{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T15:24:27Z","timestamp":1791991467632,"version":"4.4.0"},"reference-count":26,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,10,29]],"date-time":"2021-10-29T00:00:00Z","timestamp":1635465600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,10,29]],"date-time":"2021-10-29T00:00:00Z","timestamp":1635465600000},"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":["BMC Gastroenterol"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>This study aims to assess the association between age and outcomes in patients undergoing hemorrhoidectomy.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>This is a population-based cohort study. A retrospectively collected database with consecutive patients whose symptomatic prolapsed hemorrhoids managed by the LigaSure hemorrhoidectomy between Jan. 2015 and May 2017 was reviewed. Among 1238 patients, 1075 were under 65\u00a0years old (group 1), and 163 were 65\u00a0years old or older (group 2). Both groups were compared regarding baseline characteristics and surgical outcomes.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>All patients tolerated the whole course of the operation in the prone jackknife position without anesthetic-associated complications. There was no significant difference between these two groups regarding sex, hemorrhoids grade, operation time, duration of hospital stays, postoperative pain score, analgesic consumption, total postoperative complications, re-admission rate, reoperation rate and follow-up times. The multivariate logistic regression analysis that may contribute to postoperative complications revealed no significant difference for all complications between both groups.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>The LigaSure hemorrhoidectomy for elderly patients is safe and effective without significant difference in short-term operative outcomes and all complication rates, compared with younger patients.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12876-021-01969-1","type":"journal-article","created":{"date-parts":[[2021,10,29]],"date-time":"2021-10-29T10:04:04Z","timestamp":1635501844000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Surgical Outcomes of LigaSure Hemorrhoidectomy in the Elderly Population: A retrospective cohort study"],"prefix":"10.1186","volume":"21","author":[{"given":"Chuang-Wei","family":"Chen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tzung-Ju","family":"Lu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Koung-Hung","family":"Hsiao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2021,10,29]]},"reference":[{"issue":"17","key":"1969_CR1","doi-asserted-by":"publisher","first-page":"2009","DOI":"10.3748\/wjg.v18.i17.2009","volume":"18","author":"V Lohsiriwat","year":"2012","unstructured":"Lohsiriwat V. Hemorrhoids: from basic pathophysiologic to clinical management. World J Gastroenterology. 2012;18(17):2009\u201317.","journal-title":"World J Gastroenterology"},{"key":"1969_CR2","doi-asserted-by":"publisher","first-page":"477","DOI":"10.1007\/BF02049406","volume":"35","author":"R Bleday","year":"1992","unstructured":"Bleday R, Pena JP, Rothenberger DA, Goldberg SM, Buls JG. Symptomatic hemorrhoids: current incidence and complications of operative therapy. Dis Colon Rectum. 1992;35:477\u201381.","journal-title":"Dis Colon Rectum"},{"key":"1969_CR3","first-page":"18","volume":"9","author":"RG Holzheimer","year":"2004","unstructured":"Holzheimer RG. Hemorrhoidectomy: indications and risks. Eur J Med Res. 2004;9:18\u201336.","journal-title":"Eur J Med Res"},{"key":"1969_CR4","doi-asserted-by":"publisher","first-page":"687","DOI":"10.1007\/BF02048023","volume":"38","author":"HM MacRae","year":"1995","unstructured":"MacRae HM, McLeod RS. Comparison of hemorrhoidal treatment modalities: a meta-analysis. Dis Colon Rectum. 1995;38:687\u201394.","journal-title":"Dis Colon Rectum"},{"key":"1969_CR5","doi-asserted-by":"publisher","first-page":"1211","DOI":"10.1136\/bmj.314.7089.1211","volume":"314","author":"JL Pfenninger","year":"1997","unstructured":"Pfenninger JL. Modern treatments for internal hemorrhoids. BMJ. 1997;314:1211\u20132.","journal-title":"BMJ"},{"key":"1969_CR6","doi-asserted-by":"crossref","unstructured":"Altomare DF, Picciariello A, Pecorella G, Milito G, Naldini G, Amato A, Ratto C, Perinotti R; Italian Haemorrhoid Survey Group. Surgical management of haemorrhoids: an Italian survey of over 32000 patients over 17 years. 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