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[Hemorrhoid excision with primary wound closure].

After a number of years' experience with hemorrhoidectomy by the method of Milligan and Morgan, a prospective study was started using closed hemorrhoidectomy preserving Treitz's muscle. In 50 consecutive patients this method proved superior with respect to postoperative pain (30% vs 50%), primary healing of the excision wounds (95% vs 0%), and need for anal bougienage (0% vs 20%). Plastic hemorrhoidectomy and primary wound closure produced excellent functional and anatomic results.

Hemorrhoids↗