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Operative hemorrhoidectomy versus cryodestruction

  • Published:
Diseases of the Colon & Rectum

Summary

Twenty-six patients were treated for hemorrhoids by a combination of cryodestruction and closed operative hemorrhoidectomy. Patients were able to draw their own conclusions about the efficacies of these treatment. They had no difficulty in distinguishing exactly which area was causing pain. The operative site was a source of greater pain until the second day after the procedure, when the pain resulting from cryodestruction equalled surgical pain; then cryodestruction associated pain continued longer. Cryodestruction was associated with production of a foul discharge. Residual hemorrhoids were present in 50 per cent of patients' cryodestruction sites. Given the choice at the one year follow-up examination, 65 per cent preferred surgical treatment and 35 per cent preferred cryodestruction.

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Author information

Author notes

  1. Lee E. Smith M.D. Captain, Medical Corps, U.S. Navy (Assistant Professor of Surgery)

    Present address: Uniformed Services University, Hospital and Health Sciences, 20014, Bethesda, Maryland

  2. James J. Goodreau M.D. Lieutenant Commander, Medical Corps, U.S. Navy (Fellow in Vascular Surgery)

    Present address: Northwestern University, 20014, Chicago, Illinois

  3. W. J. Fouty M.D. (Chairman)

    Present address: Department of Surgery, Washington Hospital Center, Washington, D. C.

Authors and Affiliations

  1. Department of Surgery, National Naval Medical Center, 20014, Bethesda, Maryland

    Lee E. Smith M.D. Captain, Medical Corps, U.S. Navy (Assistant Professor of Surgery), James J. Goodreau M.D. Lieutenant Commander, Medical Corps, U.S. Navy (Fellow in Vascular Surgery) & W. J. Fouty M.D. (Chairman)

  2. Uniformed Servies University of Health Sciences, 20014, Bethesda, Maryland

    Lee E. Smith M.D. Captain, Medical Corps, U.S. Navy (Assistant Professor of Surgery), James J. Goodreau M.D. Lieutenant Commander, Medical Corps, U.S. Navy (Fellow in Vascular Surgery) & W. J. Fouty M.D. (Chairman)

Authors
  1. Lee E. Smith M.D. Captain, Medical Corps, U.S. Navy
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  2. James J. Goodreau M.D. Lieutenant Commander, Medical Corps, U.S. Navy
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  3. W. J. Fouty M.D.
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Additional information

Read at the meeting of the American Society of Colon and Rectal Surgeons, San Diego, California, June 11 to 15, 1978.

Supported by project CICC 6-06-893 from the Bureau of Medicine and Surgery, Nary Department, Washington, D.C. The opinions or assertions contained herein are the private ones of the authors and are not to be construed as official or reflecting the views of the Navy Department or the Department of Defense.

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Smith, L.E., Goodreau, J.J. & Fouty, W.J. Operative hemorrhoidectomy versus cryodestruction. Dis Colon Rectum 22, 10–16 (1979). https://doi.org/10.1007/BF02586749

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  • DOI: https://doi.org/10.1007/BF02586749

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