldo PA, MacKeigan JM. The necessity of routine pathologic evaluation of hemorrhoidectomy specimens. Surg Gynecol Obstet. 1992;174(4):302–4.

    CAS  PubMed  Google Scholar 

  149. Rosen L, Sipe P, Stasik JJ, et al. Outcome of delayed hemorrhage following surgical hemorrhoidectomy (letter). Dis Colon Rectum. 1994;37:288–9.

    Google Scholar 

  150. Basso L, Pescatroi M. Outcome of delayed hemorrhoids following surgical hemorrhoidectomy (letter). Dis Colon Rectum. 1994;37:288–9.

    Article  CAS  PubMed  Google Scholar 

  151. Chen HH, Wang JY, Changchien RC, et al. Risk factors associated with post-hemorrhoidectomy secondary hemorrhoidage. A single institution prospective study of 4880 consecutive hemorrhoidectomies. Dis Colon Rectum. 2003;45:1096–9.

    Article  Google Scholar 

  152. Chen HH, Wang J, Changchien CR, Yeh CY, Tsai WS, Tang R. Effective management of posthemorrhoidectomy secondary hemorrhage using rectal irrigation. Dis Colon Rectum. 2002;45:234–8.

    Article  PubMed  Google Scholar 

  153. Tajana A. Hemorrhoidectomy according to Milligan-Morgan: ligature and excision technique. Int Surg. 1989;74(3):158–61.

    CAS  PubMed  Google Scholar 

  154. Johnstone CS, Isbisteer WH. Inpatient management of pile: a surgical audit. Aust N Z J Surg. 1992;62(9):720–4.

    Article  CAS  PubMed  Google Scholar 

  155. Eu KW, Seow-Choen F, Goh HS. Comparison of emergency and elective haemorrhoidectomy. Br J Surg. 1994;81(2):308–10.

    Article  CAS  PubMed  Google Scholar 

  156. Ganchrow MI, Mazier WP, Friend WG, Ferguson JA. Hemorrhoidectomy revisited: a computer analysis of 2038 cases. Dis Colon Rectum. 1971;14:128–33.

    Article  CAS  PubMed  Google Scholar 

  157. Goldberg SM, Gordon PH, Nivatvongs S. Hemorrhoids. In: Essentials of Anorectal Surgery. Philadelphia: Lippincott, 1980.

    Google Scholar 

  158. McConnell JC, Khubchandani IT. Long term follow up of closed haemorrhoidectomy. Dis Colon Rectum. 1983;26:797–9.

    Article  CAS  PubMed  Google Scholar 

  159. Pescatori M, Favetta U, Dedola S, Orsini S. Transanal stapled excision for rectal mucosal prolapse. Tech Coloproctol. 1997;1:96–8.

    Google Scholar 

  160. Longo A. Treatment of hemorrhoidal disease by reduction for mucosa and haemorrhoidal prolapse with a circular stapling device: a new procedure – 6th World Congress of Endoscopic Surgery. Mundozzi Editore 1998; 777–84.

    Google Scholar 

  161. Ho YH, Cheong WK, Tsang C, et al. Stapled hemorrhoidectomy cost and effectiveness. Randomized, controlled trial including incontinence scoring, anorectal manometry, and endoanal ultrasound assessments at up to three months. Dis Colon Rectum. 2000;43(12):1666–75.

    Article  CAS  PubMed  Google Scholar 

  162. Brown SR, Ballan K, Ho E, et al. Stapled mucosectomy for acute thrombosed circumferentially prolapsed piles: a prospective randomized comparison with conventional haemorrhoidectomy. Colorectal Dis. 2001;3(3):175–8.

    Article  CAS  PubMed  Google Scholar 

  163. Hetzer FH, Demartines N, Handschin AE, et al. Stapled vs excision hemorrhoidectomy: long-term results of a prospective randomized trial. Arch Surg. 2002;137(3):337–40.

    Article  PubMed  Google Scholar 

  164. Ortiz H, Marzo J, Armendariz P. Randomized clinical trial of stapled haemorrhoidopexy versus conventional diathermy haemorrhoidectomy. Br J Surg. 2002;89(11):1376–81.

