Abstract
Haemorrhoidal dearterialization with mucopexy is a minimally invasive method of treating haemorrhoidal disease which is effective for reducing the symptoms of haemorrhoids and improving quality of life. Moreover, it has the obvious advantages of preservation of the anatomy and physiology of the anal canal, absence of external wounds, better tolerance, and a less painful postoperative period, especially compared with haemorrhoidectomy, but also probably compared with stapled haemorrhoidopexy. It is therefore usually provided on a day surgery basis and scores better in terms of general activity and ability to return to social and/or work activities. The procedure is also safe, with low postoperative morbidity and few complications, which are usually minor.
There is a probable higher long-term risk of recurrence of prolapse and/or bleeding after haemorrhoidal dearterialization with mucopexy, particularly in comparison with haemorrhoidectomy, but it is not a real problem in a time when patients often prefer a risk-free procedure and a short-term benefit to a potential long-term disadvantage.
If you don’t like the way surgery is practised today, just wait a while – it will change.
(Campbell 2013)
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NF, AB, EC, JDZ, FP: none.
VdP, EP, PB: payment for travel to surgical meeting
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de Parades, V. et al. (2017). Main Advantages of Dearterialization of Haemorrhoids and Mucopexy. In: Ratto, C., Parello, A., Litta, F. (eds) Hemorrhoids. Coloproctology. Springer, Cham. https://doi.org/10.1007/978-3-319-51989-0_39-1
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DOI: https://doi.org/10.1007/978-3-319-51989-0_39-1
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