Abstract
The authors present their experiences with haemorrhoid treatment in the last 15 years. Between 1998-2012 there were 7441 patients treated at the 3rd Surgery department in Faculty Hospital Motol.
Out-patient treatment was applied in 6862 cases, and surgery in 579 cases. From the group of out-patients there were 2676 cases treated with medicaments, with 696 of them requiring the follow-up endoscopic treatment.
In a group of 4186 patients, the Barron ligature method was used, which we considered the most effective non-surgical method. Surgery was performed in a group of 579 patients with stapled haemorrhoidectomy (Longo) used in 236 cases.
Classical haemorrhoidectomy was used in 343 cases (ultrasound scalpel, haemorrhoidectomy with anorectoplastic). When using the Longo method we had post-operational bleeding in six cases, and in one case post-operative anal narrowing.
Ultrasound scalpel haemorrhoidectomy was used on 153 patients, haemorrhoidectomy with partial anorectoplastic on 190 patients. Overall, we had using classical methods in eight cases of bleeding requiring surgery, in two cases it was after using an ultrasound scalpel.