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Este trabalho tem por objetivo apresentar uma nova abordagem mini-invasiva das Hemorróidas Mistas, a Hemorroidectomia Híbrida, que consiste na associação da Ligadura Elástica (LE) das Hemorróidas Internas com a ressecção complementar dos Plicomas Externos sob anestesia local. Num universo de 326 cirurgias orificiais realizadas na Proctoclínica num período de 4 anos, 300 (92%) foram submetidos a procedimentos mini-invasivos, 223 (68,40%) foram submetidos a LE como tratamento exclusivo e 77 (23,60%) à Hemoirroidectomia Híbrida) e 26 (8%) foram submetidos a outros procedimentos cirúrgicos (Hemorroidectomias a Milligan-Morgan, Fistulectomias etc. A abordagem proposta permite absenteísmo mínimo ao trabalho, mini-invasividade e baixa morbidade pós-operatória, ressaltando-se ainda a realização ambulatorial, excelente tolerabilidade e baixos custos. The goal of this work is to present a new mini-invasive approach of the Internal and External Hemorrhoids Treatment, the Hybrid Hemorrhoidectomy, that consists of an association of the Rubber Band Ligation (RBL) of the Internal Hemorrhoids with complementary withdraw of the External Piles under local anesthesia. In a universe of 326 anal surgeries carried through in Proctoclínica in a period of 4 years, a number of 300 patients (92%) had been submitted to mini-invasive procedures (223 (68,40%) had been submitted to RBL as exclusive treatment and 77 (23,60%) to Hybrid Hemorrhoidectomy) and 26 patients (8%) had been submitted to other surgical procedures (Hemorrhoidectomy Milligan-Morgan, Fistulectomy, etc.) The proposal approach allows minimum absenteism to the work, mini-invasivity and low pos-operative morbidity with the advantage of office and outpatient procedures, excellent tolerability and low costs

Hemorroidectomia híbrida: uma nova abordagem no tratamento das hemorróidas mistas