[Selection of the method of treatment of complicated hemorrhoids].

The authors make a comparative analysis of the immediate complications after hemorrhoidectomy conducted by various methods in 504 patients engaged in heavy physical work. Group 1 consisted of 172 patients with hemorrhoidectomy performed by the ligature method. Group 2 was made up of 151 patients who had been operated on by A. N. Ryzhikh's modification of Martynov's method. Group 3 included 145 patients treated by the Milligan-Morgan operation involving the restoration of the anal mucosa. Group 4 consisted of 36 patients who had undergone ligation of the terminal branches of the superior rectal artery with economical excision of the hemorrhoids. In appraisal of the results of operative treatment of hemorrhoids, the least number of complications were found in patients of groups 3 and 4.