Abstract
Hemorrhoidal dearterialization with mucopexy is a minimally invasive method of treating hemorrhoidal disease which is effective for reducing the symptoms of hemorrhoids and improving quality of life. Moreover, it has the obvious advantages of preservation of the anatomy and physiology of the anal canal, absence of external wounds, better tolerance, and a less painful postoperative period, especially compared with hemorrhoidectomy, but also probably compared with stapled hemorrhoidopexy. It is therefore usually provided on a day surgery basis and scores better in terms of general activity and ability to return to social and/or work activities. The procedure is also safe, with low postoperative morbidity and few complications, which are usually minor.
There is a probable higher long-term risk of recurrence of prolapse and/or bleeding after hemorrhoidal dearterialization with mucopexy, particularly in comparison with hemorrhoidectomy, but it is not a real problem in a time when patients often prefer a risk-free procedure and a short-term benefit to a potential long-term disadvantage.
If you don’t like the way surgery is practised today, just wait a while – it will change.
(Campbell 2013)
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NF, AB, EC, JDZ, FP: none.
VdP, EP, PB: payment for travel to surgical meeting
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de Parades, V. et al. (2018). Main Advantages of Dearterialization of Hemorrhoids and Mucopexy. In: Ratto, C., Parello, A., Litta, F. (eds) Hemorrhoids. Coloproctology, vol 2. Springer, Cham. https://doi.org/10.1007/978-3-319-53357-5_39
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