Characterization of Patients who Underwent Hemorrhoid Surgery using the Turell Surgical Technique
Keywords:
surgical hemorrhoids, hemorrhoidectomy, Turell techniqueAbstract
Introduction: Hemorrhoidal disease is one of the most common diseases in the Western world. However, most of those who suffer from it will remain asymptomatic or respond to conservative treatments, as only a small percentage of them will require surgery.
Objective: To characterize patients who underwent hemorrhoid surgery using the Turell surgical technique.
Method: A prospective longitudinal descriptive study was conducted with 67 patients who underwent hemorrhoid surgery using the Turell hemorrhoidectomy technique in the Coloproctology Department of the Vladimir I. Lenin Hospital in Holguín, during the period from September 2016 to December 2017.
Results: Most patients were male (62.6%) and in the 40-49 age group (43.2%). The most common symptoms were protrusion (100%), followed by bleeding (91%). Seventy-three percent of those operated on experienced severe pain in the immediate postoperative period. Urinary retention and skin fibroma were the most common complications, each occurring in two patients (2.9%). One patient presented with bleeding and a perianal abscess. Healing time ranged from three to six weeks, with 73% of patients undergoing surgery taking around four weeks; healing was good in 91%, fair in 7.4%, and poor in 1.4%.
Conclusions: The surgical technique devised by Turell for the treatment of hemorrhoids is effective, as it achieves greater well-being for the patients operated on.
Downloads
References
1. Villasana LE. Nueva técnica quirúrgica para el tratamiento de la enfermedad hemorroidal. Rev Cubana Cir. 2010 [acceso 06/01/2025];49(1). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034-74932010000100005
2. Lentini J. Temas de Coloproctología: Hemorroidectomía mediante asa de alta frecuencia. Barcelona, España: Editorial Fontalba; 1982 [acceso 20/01/2017] Pp. 207. Disponible en: https//scielo.sld.cu/scieloorg/php/reflinks.php?refpid=S0034-7493201000010000500003&lng=es&pid=S0034-74932010000100005
3. Hall JF. Hemorrhoids and hemorrhoidectomy. En: Delaney CP, ed. Netter's Surgical Anatomy and Approaches. Philadelphia, PA: Elsevier Saunders; 2014:cap. 26 [acceso 20/01/2024] Disponible en: https://basicmedicalkey.com/hemorrhoids-and-hemorrhoidectomy/
4. Lim DR, Cho DH, Lee JH, Moon JH. Comparison of a Hemorrhoidectomy with Ultrasonic Scalpel Versus a Conventional Hemorrhoidectomy. Ann Coloproctol. 2016;32(3):111-6. DOI: https://doi.org//10.3393/ac.2016.32.3.111
5. Onieva F, López D, Gallarín I, Espín MT, Cáceres JM, Salas J. Tratamiento quirúrgico de las hemorroides según técnica Milligan-Morgan comparando disección mediante diatermia versus sellado vascular. CIR MAY AMB 2014. [acceso 20/01/2017];19(4). Disponible en: https://www.asecma.org/Documentos/Articulos/03_19_4_OR_ Onieva.pdf http
6. Watson AJ, Hudson J, Wood J, Kilonzo M, Brown SR, McDonald A, et al. Comparison of stapledhemorrhoidopexy with traditional excisional surgery for haemorrhoidal disease (eTHoS): a pragmatic, multicentre, randomised controlledtrial. Lancet 2016;38(8):2375-85. DOI: https://doi.org//10.1016/S0140-6736(16)31802-5
7. Cataldo P, Ellis CN, Gregorcyk S, Hyman N, Buie WD, Church J, et al. Practice Task Force, The American Society of Colon and Rectal Surgeons, USA. 2005. Practice parameters for the management of hemorrhoids (revised). Diseases of the colon and rectum. 2005,48(2):189-94. DOI: https://doi.org/10.1007/s10350-004-0921-4
8. Carapeti EA, Kamm MA, McDonald PJ, Chadwick SJ, Phillips RK. Randomized trial of open versus closed day-case hemorrhoidectomy. Br J Surg. 1999,86:612-3 DOI: https://doi.org//10.1046/j.1365-2168.1999. 01127.x