    Article  CAS  PubMed  Google Scholar 

  165. Pavlidis T, Papaziogas B, Souparis A, et al. Modern stapled Longo procedure vs. conventional Milligan-Morgan hemorrhoidectomy: a randomized controlled trial. Int J Colorectal Dis. 2002;17(1):50–3.

    Article  CAS  PubMed  Google Scholar 

  166. Palimento D, Picchio M, Attanasio U, et al. Stapled and open hemorrhoidectomy: randomized controlled trial of early results. World J Surg. 2003;27(2):203–7.

    Article  PubMed  Google Scholar 

  167. Kraemer M, Parulava T, Roblick M, et al. Prospective, randomized study: proximate PPH stapler vs. LigaSure for hemorrhoidal surgery. Dis Colon Rectum. 2005;48(8):1517–22.

    Article  PubMed  Google Scholar 

  168. Correa-Rovelo JM, Tellez O, Obregon L, et al. Stapled rectal mucosectomy vs. closed hemorrhoidectomy: a randomized clinical trial. Dis Colon Rectum. 2002;45(10):1367–74 [discussion:1374–5].

    Article  PubMed  Google Scholar 

  169. Wilson MS, Pope V, Doran HE, et al. Objective comparison of stapled anopexy and open hemorrhoidectomy: a randomized, controlled trial. Dis Colon Rectum. 2002;45(11):1437–44.

    Article  CAS  PubMed  Google Scholar 

  170. Rowsell M, Bello M, Hemingway DM. Circumferential mucosectomy (stapled haemorrhoidectomy) versus conventional haemorrhoidectomy: randomised controlled trial. Lancet. 2000;355(9206):779–81.

    Article  CAS  PubMed  Google Scholar 

  171. Cheetham MJ, Cohen CR, Kamm MA, et al. A randomized controlled trial of diathermy hemorrhoidectomy vs. stapled hemorrhoidectomy in an intended day-care setting with longer-term follow-up. Dis Colon Rectum. 2003;46(4):491–7.

    Article  CAS  PubMed  Google Scholar 

  172. Bikhchandani J, Agarwal PN, Kant R, et al. Randomized controlled trial to compare the early and mid-term results of stapled versus open hemorrhoidectomy. Am J Surg. 2005;189(1):56–60.

    Article  PubMed  Google Scholar 

  173. Kairaluoma M, Nuorva K, Kellokumpu I. Day-case stapled (circular) vs. diathermy hemorrhoidectomy: a randomized, controlled trial evaluating surgical and functional outcome. Dis Colon Rectum. 2003;46(1):93–9.

    Article  PubMed  Google Scholar 

  174. Gravie JF, Lehur PA, Huten N, et al. Stapled hemorrhoidopexy versus Milligan-Morgan hemorrhoidectomy: a prospective, randomized, multicenter trial with 2-year postoperative follow up. Ann Surg. 2005;242(1):29–35.

    Article  PubMed  PubMed Central  Google Scholar 

  175. Chung CC, Cheung HY, Chan ES, et al. Stapled hemorrhoidopexy vs. Harmonic Scalpel hemorrhoidectomy: a randomized trial. Dis Colon Rectum. 2005;48(6):1213–9.

    Article  CAS  PubMed  Google Scholar 

  176. Ortiz H, Marzo J, Armendariz P, et al. Stapled hemorrhoidopexy vs. diathermy excision for fourth-degree hemorrhoids: a randomized, clinical trial and review of the literature. Dis Colon Rectum. 2005;48(4):809–15.

    Article  PubMed  Google Scholar 

  177. Ganio E, Altomare DF, Gabrielli F, et al. Prospective randomized multicentre trial comparing stapled with open haemorrhoidectomy. Br J Surg. 2001;88(5):669–74.

    Article  CAS  PubMed  Google Scholar 

  178. Smyth EF, Baker RP, Wilken BJ, et al. Stapled versus excision haemorrhoidectomy: long term follow up of a randomised controlled trial. Lancet. 2003;361(9367):1437–8.

    Article  PubMed  Google Scholar 

  179. Racalbuto A, Aliotta I, Corsaro G, et al. Hemorrhoidal stapler prolapsectomy vs. Milligan-Morgan hemorrhoidectomy: a long-term randomized trial. Int J Colorectal Dis. 2004;19(3):239–44.

