Evidence map›Paper›PMID 24676303›Full record

ReviewArquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery

Surgical treatment of hemorrhoids: a critical appraisal of the current options.

Marlise Mello Cerato, Nilo Luiz Cerato, Patrícia Passos, Alberto Treigue, Daniel C Damin

Abstract readReview
In one paragraph

Review in Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Surgical approach for lower postoperative anal stenosis.World journal of gastrointestinal surgery · 2024
    Article
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  6. Review
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  8. Review
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  12. Risk of delayed bleeding after hemorrhoidectomy.International journal of colorectal disease · 2019
    Article
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  14. Article
  15. Article
  16. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Marlise Mello CeratoErnesto Dornelles Hospital, Porto Alegre, RS, Brazil.
Nilo Luiz CeratoDepartment of Surgery, Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil.
Patrícia PassosErnesto Dornelles Hospital, Porto Alegre, RS, Brazil.
Alberto TreigueErnesto Dornelles Hospital, Porto Alegre, RS, Brazil.
Daniel C DaminDepartment of Surgery, Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSurgical treatment of hemorrhoids is still a dilemma. New techniques have been developed leading to a lower rate of postoperative pain; however, they are associated with a greater likelihood of recurrence.

aimTo review current indications as well as the results and complications of the main techniques currently used in the surgical treatment of hemorrhoidal disease.

methodsA systematic search of the published data on the options for treatment of hemorrhoids up to December 2012 was conducted using Medline/PubMed, Cochrane, and UpToDate.

resultsCurrently available surgical treatment options include procedure for prolapse and hemorrhoids (PPH), transanal hemorrhoidal dearterialization (THD), and conventional hemorrhoidectomy techniques. Excisional techniques showed similar results regarding pain, time to return to normal activities, and complication rates. PPH and THD were associated with less postoperative pain and lower complication rates; however, both had higher postoperative recurrence rates.

conclusionConventional surgical techniques yield better long-term results. Despite good results in the immediate postoperative period, PPH and THD have not shown consistent long-term favorable results.

Indexed as

HemorrhoidectomyHemorrhoidsHumans

Identifiers

PMID24676303
PMCPMC4675486

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.