HEMORRHOID DISEASE: DIAGNOSIS TREATMENT AND COMPLICATION MANAGEMENT

Hemorrhoidal_Disease_Bahadir_Egekapak

CONVENTIONAL SURGICAL TREATMENT OF HEMORRHOIDAL DISEASE

Ramazan Kozan

Gazi University, Faculty of Medicine, Department of General Surgery, Ankara, Türkiye

Kozan R. Conventional Surgical Treatment of Hemorrhoidal Disease. In: Ege B, editor. Hemorrhoidal Disease: Diagnosis, Treatment and Complication Management. 1st ed. Ankara: Türkiye Klinikleri; 2025. p.81-87.

ABSTRACT

Hemorhoidal disease is one of the most prevalent proctological conditions, typically presenting with symptoms such as pain, bleeding, itching, and difficulty in defecation. The management of this disease varies depending on the stage, clinical condition, and overall health of the patient. While early-stage hemorrhoids can often be managed with conservative treatments, more advanced stages typically require surgical intervention. Conventional surgical methods, particularly in cases of thirdand fourth-degree hemorrhoidal disease, are frequently preferred. The continuous pursuit of reduced postoperative pain, fewer complications, and quicker recovery has driven numerous advancements in surgical techniques and technological innovations. However, each surgical approach carries its own set of advantages and limitations. Hemorrhoidectomy remains one of the most commonly utilized and effective procedures in the surgical treatment of hemorrhoidal disease. Conventional hemorrhoidectomy is generally performed using either open (Milligan-Morgan technique) or closed (Ferguson technique) techniques. These methods are commonly indicated for patients with advanced hemorrhoidal disease, particularly in stages III and Iv. Postoperative complications such as pain, bleeding, and wound healing issues are potential concerns with these procedures. Despite these challenges, conventional surgical approaches continue to be highly effective in the long-term management of hemorrhoidal disease, largely due to their low recurrence rates. These procedures play a crucial role in permanently alleviating symptoms and significantly improving patients’ quality of life. The choice between open and closed hemorrhoidectomy depends on various factors, including the severity of the disease and the individual patient’s characteristics. This section thoroughly discusses conventional surgical techniques for the treatment of hemorrhoidal disease, highlighting their advantages, disadvantages, and current applications. It emphasizes that conventional hemorrhoidectomy remains a strong and reliable option for the treatment of advanced hemorrhoidal disease, maintaining its place as a cornerstone of therapy in modern proctology.

Keywords: Colorectal aurgery; Hemorrhoidectomy; Hemorrhoids; Proctoscopy; Rectal diseases; Surgical procedures; Operative

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