    Article  CAS  PubMed  Google Scholar 

  180. Krska Z, Kvasnieka J, Faltyn J, et al. Surgical treatment of haemorrhoids according to Longo and Milligan Morgan: an evaluation of postoperative tissue response. Colorectal Dis. 2003;5(6):573–6.

    Article  CAS  PubMed  Google Scholar 

  181. Nisar PJ, Acheson AG, Neal KR, et al. Stapled hemorrhoidopexy compared with conventional hemorrhoidectomy: systematic review of randomized, controlled trials. Dis Colon Rectum. 2004;47(11):1837–45.

    Article  PubMed  Google Scholar 

  182. Lan P, Wu X, Zhou X, et al. The safety and efficacy of stapled hemorrhoidectomy in the treatment of hemorrhoids: a systematic review and meta-analysis of ten randomized control trials. Int J Colorectal Dis. 2006;21(2):172–8.

    Article  PubMed  Google Scholar 

  183. Shao WJ, Li GCH, Zhang ZHK, Yang BL, Sun GD, Chen YQ. Systematic review and meta-analysis of randomized controlled trials comparing stapled haemorrhoideopexy with conventional haemorrhoidectomy. Br J Surg. 2008;95:147–60.

    Article  PubMed  Google Scholar 

  184. Cipriani S, Pescatori M. Acute rectal obstruction after PPH stapled haemorrhoidectomy. Colorectal Dis. 2002;4(5):367–70.

    Article  PubMed  Google Scholar 

  185. Wong LY, Jiang JK, Chang SC, et al. Rectal perforation: a life-threatening complication of stapled hemorrhoidectomy: report of a case. Dis Colon Rectum. 2003;46(1):116–7.

    Article  PubMed  Google Scholar 

  186. Maw A, Eu KW, Seow-Choen F. Retroperitoneal sepsis complicating stapled hemorrhoidectomy: report of a case and review of the literature. Dis Colon Rectum. 2002;45(6):826–8.

    Article  PubMed  Google Scholar 

  187. Molloy RG, Kingsmore D. Life threatening pelvic sepsis after stapled haemorrhoidectomy. Lancet. 2000;355(9206):810.

    Article  CAS  PubMed  Google Scholar 

  188. Ripetti V, Caricato M, Arullani A. Rectal perforation, retropneumoperitoneum, and pneumomediastinum after stapling procedure for prolapsed hemorrhoids: report of a case and subsequent considerations. Dis Colon Rectum. 2002;45(2):268–70.

    Article  PubMed  Google Scholar 

  189. Ho YH, Seow-Cheen F, Tsang C, Eu KW. Randomized trial assessing anal sphincter injuries after stapled haemorrhoidectomy. Br J Surg. 2001;88(11):1449–55.

    Article  CAS  PubMed  Google Scholar 

  190. George BD, Shetty D, Lindsey I, Mortensen NJ, Warren BF. Histopathology of stapled haemorrhoidectomy specimens: a cautionary note. Colorectal Dis. 2002;4(6):473–6.

    Article  CAS  PubMed  Google Scholar 

  191. Roos P. Haemorrhoid surgery revised. Lancet. 2000;355(9215):1648.

    Article  CAS  PubMed  Google Scholar 

  192. Pescatori M. Prospective randomized multicentre trial comparing stapled with open haemorrhoidectomy. Br J Surg. 2002;89(1):122.

    Article  CAS  PubMed  Google Scholar 

  193. Morinaga K, Hasuda K, Ikeda T. A novel therapy for internal hemorrhoids: ligation of the hemorrhoidal artery with a newly devised instrument (Moricorn) in conjunction with a Doppler flowmeter. Am J Gastroenterol. 1995;90(4):610–3.

    CAS  PubMed  Google Scholar 

  194. Dal Monte PP, Tagariello C, Giordano P, Cudazzo E, Shafi A, Sarago M, Franzini M. Transanal haemorrhoidal dearterialisation:nonexcisional surgery for heat treatment of haemorrhoidal disease. Tech Coloproctol 2007;11(4):333–9.

    Google Scholar 

  195. Charua Guindic L, Fonseca Munoz E, García Perez NJ, et al. Hemorrhoidal dearterialization guided by Doppler. A surgical alternative in hemorrhoidal disease management. Rev Gastroenterol Méx. 2004;69:83–7.

