MODERN TRENDS IN THE DIAGNOSIS AND TREATMENT OF HEMORRHOIDAL DISEASE

• Main Authors: Romică Mehic, Alexandru Laurenţiu Chiotoroiu, Mircea Beuran
• Format: Article
• Language: English
• Published: Amaltea Medical Publishing House 2018-03-01
• Series: Romanian Journal of Medical Practice
• Subjects: hemorrhoids; techniques; technologies; tendencies; guidelines
• Online Access: https://revistemedicale.amaltea.ro/Romanian_Journal_of_MEDICAL_PRACTICE/Practica_medicala-2018-Nr.1/RJMP_2018_1_Art-08.pdf

Introduction. Hemorrhoidal disease (HD) is one of the most common anorectal disorders with a prevalence of 4.4% and with multiple social, medical and economic implications. Hence the interest and permanent tendencies of change of approach and treatment of this disease. Material and methods. We studied medical books and articles starting from classical techniques of treatment of HD and trying to identify the tendencies of its evolution as well as the appearance of new therapeutic techniques and technologies and the degree of their implementation. Conclusions. There is a tendency of promotion of ambulatory techniques in the treatment of HD, rising in some countries to 90%. Ambulatory medicine has multiple advantages: the increasing efficiency of hospital bads use, increasing of patient degree of satisfaction, lower costs for every resolved case. The modern office procedures (rubber band ligation, injection sclerotherapy, infrared coagulation) or he new miniinvasive techniques (DG-HAL, PPH) meet the anesthetic and surgical conditions of an ambulatory surgery. The ideal operation should have as low as possible recurrences, not have major complications, allow as quickly as possible resumption of social activities, can be done ambulatory and have as small as possible costs. The problem of good medical guidelines of medical practice became more and more actual, with increasing of practical application of evidence-based medicine, with increasing quantity of medical informations, with involvement of medical conflicts in pacient-physician relationship. Starting from these guidelines every medical facility should have his own protocols and procedures.