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Gianpiero Gravante: Comparative Evaluation of Surgical Strategies for Grade III Hemorrhoidal Disease
Gianpiero Gravante/LinkedIn
Apr 26, 2026, 03:27

Gianpiero Gravante: Comparative Evaluation of Surgical Strategies for Grade III Hemorrhoidal Disease

Gianpiero Gravante, Member of the Board of Advisors HEMM AI, Guidelines and Multidisciplinary Management Committee Member at SICCR, shared a post on LinkedIn about a recent article he and his colleagues co-authored, published in Techniques in Coloproctology, adding:

“New PUB!

Pleased to share our latest publication in Techniques in Coloproctology.

In this large retrospective cohort study (n = 686), we compared different surgical strategies for grade III hemorrhoidal disease, including Milligan–Morgan hemorrhoidectomy, mucopexy, and hybrid approaches.

  • Our findings highlight a clear trade-off: Mucopexy (and hybrid techniques) showed lower postoperative pain and better early patient-reported outcomes
  • Milligan–Morgan provided superior long-term results, with significantly lower recurrence rates

These data reinforce the need to move beyond a ‘one-size-fits-all’ approach.

A tailored, patient- and pile-specific strategy may better balance short-term morbidity with long-term efficacy in grade III hemorrhoids.

Grateful to all co-authors and collaborators involved in this work.”

Title: Milligan–Morgan hemorrhoidectomy, mucopexy, and hybrid combination for grade III hemorrhoids: a large retrospective cohort study

Authors: Gaetano Gallo, Veronica De Simone, Gianpiero Gravante, Salvatore Sorrenti,Simone Tierno, Federico Tomassini, Antonio Crucitti, Pierpaolo Sileri, Marco La Torre

Gianpiero Gravante: Comparative Evaluation of Surgical Strategies for Grade III Hemorrhoidal Disease

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Antonio Crucitti Coloproctology Federico Tomassini Gaetano Gallo Gianpiero Gravante Health Hematology hemorrhoidal disease Hemostasis Hemostasis News Hemostasis Today Marco La Torre Medicine Milligan–Morgan hemorrhoidectomy mucopexy Pierpaolo Sileri Salvatore Sorrenti Simone Tierno Veronica De Simone
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