    PubMed  Google Scholar 

  196. Bursics A, Morvay K, Kupcsulik P, Flautner L. Comparison of early and 1-year follow-up results of conventional hemorrhoidectomy and hemorrhoid artery ligation: a randomized study. Int J Colorectal Dis. 2004;19:176–80.

    Article  PubMed  Google Scholar 

  197. Ramirez JM, Gracia JA, Aguilella V, Elia M, Casamayor MC, Martinez M. Surgical management of symptomatic haemorrhoids: to cut, to hang or to strangle? A prospective randomized controlled trial. Colorectal Dis. 2005;7:52.

    Google Scholar 

  198. Ramirez JM, Aguilella V, Elía M, Gracia JA, Martínez M. Doppler-guided hemorrhoidal artery ligation in the management of symptomatic hemorrhoids. Rev Esp Enferm Dig. 2005;97:97–103.

    CAS  PubMed  Google Scholar 

  199. Felice G, Privitera A, Ellul E, Klaumann M. Doppler-guided hemorrhoidal artery ligation: an alternative to hemorrhoidectomy. Dis Colon Rectum. 2005;48:2090–3.

    Article  PubMed  Google Scholar 

  200. Greenberg R, Karin E, Avital S, Skornick Y, Werbin N. First 100 cases with Doppler-guided hemorrhoidal artery ligation. Dis Colon Rectum. 2006;49:485–9.

    Article  PubMed  Google Scholar 

  201. de Vries BM Wallis, van der Beek ES, de Wijkerslooth LR, et al. Treatment of grade 2 and 3 hemorrhoids with Doppler-guided hemorrhoidal artery ligation. Dig Surg. 2007;24:436–40.

    Article  Google Scholar 

  202. Abdeldaim Y, Mabadeje O, Muhammad KM, Mc Avinchey D. Doppler-guided haemorrhoidal arteries ligation: preliminary clinical experience. Ir Med J. 2007;100:535–7.

    CAS  PubMed  Google Scholar 

  203. Giordano P, Overton J, Madeddu F, Zaman S, Gravante G. Transanal hemorrhoidal de-arterialization: A systematic review. Dis Colon Rectum. 2009;52:1665–71.

    Article  PubMed  Google Scholar 

  204. Rasmussen OO, Larsen KG, Naver L, Christiansen J. Emergency haemorrhoidectomy compared with incision and banding for the treatment of acute strangulated haemorrhoids. A prospective randomised study. Eur J Surg. 1991;157(10):613–4.

    CAS  PubMed  Google Scholar 

  205. McCormack TT, Bailey HR, Simms JM, Johnson AG. Rectal varices are not piles. Br J Surg. 1984;71:163.

    Article  CAS  PubMed  Google Scholar 

  206. Bernstein WC. What are hemorrhoids and what is their relationship to the portal venous system? Dis Colon Rectum. 1983;23(12):829–34.

    Article  Google Scholar 

  207. Hosking SW, Smart HL, Johnson AG, Triger DR. Anorectal varices, haemorrhoids, and portal hypertension. Lancet. 1989;1(8624):349–52.

    Article  CAS  PubMed  Google Scholar 

  208. Goenka MK, Kochhar R, Nagi B, Mehta SK. Rectosigmoid varices and other mucosal changes in patients with portal hypertension. Am J Gastroenterol. 1991;86(9):1185–9.

    CAS  PubMed  Google Scholar 

  209. Chawla Y, Dilawari JB. Anorectal varices – their frequency in cirrhotic and non-cirrhotic portal hypertension. Gut. 1991;32(3):309–11.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  210. Johansen K, Bardin J, Orloff MJ. Massive bleeding from hemorrhoidal varices in portal hypertension. JAMA. 1980;244(18):2084–5.

    Article  CAS  PubMed  Google Scholar 

  211. Hosking SW, Johnson AG. Bleeding anorectal varices – a ­misunderstood condition. Surgery. 1988;104(1):70–3.

    CAS  PubMed  Google Scholar 

  212. George BS, ML LAJ. Stapled anopexy in the treatment of anal varices: report of a case. Dis Colon Rectum. 2003;46(9):1284–5.

