Benign Anal Disease: Third Degree Hemorrhoids – Who Really Needs Surgery?
作者： Aneel Damle , Justin Maykel
DOI: 10.1007/978-3-319-40223-9_36
关键词:
摘要: Surgeons posess a wide variety of therapeutic options to treat hemorrhoids. Grade I/II hemorrhoids can usually be readily managed with dietary modification and/or office based treatments whereas grade IV commonly require surgery. However, there are no clear-cut guidelines for the optimal treatment III Further complicating matters, hemorrhoid grading system developed by Goligher in 1954 (grades I-IV) does not account key factors that may drive decision making, such as size or whether isolated circumferential [1].
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