9. Mehigan BJ, Monson JR, Hartley JE. Stapling procedure for hemorrhoids versus Milligan-Morgan hemorrhoidectomy: randomized controlled trial. Lancet. 2000;35(5):782-5. DOI: https://doi.org//10.1016/S0140-6736(99)08362-2
10. Consenso Nacional de Enfermedad Hemorroidal. Sociedad Cubana de Coloproctología. La Habana, Cuba. 2010 [acceso 20/01/2017]. Disponible en: http://files.sld.cu/coloproctologia/files/2011/05/consenso-nacional-enfermedadhemorroidal-2010-1.pdf
11. Consenso Nacional de Hemorroides Agudas. Sociedad Cubana de Coloproctología. Sociedad Cubana de Coloproctología. 2011 [acceso 20/01/2017] Disponible en: http://files.sld.cu/coloproctologia/files/2011/05/consenso-nacional-de-hemorroides-agudas-2011.pdf
12. Barrios I, Anido V, Morera M. Declaración de Helsinki: cambios y exégesis. Rev Cubana Salud Pública. 2016 [acceso 23/05/2025];42(1). Disponible en: http://scielo.sld.cu/scielo.php?script=sciarttext&pid=S0864-34662016000100014&ln g=es
13. Quan L, Bai X, Cheng F, Chen J, Ma H, Wang P, et al. Comparison of efficacy and safety between surgical and conservative treatments for hemorrhoids: a meta-analysis. BMC Gastroenterol. 2025;25(1):492. DOI: https://doi.org/10.1186/s12876-025-04089-2
14. Moldovan C, Rusu E, Cochior D, Toba ME, Mocanu H, Adam R, et al. Ten-year multicentric retrospective analysis regarding postoperative complications and impact of comorbidities in hemorrhoidal surgery with literature review. World J Clin Cases. 2023;11(2):366-84 DOI: https://doi.org/10.12998/wjcc.v11.i2.366
15. Hawkins AT, Davis BR, Bhama AR, Fang SH, Dawes AJ, Feingold DL, et al. The American Society of Colon and Rectal Surgeons Clinical Practice Guidelines for the Management of Hemorrhoids. Diseases of the colon and rectum. 2024;67(5):614-23. DOI: https://doi.org/10.1097/DCR.0000000000003276
16. Kibret AA, Oumer M, Moges AM. Prevalence and associated factors of hemorrhoids among adult patients visiting the surgical outpatient department in the University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia. PloS one. 2021;16(4):e0249736. DOI: https://doi.org/10.1371/journal.pone.0249736
17. Pata F, Sgró A, Ferrara F, Vigorita V, Gallo G, Pellino G. Anatomy, physiology and pathophysiology of hemorrhoids. Rev Recent Clin Trials. 2021;16(1):75-80. DOI: https://doi.org/10.2174/1574887115666200406115150
18. Stanojević G, Branković B, Nestorović M, Milutinović N. Surgical treatment of hemorrhoidal disease. Anorectal Disorders-From Diagnosis to Treatment. Intech Open; 2023. DOI: http://dx.doi.org/10.5772/intechopen.1002738
19. Burch J. Stapled versus excisional hemorrhoidectomy: a systematic review and meta-analysis of randomized controlled trials. Tech Coloproctol. 2020 [acceso 14/07/2025];24(4):347-56. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles /8887551/
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 http://creativecommons.org/licenses/by-sa/4.0

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
La Revista Cubana de Cirugía forma parte de la biblioteca SciELO, que comprende la publicación en línea de colecciones nacionales de revistas. Se adopta la licencia Creative Commons (CC), internacionalmente adoptada por las colecciones de revistas científicas de acceso abierto.
La Licencia de Atribución No Comercial 4.0 Unported, elegida para las colecciones de SciELO, permite a los usuarios acceder, exhibir públicamente la obra, así como crear obras derivadas con la condición de darle crédito al autor, tal como se especifica en la revista. A través de esta licencia queda explícita la restricción del uso comercial de los contenidos.