    Article  PubMed  Google Scholar 

  213. Shibata D, Brophy DP, Gordon FD, Anastopoulos HT, Sentovich SM, Bleday R. Transjugular intrahepatic portosystemic shunt for treatment of bleeding ectopic varices with portoal hypertension. Dis Colon Rectum. 1999;42(12):1581–5.

    Article  CAS  PubMed  Google Scholar 

  214. Fantin AC, Zala G, Risti B, Debatin JF, Schopke W, Meyenberger C. Bleeding anorectal varices: successful treatment with transjugular intrahepatic portosystemic shuntin (TIPS). Gut. 1996;38(6):932–5.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  215. Montemurro S, Polignano FM, Caliandro C, Rucci A, Ruggieri E, Sciscio V. Inferior mesocaval shunt for bleeding anorectal varices and portal vein thrombosis. Hepatogastroenterology. 2001;48(40):980–3.

    CAS  PubMed  Google Scholar 

  216. Rahmani O, Wolpert LM, Drezner AD. Distal inferior mesenteric veins to renal vein shunt for treatment of bleeding anorectal varices: case report and review of literature. J Vasc Surg. 2002;36(6):1264–6.

    Article  PubMed  Google Scholar 

  217. Saleeby Jr RG, Rosen L, Stasik JJ, Tiether Rd, Sheets J, Khubchandani IT. Hemorrhoidectomy during pregnancy: risk or relief? Dis Colon Rectum. 1991;34(3):260–1.

    Article  PubMed  Google Scholar 

  218. Jeffery PJ, Parks AG, Ritchie JK. Treatment of haemorrhoids in patients with inflammatory bowel disease. Lancet. 1977;1(8021):1084–5.

    Article  CAS  PubMed  Google Scholar 

  219. Wolkomir AF, Luchtefeld MA. Surgery for symptomatic hemorrhoids and anal fissures in Crohn’s disease. Dis Colon Rectum. 1993;36(6):545–7.

    Article  CAS  PubMed  Google Scholar 

  220. Grewal H, Guillem JG, Quan SH, Enker WE, Cohen AM. Anorectal disease in neutropenic leukemic patients. Operative vs nonoperative management. Dis Colon Rectum. 1994;37(11):1095–9.

    Article  CAS  PubMed  Google Scholar 

  221. Morandi E, Merlini D, Salvaggio A, Foschi D, Trabucci E. Prospective study of healing time after hemorrhoidectomy: influence of HIV infection, acquired immunodeficiency syndrome, and anal wound infection. Dis Colon Rectum. 1999;42(9):1140–4.

    Article  CAS  PubMed  Google Scholar 

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Acknowledgment.

This chapter was written by Jose R. Citron and Herand Abcarian in the first edition of this textbook.

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  1. Department of Surgery, Section of Colon and Rectal Surgery, NorthShore University Health System, Evanston, IL, USA

    Marc Singer MD

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  1. Marc Singer MD
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Editors and Affiliations

  1. Department of Colon and Rectal Surgery, Louisiana State University Health Sciences Center, New Orleans, Louisiana, USA

    David E. Beck MD, FACS, FASCRS

  2. Department of Colorectal Surgery, Lahey Clinic, Tufts University School of Medicine, Burlington, Massachusetts, USA

    Patricia L. Roberts MD, FACS, FASCRS

  3. Section of Colon and Rectal Surgery, Rush Medical Center, Chicago, Illinois, USA

    Theodore J. Saclarides MD, FACS, FASCRS

  4. Department of Surgery, Spectrum Health, Grand Rapids, Michigan, USA

    Anthony J. Senagore MD, FACS, FASCRS

  5. Department of Surgery, UCI Medical Center, Orange, California, USA

    Michael J. Stamos MD, FACS, FASCRS

  6. Department of Colorectal Surgery, Cleveland Clinic Florida, Weston, Florida, USA

    Steven D. Wexner MD, FACS, FASCRS, FRCS, FRCS(Ed)

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Singer, M. (2011). Hemorrhoids. In: Beck, D.E., Roberts, P.L., Saclarides, T.J., Senagore, A.J., Stamos, M.J., Wexner, S.D. (eds) The ASCRS Textbook of Colon and Rectal Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-1584-9_11

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