Updates of surgical treatment in hemorrhoidal disease

Jianan Li, Huangfu Ma, Yue Wang, Lixia Lai, Xuecheng Zhang, Yanmei Wang
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Abstract

Hemorrhoidal disease is one of the most prevalent and frequently occurring conditions worldwide. Treatment modalities for hemorrhoids are multifaceted and tailored according to the severity of the condition. Various surgical procedures and modified approaches had been invented since 1937. Here we review the workflow, advantages, and disadvantages of different types of hemorrhoid surgery (conventional excisional hemorrhoidectomy, modified excisional surgery, stapled/partial stapled hemorrhoidopexy, and Doppler-guided hemorrhoidal artery ligation). There is no single treatment that fits all hemorrhoid patients. Surgeons should make the operation plan based on patients' conditions and wills.

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痔疮手术治疗的最新进展
痔疮是全世界最普遍、最常见的疾病之一。痔疮的治疗方法多种多样,并根据病情的严重程度而量身定制。自 1937 年以来,人们发明了各种外科手术和改良方法。在此,我们回顾了不同类型痔疮手术(传统的痔切除术、改良切除术、钉式/部分钉式痔切除术和多普勒引导下的痔动脉结扎术)的工作流程、优缺点。没有一种治疗方法适合所有痔疮患者。外科医生应根据患者的病情和意愿制定手术方案。
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