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PPH en Europa Continental. 15th Annual Colorectal Disease Symposium, Cleveland Clinic Florida-13/02/2004

“PPH for Hemorrhoids in Europe,an Update 1999-2003”
Thorolf Hager, MD
Frankenwald Klinik
Kronach, Germany

PPH for hemorrhoids is a well accepted methode in Europe. About 200000
cases are expected to be operated since 1999. There is great number of publications
on this technique ,including randomised controlled studies : PPH versus Milligan-
Morgan Procedure. Also the number of cases is rather small, they show a significant
better short time result versus Milligan Morgan.
But there are also reports on severe complications like recto.vag. fistulas,rectal
perforation,Fournier-Gangren, but the number is very low: 1.2 pro mill.
The all over rate of post.op. complications is 5%, which is lower than in Milligan
Morgan.
In summary PPH represents in the hand of the well trained surgeon a save methode
to treat prolapsing hemorrhoids 3°. This methode leads to a shorter reconvalescence,
LOS is short, there is less pain, the time back to work is shorter, all these results are
signicant better to Milligan Morgam Procedure.

 

 
Otros    
A prospective, randomized, controlled multicenter trial comparing stapled hemorrhoidopexy and Fergus-01/05/2005
   
PPH en Suramerica. 15th Annual Colorectal Disease Symposium, Cleveland Clinic Florida-13/02/2004
   
PPH en USA. 15th Annual Colorectal Disease Symposium, Cleveland Clinic Florida-13/02/2004
   
PPH en Europa Continental. 15th Annual Colorectal Disease Symposium, Cleveland Clinic Florida-13/02/2004
   
Hemorrhoidal stapler prolapsectomy vs.Milligan-Morgan hemorrhoidectomy:a long-term randomized trial-07/11/2003
   
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