{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T17:05:24Z","timestamp":1792170324032,"version":"4.4.0"},"reference-count":8,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[1995,2,1]],"date-time":"1995-02-01T00:00:00Z","timestamp":791596800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1995,2,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Twenty-eight patients (14 men, 14 women) with circumferential prolapsed piles were prospectively randomized to undergo either modified radical haemorrhoidectomy (group 1; 14 patients) or four piles haemorrhoidectomy (group 2; 14). The median duration of surgery was 30 and 10min respectively in groups 1 and 2. After operation all patients in group 1 were continent compared with 12 of 14 in group 2. Two patients in group 2 developed an anal stricture requiring manual dilatation. Five patients in group 1 had wound dehiscence requiring secondary suture; three of these developed an anal stricture: two needed anal dilatation and one required anoplasty. Two patients in group 1 had residual anal skin tags, compared with nine in group 2. Two patients in group 2 had symptomatic residual piles, whereas none in group 1 had this problem. At 6 months, six patients in group 2 considered the results to be excellent, seven acceptable and one was disappointed. In group 1 two considered the operation to be excellent, ten acceptable and two were disappointed.<\/jats:p>","DOI":"10.1002\/bjs.1800820215","type":"journal-article","created":{"date-parts":[[2007,3,3]],"date-time":"2007-03-03T21:37:25Z","timestamp":1172957845000},"page":"188-189","source":"Crossref","is-referenced-by-count":24,"title":["Prospective randomized study of radical <i>versus<\/i> four piles haemorrhoidectomy for symptomatic large circumferential prolapsed piles"],"prefix":"10.1093","volume":"82","author":[{"given":"F","family":"Seow-Choen","sequence":"first","affiliation":[{"name":"Department of Colorectal Surgery, Singapore General Hospital , Outram Road, 0316","place":["Singapore"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H C","family":"Low","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery, Singapore General Hospital , Outram Road, 0316","place":["Singapore"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[1995,2,1]]},"reference":[{"key":"2024092814302732700_bib1","doi-asserted-by":"crossref","first-page":"315","DOI":"10.1007\/BF02609314","article-title":"The outpatient management of acute hemorrhoidal disease","volume":"22","author":"Eisenstat","year":"1979","journal-title":"Dis Colon Rectum"},{"key":"2024092814302732700_bib2","doi-asserted-by":"crossref","first-page":"1119","DOI":"10.1016\/S0140-6736(00)88465-2","article-title":"Surgical anatomy of the anal canal and the operative treatment of haemorrhoids","volume":"1","author":"Milligan","year":"1937","journal-title":"Lancet"},{"key":"2024092814302732700_bib3","doi-asserted-by":"crossref","first-page":"449","DOI":"10.1136\/bmj.1.1365.449","article-title":"Three hundred consecutive cases of haemorrhoids cured by excision","volume":"1","author":"Whitehead","year":"1887","journal-title":"BMJ"},{"key":"2024092814302732700_bib4","doi-asserted-by":"crossref","first-page":"1165","DOI":"10.1007\/BF02251970","article-title":"Prospective, randomized trial comparing pain and clinical function after conventional scissors excision\/ligation vs. diathermy excision without ligation for symptomatic prolapsed hemorrhoids","volume":"35","author":"Seow-Choen","year":"1992","journal-title":"Dis Colon Rectum"},{"key":"2024092814302732700_bib5","doi-asserted-by":"crossref","first-page":"308","DOI":"10.1002\/bjs.1800810255","article-title":"Comparison of emergency and elective haemorrhoidectomy","volume":"81","author":"Eu","year":"1994","journal-title":"Br J Surg"},{"key":"2024092814302732700_bib6","doi-asserted-by":"crossref","first-page":"330","DOI":"10.1007\/BF02609319","article-title":"Whitehead operation revisited","volume":"22","author":"Barrios","year":"1979","journal-title":"Dis Colon Rectum"},{"key":"2024092814302732700_bib7","doi-asserted-by":"crossref","first-page":"182","DOI":"10.1016\/S0002-9610(88)80062-X","article-title":"Who's afraid of the dentate line? 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