[Surgical treatment of hemorrhoid disease. A comparison between techniques].
BACKGROUND
The past years have seen the development of outpatient treatment and surgical procedures for the treatment of hemorrhoid disease in an attempt to reduce postoperative pain on the one hand and execution and hospitalisation times on the other.


METHODS
This retrospective study compares the results obtained in the treatment of hemorrhoid disease using three different METHODS. Three groups of 30 patients were selected from those operated during the past 10 years using Milligan-Morgan s technique (Group A), Parks  technique (Group B) and radiosurgery (Group C). All patients were matched for sex (50% males and 50% females), age (ranging between 30 and 50 years old), diagnosis (4th degree hemorrhoids not associated with another proctologic pathology such as anal fissures, fistulas, etc.) and referred symptoms.


RESULTS
The results obtained allow a positive evaluation to be made of all three surgical techniques, but indicate submucous hemorrhoidectomy using radiosurgery as the method of choice for the treatment of grade III and IV hemorrhoids.


CONCLUSIONS
The excellent results achieved using this approach in the authors  opinion amply justify the relatively difficult execution and longer operating times.
Clinica Chirurgica, Università degli Studi Tor Vergata, Rome, Italy.
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Filingeri
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Giudiceandrea
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Rosati
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Fiorito
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Casciani
D000328:Adult; D005260:Female; D006484:Hemorrhoids / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D014656:Vascular Surgical Procedures / Q000379:methods