Aim -To confirm that systematic histological study of hemorrhoidectomy specimens is useless, as is proposed by the French Society of Coloproctology (Sociét éNationale Francaise de Colo-Proctologie) under the...Aim -To confirm that systematic histological study of hemorrhoidectomy specimens is useless, as is proposed by the French Society of Coloproctology (Sociét éNationale Francaise de Colo-Proctologie) under the sponsorship of the French National Health Accreditation and Evaluation Agency (Agence Nationaled’Accréd itation et d’Evaluation en Santé). Methods -Retrospective histological analys is of hemorrhoidectomy specimens obtained in a coloproctology unit between January 1, 1985 and December 31, 2001. Results -We found 56 histological abnormalities (0.69%) among 8153 hemorrhoidectomy specimens considered normal at gross examination, with three cases of intraepithelial neoplasia of the anal canal (0.04 %) and four cases of severe dysplasia (0.05%). Specimens associated with anal fissure (N=906) or suppuration (N=610) did not display more histological lesions . For all patients, the initial surgical resection prevented recurrence. Conclusion -Routine pathological evaluation of hemorrhoidectomy specimens is not useful and is expensive. All operating procedures in proctology should reflect this a ttitude. It is nevertheless advisable to select for gross and microscopic evalua tion any suspicious areas noticed at the preoperative examination or during the procedure.展开更多
文摘Aim -To confirm that systematic histological study of hemorrhoidectomy specimens is useless, as is proposed by the French Society of Coloproctology (Sociét éNationale Francaise de Colo-Proctologie) under the sponsorship of the French National Health Accreditation and Evaluation Agency (Agence Nationaled’Accréd itation et d’Evaluation en Santé). Methods -Retrospective histological analys is of hemorrhoidectomy specimens obtained in a coloproctology unit between January 1, 1985 and December 31, 2001. Results -We found 56 histological abnormalities (0.69%) among 8153 hemorrhoidectomy specimens considered normal at gross examination, with three cases of intraepithelial neoplasia of the anal canal (0.04 %) and four cases of severe dysplasia (0.05%). Specimens associated with anal fissure (N=906) or suppuration (N=610) did not display more histological lesions . For all patients, the initial surgical resection prevented recurrence. Conclusion -Routine pathological evaluation of hemorrhoidectomy specimens is not useful and is expensive. All operating procedures in proctology should reflect this a ttitude. It is nevertheless advisable to select for gross and microscopic evalua tion any suspicious areas noticed at the preoperative examination or during the procedure.
