title: [Hemorpex system: a new procedure for the treatment of haemorrhoids].
abstract: BACKGROUND
  We present a new technique for the surgical treatment of haemorrhoids, consisting of the repositioning of haemorrhoid cluster, using a rotating Proctoscope called Hemor Pex System((R)) (HPS). This procedure is performed as an outpatient procedure, with minimal postoperative pain and rapid integration into working life.
  
  
  OBJECTIVE
  To present the experience with this technique during 3 years of follow up in two institutions in Genoa, Italy.
  
  
  METHODS
  from January 2003 to June 2006, 1112 patients with grade II, III and IV haemorrhoids were operated on using the HPS technique, in two different hospitals. Prospectively analyzed the following parameters: postoperative pain, incidence of complications and recurrence of symptoms.
  
  
  RESULTS
  A total of 1112 patients were operated, of whom 719 have completed the follow-up. The mean age was 47 years. In 92% of cases the intervention was performed under local anaesthesia. The average time of surgery time was 20+/-5min. A total of 97% of patients were discharged at 6h after surgery. The immediate postoperative pain, according to the Visual Analogue Scale (VAS): absent (0) in 38 cases, slight (1-3) in 431 cases, 218 medium and intense in 32 cases.
  
  
  CONCLUSIONS
  We believe HPS is a safe procedure, with a short learning curve for surgeons, and in particular leads to a great reduction in post-operative pain for the patient.
authors.affiliation: Department of Surgery, School of Medicine, University of Genoa, Italy.
authors.forename: Carlo
authors.initials: C
authors.lastname: Iachino
authors.forename: Yaima
authors.initials: Y
authors.lastname: Guerrero
authors.forename: Francesco
authors.initials: F
authors.lastname: Sias
authors.forename: Luca
authors.initials: L
authors.lastname: Milone
authors.forename: Martino
authors.initials: M
authors.lastname: Saccone
authors.forename: Giuseppe Franco
authors.initials: GF
authors.lastname: Giordano
authors.forename: Máximo
authors.initials: M
authors.lastname: Giordano
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000556:Ambulatory Surgical Procedures / Q000295:instrumentation* / Q000379:methods; D005260:Female; D006484:Hemorrhoids / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D020700:Proctoscopes; D011351:Proctoscopy / Q000379:methods*; D011446:Prospective Studies; D016896:Treatment Outcome; D055815:Young Adult