Limited hemorrhoidectomy

Results and long-term follow-up

Theresa K. Hayssen, Martin A. Luchtefeld, Anthony J. Senagore

Research output: Contribution to journalArticle

25 Citations (Scopus)

Abstract

PURPOSE: Three-column excision has traditionally been the preferred treatment for symptomatic hemorrhoidal disease in patients failing nonoperative treatments. There are few data evaluating focused surgical management of only the symptomatic hemorrhoidal complexes by limited hemorrhoidectomy. The purpose of this study was to evaluate patient outcome after one-quadrant or two-quadrant hemorrhoidectomy for sympatomatic hemorrhoids. METHODS: We retrospectively studied patients undergoing a one- quadrant or two-quadrant hemorrhoidectomy as initial surgical treatment of sympatomatic columns from April 1987 to July 1993. Patients undergoing a traditional three-quadrant hemorrhoidectomy during the same time period were used as controls. Statistical analysis was used to determine significance. RESULTS: There were 115 evaluable patients who had undergone a one-quadrant or two-quadrant hemorrhoidectomy. One hundred thirty-three three-quadrant patients were studied as the control group. The mean follow-up was 8.1 years and 7.2 years for the limited and three-quadrant hemorrhoidectomy group, respectively. The majority of patients (96 percent limited and 98 percent three-quadrant) experienced initial relief of symptoms after surgery. There was no significant difference between the two groups in the development of recurrent anorectal symptoms (34 percent limited and 29 percent three- quadrant), in the need for additional medical therapy (11.3 percent limited and 15.8 percent three-quadrant), or in the need for additional interventional therapy (2.9 percent limited and 0.8 percent three-quadrant). No patients in either group required additional surgical hemorrhoidectomy. CONCLUSIONS: The majority of patients with hemorrhoidal disease requiring excision can be managed effectively by focused treatment of the problematic columns. With this approach fewer than 2 percent of patients will require further procedural intervention of their hemorrhoidal disease.

Original languageEnglish (US)
Pages (from-to)909-915
Number of pages7
JournalDiseases of the Colon and Rectum
Volume42
Issue number7
DOIs
StatePublished - Jul 1999
Externally publishedYes

Fingerprint

Hemorrhoidectomy
Therapeutics
Hemorrhoids

Keywords

  • Hemorrhoidectomy
  • Hemorrhoids
  • Post-operative complications

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Limited hemorrhoidectomy : Results and long-term follow-up. / Hayssen, Theresa K.; Luchtefeld, Martin A.; Senagore, Anthony J.

In: Diseases of the Colon and Rectum, Vol. 42, No. 7, 07.1999, p. 909-915.

Research output: Contribution to journalArticle

Hayssen, TK, Luchtefeld, MA & Senagore, AJ 1999, 'Limited hemorrhoidectomy: Results and long-term follow-up', Diseases of the Colon and Rectum, vol. 42, no. 7, pp. 909-915. https://doi.org/10.1007/BF02237100
Hayssen, Theresa K. ; Luchtefeld, Martin A. ; Senagore, Anthony J. / Limited hemorrhoidectomy : Results and long-term follow-up. In: Diseases of the Colon and Rectum. 1999 ; Vol. 42, No. 7. pp. 909-915.
@article{1e6b4b87083e4d74b7af3828b90941dc,
title = "Limited hemorrhoidectomy: Results and long-term follow-up",
abstract = "PURPOSE: Three-column excision has traditionally been the preferred treatment for symptomatic hemorrhoidal disease in patients failing nonoperative treatments. There are few data evaluating focused surgical management of only the symptomatic hemorrhoidal complexes by limited hemorrhoidectomy. The purpose of this study was to evaluate patient outcome after one-quadrant or two-quadrant hemorrhoidectomy for sympatomatic hemorrhoids. METHODS: We retrospectively studied patients undergoing a one- quadrant or two-quadrant hemorrhoidectomy as initial surgical treatment of sympatomatic columns from April 1987 to July 1993. Patients undergoing a traditional three-quadrant hemorrhoidectomy during the same time period were used as controls. Statistical analysis was used to determine significance. RESULTS: There were 115 evaluable patients who had undergone a one-quadrant or two-quadrant hemorrhoidectomy. One hundred thirty-three three-quadrant patients were studied as the control group. The mean follow-up was 8.1 years and 7.2 years for the limited and three-quadrant hemorrhoidectomy group, respectively. The majority of patients (96 percent limited and 98 percent three-quadrant) experienced initial relief of symptoms after surgery. There was no significant difference between the two groups in the development of recurrent anorectal symptoms (34 percent limited and 29 percent three- quadrant), in the need for additional medical therapy (11.3 percent limited and 15.8 percent three-quadrant), or in the need for additional interventional therapy (2.9 percent limited and 0.8 percent three-quadrant). No patients in either group required additional surgical hemorrhoidectomy. CONCLUSIONS: The majority of patients with hemorrhoidal disease requiring excision can be managed effectively by focused treatment of the problematic columns. With this approach fewer than 2 percent of patients will require further procedural intervention of their hemorrhoidal disease.",
keywords = "Hemorrhoidectomy, Hemorrhoids, Post-operative complications",
author = "Hayssen, {Theresa K.} and Luchtefeld, {Martin A.} and Senagore, {Anthony J.}",
year = "1999",
month = "7",
doi = "10.1007/BF02237100",
language = "English (US)",
volume = "42",
pages = "909--915",
journal = "Diseases of the Colon and Rectum",
issn = "0012-3706",
publisher = "Lippincott Williams and Wilkins",
number = "7",

