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Hämorrhoidektomie

Hemorrhoidectomy

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coloproctology Aims and scope

Zusammenfassung

Die konventionelle Hämorrhoidektomie ist eine seit vielen Jahrzehnten etablierte Operationsmethode mit einer niedrigen Rezidivrate beim fortgeschrittenen und konservativ nicht beherrschbaren Hämorrhoidalleiden. Als wesentliche Nachteile werden die lange Wundheilungszeit und postoperative Schmerzen angesehen, was zur Entwicklung nichtresezierender und stattdessen pexierender Verfahren geführt hat. Diese Methoden haben zwar in der frühen postoperativen Zeit Vorteile für den Patienten, im langfristigen Verlauf jedoch zeigt die Hämorrhoidektomie eine Überlegenheit hinsichtlich Rezidivfreiheit und Patientenzufriedenheit.

Abstract

Conventional hemorrhoidectomy is an established operative technique with a low recurrence rate in the treatment of advanced hemorrhoids not responding for conservative treatment options for many decades. The main disadvantages are the long wound-healing time and postoperative pain, which has led to the development of nonexcisional operative methods instead of pexing procedures. Though bearing advantages in the early postoperative course, hemorrhoidectomy remains superior concerning recurrence rate and long-term patient comfort in comparison to other methods.

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Authors and Affiliations

  1. PROKTOLOGIE Wuppertal – Praxis für End- und Dickdarmerkrankungen, Friedrich-Ebert-Str. 88, 42103, Wuppertal, Deutschland

    Marcos Gelos

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  1. Marcos Gelos
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Correspondence to Marcos Gelos.

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M. Gelos gibt an, dass kein Interessenkonflikt besteht.

Für diesen Beitrag wurden von den Autor/-innen keine Studien an Menschen oder Tieren durchgeführt. Für die aufgeführten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.

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Gelos, M. Hämorrhoidektomie. coloproctology 44, 406–410 (2022). https://doi.org/10.1007/s00053-022-00658-1

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  • DOI: https://doi.org/10.1007/s00053-022-00658-1

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