Hemorrhoidectomy - making sense of the surgical options

Table 4 Results for grade IV hemorrhoids

Methods	Mean operating time (min)	Return to work (d)	Recurrence at < 1 yr (%)	Recurrence at> 1 yr (%)	Post-op bleeding (%)	ARU (%)	Fistula (%)	Anal stricture (%)
DGHAL	NR	NR	59.3[9]	NR	3.7[9]	3.7[9]	0[9]	NR
DGHAL + RAR	35[51]	NR	NR	9[51]	4[51]	NR	NR	NR
SH	24[52]	NR	NR	50-53.3[52,55]	0[52]	NR	NR	NR
CH	27.4-39[52,53]	16.4[53]	NR	0-6.25[52,53,55]	6.25-11[52,53]	0[53]	NR	NR
CH + LigaSure	22.3[53]	12.2[53]	NR	0[53]	4[53]	4[53]	NR	NR

DGHAL: Doppler-guided hemorrhoidal artery ligation; SH: Stapler hemorrhoidectomy; CH: Conventional hemorrhoidectomy; ARU: Acute urinary retention; NR: Not recorded; RAR: Rectoanal repair.