Survey of hemorrhoidectomy practices: Open versus closed techniques

Summary

A questionnaire was sent to members of the American Society of Colon and Rectal Surgeons. Four hundred and forty-five (43.6%) were tabulated to establish criteria and results of surgical treatment of hemorrhoidal disease. The most frequent indication for surgery, was internal and external hemorrhoids with mucosal prolapse. Significant differences were found in time required for complete healing, frequency of wound dehiscence, frequency of postoperative stenosis, and frequency of postoperative infection. Results did not support opinions that the closed technique was associated with significantly less pain, fewer complications, shorter hospital stay or earlier resumption of work.