[The surgical therapy of hemorrhoidal pathology performed in one-day surgery].

BACKGROUND: The surgical procedure in the haemorrhoidal disease, performed in one day surgery, using a local anaesthesia (posterior perineal block), where suggested and possible, presents many advantages: for the patient whose stay in the hospital is shorter, for the hospital which is facilitated in the organization and planning of admissions, for the surgeon who is gratified by results. Personal experience is reported and the operation performed during one year, the surgical, anaesthetic and therapeutic technique used, and the results obtained are analyzed. METHODS: 32 selected patients with haemorrhoidal disease affections: (haemorrhoidal nodules by third and fourth degree). We have been examined. The operation was performed in all patients in one day surgery. The technique used was haemorrhoidectomy according to Milligan Morgan modified Phillips, using a coagulator, and without ligation of the pedicles. Anaesthesia was performed by Back perineal block according to M. C. Marti; particular attention was paid to the post-operative control that, in personal opinion, must be done weekly, for at last 4 weeks. RESULTS AND CONCLUSIONS: Results, which seem satisfactory, and approval manifested by the patients, encourage to continue in this direction.