title: [Surgical treatment of 4th-stage hemorrhoids: the role of anatomical techniques].
abstract: Surgical options for fourth-degree hemorrhoids are still matter of debate. The high incidence of the disease encouraged research and brought to technical improvements able to achieve a painless, reliable, harmless and well tolerated surgical treatment. The Authors report a retrospective study of 193 patients who underwent surgery for fourth-degree hemorrhoids. In these cases the Authors advise anatomic techniques using local anaesthesia with i.v. administration of sedatives, thus allowing a 24-hour hospitalization.
authors.affiliation: Istituto di II Clinica Chirurgica, Università degli Studi, La Sapienza, Roma.
authors.forename: D
authors.initials: D
authors.lastname: Tuscano
authors.forename: M
authors.initials: M
authors.lastname: Catarci
authors.forename: F
authors.initials: F
authors.lastname: Zaraca
authors.forename: P
authors.initials: P
authors.lastname: Negro
authors.forename: G
authors.initials: G
authors.lastname: Flati
authors.forename: D
authors.initials: D
authors.lastname: Flati
authors.forename: M
authors.initials: M
authors.lastname: Carboni
mesh_terms: D005500:Follow-Up Studies; D006484:Hemorrhoids / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008722:Methods; D011183:Postoperative Complications; D012189:Retrospective Studies; D013997:Time Factors
vernacular_title: Trattamento chirurgico delle emorroidi al IV stadio: il ruolo delle tecniche anatomiche.