Thegoal of this work is to present a new mini-invasive approach of the Internaland External Hemorrhoids Treatment, the Hybrid Hemorrhoidectomy, that consistsof an association of the Rubber Band Ligation (RBL) of the Internal Hemorrhoidswith complementary withdraw of the External Piles under local anesthesia.
In a universe of 326 anal surgeries carried through in Proctoclínica ina period of 4 years, a number of 300 patients (92%) had been submitted to mini-invasiveprocedures (223 (68,40%) had been submitted to RBL as exclusive treatment and77 (23,60%) to Hybrid Hemorrhoidectomy) and 26 patients (8%) had been submittedto other surgical procedures (Hemorrhoidectomy Milligan-Morgan, Fistulectomy,etc.)
The proposal approach allows minimum absenteism to the work, mini-invasivity andlow pos-operative morbidity with the advantage of office and outpatient procedures,excellent tolerability and low costs.
