The goal of this work is to present a new mini-invasive approach of the Internal and External Hemorrhoids Treatment, the Hybrid Hemorrhoidectomy, that consists of an association of the Rubber Band Ligation (RBL) of the Internal Hemorrhoids with complementary withdraw of the External Piles under local anesthesia. In a universe of 326 anal surgeries carried through in Proctoclínica in a period of 4 years, a number of 300 patients (92%) had been submitted to mini-invasive procedures (223 (68,40%) had been submitted to RBL as exclusive treatment and 77 (23,60%) to Hybrid Hemorrhoidectomy) and 26 patients (8%) had been submitted to other surgical procedures (Hemorrhoidectomy Milligan-Morgan, Fistulectomy, etc.) The proposal approach allows minimum absenteism to the work, mini-invasivity and low pos-operative morbidity with the advantage of office and outpatient procedures, excellent tolerability and low costs.
Hemorrhoidal Disease; Hemorrhoids; Hemorrhoidectomy; Rubber Band Ligation; Ano-Rectal Disease
