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Abstract

Hemorrhoidal disease is the most frequently observed anal pathology; 50%–90°/o of all individuals complain of hemorrhoids at least once in their lives. In the United States, 1177 visits to a physician by patients with hemorrhoids are reported annually per 100, 000 population, compared with 1123 visits in England and Wales. Annual hospital discharge rates for patients with hemorrhoids per 100, 000 population are 47.65 in the United States, 40.69 in England and Wales, and 46 in France [59, 60, 139]. Fifty percent of all patients attending a proctological clinic present with more or less severe symptoms due to hemorrhoids. This disease has been recognized and treated since antiquity [42, 99, 104].

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  • M.-C. Marti

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