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. 2023 Mar;73(3):270-273.

[New paradigm for haemorrhoidal disease treatment]

[Article in French]
Affiliations
  • PMID: 37289114

[New paradigm for haemorrhoidal disease treatment]

[Article in French]
François Pigot. Rev Prat. 2023 Mar.

Abstract

NEW PARADIGM FOR HAEMORRHOIDAL DISEASE TREATMENT. The modern surgical management of hemorrhoidal disease was born in 1937, without any great variation until the 90s. Later then, the quest for a surgery without pain or secondary complications has stimulated the appearance of new techniques, often dependent on sophisticated technologies, the most recent being still under evaluation. At the same time, conventional excision surgery has evolved to become less aggressive. Overall, the requirement for less morbidity has become a priority, exceeding that of the long-term efficacy, and the cost of those interventions based on sophisticated technologies has significantly increased.

CHANGEMENT DE PARADIGME DANS LA PRISE. EN CHARGE DE LA PATHOLOGIE HÉMORROÏDAIRELa prise en charge chirurgicale moderne de la maladie hémorroïdaire est née en 1937, sans grande variation jusque dans les années 1990. À partir de cette période, l’exigence d’une chirurgie moins douloureuse et sans séquelles a stimulé l’apparition de nouvelles techniques reposant le plus souvent sur des technologies sophistiquées, les plus récentes étant encore en cours d’évaluation. Parallèlement, la chirurgie d’exérèse classique a évolué pour devenir moins agressive. Au total, l’exigence de moindre morbidité est devenue prioritaire, l’efficacité à long terme secondaire, et l’arrivée des nouvelles technologies a augmenté le c oût direct de ces interventions.

Keywords: Colorectal Surgery; Hemorrhoids.

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