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Zentralbl Chir 2019; 144(04): 364-373
DOI: 10.1055/a-0972-1838
DOI: 10.1055/a-0972-1838
Übersicht
Operative Verfahrenswahl beim fortgeschrittenen Hämorrhoidalleiden – worauf kommt es an?
Surgical Management of Advanced Haemorrhoid Disease – Whatʼs the Deal?Further Information
Publication History
Publication Date:
14 August 2019 (online)
Zusammenfassung
Das Hämorrhoidalleiden betrifft ca. 2 – 3 Mio. Patienten pro Jahr in Deutschland. Als fortgeschrittenes Hämorrhoidalleiden werden die Hämorrhoiden angenommen, die operiert werden sollten. In Deutschland erfolgen ca.50 000 Operationen/Jahr aufgrund von Hämorrhoiden. Die passgenaue Operation für den einzelnen Patienten erfolgt nach eingehender proktologischer Untersuchung, hierfür stehen einige z. T. sehr unterschiedliche Techniken zur Verfügung. Es werden die verschiedenen Verfahren dargestellt und wo sinnvoll schematisch erläutert, um diese anschließend kritisch zu diskutieren. Auch sollen die individuellen Gegebenheiten des einzelnen Patienten wie z. B. eine Antikoagulation beleuchtet werden und in Zeiten der aufkommenden Nachwuchssorgen auch ein Blick auf die Ausbildung dieser Eingriffe geworfen werden.
Abstract
About 2 – 3 million patients suffer from haemorrhoid disease in Germany each year. Advanced haemorrhoid disease is assumed if an operation is planned. In Germany, approximately 50,000 operations per year are performed for haemorrhoids. Individual therapy and surgery are implemented after proctological examination. A wide variety of surgical procedures are available. These techniques will be described and illustrated. Individual comorbidities such as anticoagulation and will be discussed, together with options for teaching these surgical skills – in times of difficult recruitment.
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