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An Alternative to Hemorrhoidectomy

An Alternative to Hemorrhoidectomy Abstract To the Editor.—In an article in the Archives (112:534-536, 1977) Bartizal and Slosberg stated, "The traditional approach to the patient with symptomatic hemorrhoids has been operative hemorrhoidectomy."1 I question the wisdom of operative intervention on all symptomatic hemorrhoids as suggested. The authors went on to report that banding techniques could replace the operative hemorrhoidectomy in many instances. In a 12-month period, 3,208 bandings were done in 670 patients at a cost of $25 per ligation. This comes to $80,200 for this office alone. Not included are additional costs for needed proctoscopic examinations and office check-ups. Fortunately, conservative physicians have observed that the majority of symptomatic hemorrhoids do not require surgery or banding. Proper instructions of care and time will shrink most hemorrhoids and make them asymptomatic. In addition, the cost to the public is less. References 1. Bartizal J, Slosberg PA: An alternative to hemorrhoidectomy . Arch Surg 112:534-536, 1977.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

An Alternative to Hemorrhoidectomy

Archives of Surgery , Volume 113 (3) – Mar 1, 1978

An Alternative to Hemorrhoidectomy

Abstract

Abstract To the Editor.—In an article in the Archives (112:534-536, 1977) Bartizal and Slosberg stated, "The traditional approach to the patient with symptomatic hemorrhoids has been operative hemorrhoidectomy."1 I question the wisdom of operative intervention on all symptomatic hemorrhoids as suggested. The authors went on to report that banding techniques could replace the operative hemorrhoidectomy in many instances. In a 12-month period, 3,208 bandings were done in 670...
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Publisher
American Medical Association
Copyright
Copyright © 1978 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1978.01370150114030
Publisher site
See Article on Publisher Site

Abstract

Abstract To the Editor.—In an article in the Archives (112:534-536, 1977) Bartizal and Slosberg stated, "The traditional approach to the patient with symptomatic hemorrhoids has been operative hemorrhoidectomy."1 I question the wisdom of operative intervention on all symptomatic hemorrhoids as suggested. The authors went on to report that banding techniques could replace the operative hemorrhoidectomy in many instances. In a 12-month period, 3,208 bandings were done in 670 patients at a cost of $25 per ligation. This comes to $80,200 for this office alone. Not included are additional costs for needed proctoscopic examinations and office check-ups. Fortunately, conservative physicians have observed that the majority of symptomatic hemorrhoids do not require surgery or banding. Proper instructions of care and time will shrink most hemorrhoids and make them asymptomatic. In addition, the cost to the public is less. References 1. Bartizal J, Slosberg PA: An alternative to hemorrhoidectomy . Arch Surg 112:534-536, 1977.Crossref

Journal

Archives of SurgeryAmerican Medical Association

Published: Mar 1, 1978

References