title: Hemorrhoidectomy - making sense of the surgical options.
abstract: While debate continues as to which is the best surgical method for the treatment of hemorrhoids, none of the currently available surgical methods approach the ideal surgical option, which is one that is effective while being safe and painless. In reality, the less painful the procedure, the more likely it is to be associated with recurrence post-op. Where hemorrhoids surgery is concerned, there isn't a "one size fits all" option. Most of the randomized controlled trials performed to date include hemorrhoids of various grades and with a focus on only comparing surgical methods while failing to stratify the outcomes according to the grade of hemorrhoid. We believe that surgery needs to be tailored not only to the grade of the hemorrhoids, but also to the size, circumferential nature of the disease, and prevailing symptomatology.
authors.affiliation: Danson Yeo, Kok-Yang Tan, Department of Surgery, Alexandra Health, Khoo Teck Puat Hospital, Singapore 768828, Singapore.
authors.forename: Danson
authors.initials: D
authors.lastname: Yeo
authors.affiliation: Danson Yeo, Kok-Yang Tan, Department of Surgery, Alexandra Health, Khoo Teck Puat Hospital, Singapore 768828, Singapore.
authors.forename: Kok-Yang
authors.initials: KY
authors.lastname: Tan
mesh_terms: D061865:Hemorrhoidectomy / Q000009:adverse effects / Q000379:methods*; D006484:Hemorrhoids / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D008026:Ligation; D012720:Severity of Illness Index; D017792:Surgical Stapling; D016896:Treatment Outcome
keywords: Conventional; Doppler-guided hemorrhoidal artery ligation; Hemorrhoidectomy; LigaSure; Stapler