{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,24]],"date-time":"2025-04-24T04:45:37Z","timestamp":1745469937512,"version":"3.40.4"},"reference-count":13,"publisher":"S. Karger AG","issue":"5","license":[{"start":{"date-parts":[[2009,1,1]],"date-time":"2009-01-01T00:00:00Z","timestamp":1230768000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"},{"start":{"date-parts":[[2009,1,1]],"date-time":"2009-01-01T00:00:00Z","timestamp":1230768000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Dig Surg"],"published-print":{"date-parts":[[2009]]},"abstract":"<jats:p>&lt;i&gt;Background\/Aims:&lt;\/i&gt; Procedures for haemorrhoidal prolapse that maintain functional haemorrhoidal anatomy are progressively used. The procedure for prolapse and haemorrhoids (PPH) has advantages over conventional haemorrhoidectomy, but is associated with a higher recurrence rate. The feasibility and efficiency of a second PPH instead of haemorrhoidectomy in case of recurrent symptoms were studied. &lt;i&gt;Methods:&lt;\/i&gt; A retrospective chart review was conducted of all patients that were treated with PPH for haemorrhoidal prolapse in our hospital between May 2002 and November 2008. All patients in need for a second PPH because of persistent or recurrent symptoms of prolapse were identified and analyzed. &lt;i&gt;Results:&lt;\/i&gt; Out of 137 patients who underwent a PPH, 22 patients (16%) were in need of a reoperation for symptoms of prolapse. Of these, 12 (55%) were treated with a second PPH. Successful prolapse reduction was achieved in 11 out of 12 patients. No postoperative complications were encountered during a median follow-up of 35 months. &lt;i&gt;Conclusion:&lt;\/i&gt; Redo PPH, in case of persisting or recurrent symptoms of haemorrhoidal prolapse after PPH, is feasible and is a good alternative for excisional haemorrhoidectomy. It possesses the same advantages over haemorrhoidectomy as the initial PPH and does not lead to more morbidity.<\/jats:p>","DOI":"10.1159\/000236011","type":"journal-article","created":{"date-parts":[[2009,11,13]],"date-time":"2009-11-13T16:53:28Z","timestamp":1258131208000},"page":"418-421","source":"Crossref","is-referenced-by-count":9,"title":["Redo Procedure for Prolapse and Haemorrhoids (PPH) for Persistent and Recurrent Prolapse after PPH"],"prefix":"10.1159","volume":"26","author":[{"given":"S.","family":"Festen","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.A.W.","family":"van Geloven","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.F.","family":"Gerhards","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"127","published-online":{"date-parts":[[2009,11,13]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1016%2Fj.jamcollsurg.2006.08.022"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1136%2Fgut.2008.151266"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1007%2Fs10350-006-0852-3"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1007%2Fs10350-008-9228-1"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1007%2Fs10350-006-0768-y"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1097%2F01.sla.0000169570.64579.31"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1007%2Fs10350-007-9102-6"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1001%2Farchsurg.2008.591"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1007%2Fs10350-007-0308-4"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1007%2Fs10350-004-0721-x"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1007%2Fs11605-008-0670-0"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1007%2Fs10350-008-9333-1"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1002%2Fbjs.5677"}],"container-title":["Digestive Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/236011","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/236011","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T22:11:33Z","timestamp":1745446293000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000236011"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2009]]},"references-count":13,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2009,12,1]]},"published-print":{"date-parts":[[2009,12,16]]}},"URL":"https:\/\/doi.org\/10.1159\/000236011","archive":["Portico"],"relation":{},"ISSN":["0253-4886","1421-9883"],"issn-type":[{"type":"print","value":"0253-4886"},{"type":"electronic","value":"1421-9883"}],"subject":[],"published":{"date-parts":[[2009]]}}}