{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T14:04:52Z","timestamp":1793196292129,"version":"4.5.0"},"reference-count":18,"publisher":"Springer Science and Business Media LLC","issue":"11","license":[{"start":{"date-parts":[[2014,9,24]],"date-time":"2014-09-24T00:00:00Z","timestamp":1411516800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2014,9,24]],"date-time":"2014-09-24T00:00:00Z","timestamp":1411516800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Tech Coloproctol"],"published-print":{"date-parts":[[2014,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title>Background<\/jats:title>\n            <jats:p>\nA randomized controlled trial showed that patients with grade III or IV internal hemorrhoids had similar symptomatic relief of symptoms up to 3\u00a0months following dearterialization with mucopexy or hemorrhoidectomy albeit with less postoperative pain after the former. This study aimed to compare hemorrhoidal recurrence and chronic complications at 3-year follow-up.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods<\/jats:title>\n            <jats:p>This study was carried out on 40 patients with grade III or IV internal hemorrhoids previously enrolled to a randomized trial comparing dearterialization to hemorrhoidectomy. Recurrence was defined as internal hemorrhoids diagnosed on proctoscopy. Chronic complications were nonresolving adverse events related to surgery. Outcome measures included patient-reported outcomes and quality of life measured by brief pain inventory (BPI), SF-12, and fecal incontinence surveys.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>At median follow-up of 36 (27\u201343) months, 13 patients (32.5\u00a0%) were lost to follow-up. Patient-reported outcomes suggested no difference between dearterialization and hemorrhoidectomy in persistent symptoms, occurring in 1 (8.3\u00a0%) vs. 2 (13.3\u00a0%) patients (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.681) and in symptom recurrence, occurring in 6 (50\u00a0%) vs. 4 (26.7\u00a0%) patients (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.212). On proctoscopy, recurrence was seen in 2 (13.3\u00a0%) vs. 1 (6.7\u00a0%) patients (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.411), all with index grade IV disease. One patient in each arm required reoperation (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.869). Chronic complications were not seen in the dearterialization arm while they occurred in 2 (13.3\u00a0%) hemorrhoidectomy patients (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.189) and included unhealed wound (<jats:italic>n<\/jats:italic>\u00a0=\u00a01), anal fissure (<jats:italic>n<\/jats:italic>\u00a0=\u00a01) and fecal incontinence (<jats:italic>n<\/jats:italic>\u00a0=\u00a01). There was a trend toward more patient reported than actual recurrence on proctoscopy (10 vs. 3, <jats:italic>p<\/jats:italic>\u00a0=\u00a00.259). There was no difference in BPI, SF-12, and fecal incontinence quality of life scores.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p>Recurrence rates did not differ significantly at 3-year follow-up and occurred in patients with index grade IV hemorrhoids. Chronic complications occurred only after hemorrhoidectomy.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1007\/s10151-014-1219-8","type":"journal-article","created":{"date-parts":[[2014,9,24]],"date-time":"2014-09-24T00:12:00Z","timestamp":1411517520000},"page":"1081-1085","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":55,"title":["Hemorrhoidal dearterialization with mucopexy versus hemorrhoidectomy: 3-year follow-up assessment of a randomized controlled trial"],"prefix":"10.1007","volume":"18","author":[{"given":"P.","family":"Denoya","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Tam","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.","family":"Bergamaschi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2014,9,24]]},"reference":[{"key":"1219_CR1","first-page":"610","volume":"90","author":"K Morinaga","year":"1995","unstructured":"Morinaga K, Hasuda K, Ikeda T (1995) A novel therapy for internal hemorrhoids: ligation of the hemorrhoidal artery with a newly devised instrument (Moricorn) in conjunction with a Doppler flowmeter. 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