{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T20:54:18Z","timestamp":1791579258201,"version":"4.3.4"},"reference-count":40,"publisher":"Georg Thieme Verlag KG","issue":"03","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Zentralbl Chir"],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>Das symptomatische H\u00e4morrhoidalleiden ist einer der h\u00e4ufigsten Gr\u00fcnde f\u00fcr das Aufsuchen einer koloproktologischen Einrichtung. Neben der typischen Anamnese ist der Untersuchungsbefund\n            inkl. Proktoskopie wegweisend. Die \u00fcberwiegende Mehrheit der Patienten kann konservativ mit sehr gutem Ergebnis hinsichtlich der Lebensqualit\u00e4t behandelt werden. Insbesondere durch\n            Basistherapie mit Stuhlregulation, korrektem Stuhlverhalten und Sklerosierungstherapie kann stadienunabh\u00e4ngig eine gute Symptomkontrolle erreicht werden. Bei Versagen der konsequenten\n            konservativen Therapie stehen verschiedene operative Verfahren zur Verf\u00fcgung. Entscheidend f\u00fcr die Auswahl des Verfahrens ist der individuelle Befund des Patienten im Sinne eines Tailored\n            Approachs. Neben den klassischen segmental resezierenden sowie zirkul\u00e4r pexierenden Operationen geh\u00f6ren auch neuere, z.\u00a0T. weniger invasive Methoden wie H\u00e4morrhoidalarterienligatur mit und\n            ohne Rectoanal Repair (HAL-RAR), Infrarottherapie (IRT), Lasertherapie (LT) und Radiofrequenzablation (RFA) zum chirurgischen Repertoire. Blutung, Schmerz, Inkontinenz sowie Rezidiv\n            stellen m\u00f6gliche Risiken der operativen Therapie dar.<\/jats:p>","DOI":"10.1055\/a-2068-4409","type":"journal-article","created":{"date-parts":[[2023,6,2]],"date-time":"2023-06-02T22:40:17Z","timestamp":1685745617000},"page":"237-243","source":"Crossref","is-referenced-by-count":2,"title":["Tailored Approach in der Therapie der H\u00e4morrhoidalleiden"],"prefix":"10.1055","volume":"148","author":[{"given":"Christian","family":"Pfeil","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Allgemein-, Viszeral- und Onkologische Chirurgie, St. Bernward Krankenhaus GmbH, Hildesheim, Deutschland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J\u00f6rg","family":"Pelz","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Allgemein-, Viszeral- und Onkologische Chirurgie, St. Bernward Krankenhaus GmbH, Hildesheim, Deutschland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Niloufar","family":"Dusch","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Allgemein-, Viszeral- und Onkologische Chirurgie, St. Bernward Krankenhaus GmbH, Hildesheim, Deutschland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2023,6,2]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"380","DOI":"10.1016\/0016-5085(90)90828-o","article-title":"The prevalence of hemorrhoids and chronic constipation. 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