}

TY - JOUR

T1 - Limited hemorrhoidectomy

T2 - Results and long-term follow-up

AU - Hayssen, Theresa K.

AU - Luchtefeld, Martin A.

AU - Senagore, Anthony J.

PY - 1999/7

Y1 - 1999/7

N2 - PURPOSE: Three-column excision has traditionally been the preferred treatment for symptomatic hemorrhoidal disease in patients failing nonoperative treatments. There are few data evaluating focused surgical management of only the symptomatic hemorrhoidal complexes by limited hemorrhoidectomy. The purpose of this study was to evaluate patient outcome after one-quadrant or two-quadrant hemorrhoidectomy for sympatomatic hemorrhoids. METHODS: We retrospectively studied patients undergoing a one- quadrant or two-quadrant hemorrhoidectomy as initial surgical treatment of sympatomatic columns from April 1987 to July 1993. Patients undergoing a traditional three-quadrant hemorrhoidectomy during the same time period were used as controls. Statistical analysis was used to determine significance. RESULTS: There were 115 evaluable patients who had undergone a one-quadrant or two-quadrant hemorrhoidectomy. One hundred thirty-three three-quadrant patients were studied as the control group. The mean follow-up was 8.1 years and 7.2 years for the limited and three-quadrant hemorrhoidectomy group, respectively. The majority of patients (96 percent limited and 98 percent three-quadrant) experienced initial relief of symptoms after surgery. There was no significant difference between the two groups in the development of recurrent anorectal symptoms (34 percent limited and 29 percent three- quadrant), in the need for additional medical therapy (11.3 percent limited and 15.8 percent three-quadrant), or in the need for additional interventional therapy (2.9 percent limited and 0.8 percent three-quadrant). No patients in either group required additional surgical hemorrhoidectomy. CONCLUSIONS: The majority of patients with hemorrhoidal disease requiring excision can be managed effectively by focused treatment of the problematic columns. With this approach fewer than 2 percent of patients will require further procedural intervention of their hemorrhoidal disease.

AB - PURPOSE: Three-column excision has traditionally been the preferred treatment for symptomatic hemorrhoidal disease in patients failing nonoperative treatments. There are few data evaluating focused surgical management of only the symptomatic hemorrhoidal complexes by limited hemorrhoidectomy. The purpose of this study was to evaluate patient outcome after one-quadrant or two-quadrant hemorrhoidectomy for sympatomatic hemorrhoids. METHODS: We retrospectively studied patients undergoing a one- quadrant or two-quadrant hemorrhoidectomy as initial surgical treatment of sympatomatic columns from April 1987 to July 1993. Patients undergoing a traditional three-quadrant hemorrhoidectomy during the same time period were used as controls. Statistical analysis was used to determine significance. RESULTS: There were 115 evaluable patients who had undergone a one-quadrant or two-quadrant hemorrhoidectomy. One hundred thirty-three three-quadrant patients were studied as the control group. The mean follow-up was 8.1 years and 7.2 years for the limited and three-quadrant hemorrhoidectomy group, respectively. The majority of patients (96 percent limited and 98 percent three-quadrant) experienced initial relief of symptoms after surgery. There was no significant difference between the two groups in the development of recurrent anorectal symptoms (34 percent limited and 29 percent three- quadrant), in the need for additional medical therapy (11.3 percent limited and 15.8 percent three-quadrant), or in the need for additional interventional therapy (2.9 percent limited and 0.8 percent three-quadrant). No patients in either group required additional surgical hemorrhoidectomy. CONCLUSIONS: The majority of patients with hemorrhoidal disease requiring excision can be managed effectively by focused treatment of the problematic columns. With this approach fewer than 2 percent of patients will require further procedural intervention of their hemorrhoidal disease.

KW - Hemorrhoidectomy

KW - Hemorrhoids

KW - Post-operative complications

UR - http://www.scopus.com/inward/record.url?scp=0032789963&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0032789963&partnerID=8YFLogxK

U2 - 10.1007/BF02237100

DO - 10.1007/BF02237100

M3 - Article

VL - 42

SP - 909

EP - 915

JO - Diseases of the Colon and Rectum

JF - Diseases of the Colon and Rectum

SN - 0012-3706

IS - 7

ER -