Abstract
IntroductionSurgical treatment of hemorrhoidal disease is used in about 5–10% of cases where conservative treatments have not been effective. ObjectiveTo learn the surgical techniques used in the treatment of hemorrhoidal disease grades III and IV in the light of literature. MethodsThis is an exploratory study, with an integrative review of literature published from 2009 to 2015 from databases LILACS, SciELO, MEDLINE, PUBMED and the Portal of CAPES, using the following descriptors: “hemorrhoidectomy” and “hemorrhoids”, in the period from March to May 2015. ResultsNineteen articles were selected. In the four more described techniques, the surgical time ranged from 19.58 to 52min, with relapses from 5%, from 17.5 to 35min and recurrences of 7.5% to 8.2%, 23–35min was 20% and 22.5% relapse, 12.5 and 13.2min, 3.5% of relapses. ConclusionConventional techniques are still the most commonly performed with a good acceptance on the long-term resolution and low recurrence rate.
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