Shankar, M M RamM B, Satyaveni2020-01-022020-01-022019-05Shankar M M Ram, M B Satyaveni. Study on Outcome of Karydakis Procedure in the Management of Intergluteal Pilonidal Sinus Disease. IJSS Journal of Surgery. 2019 May; 5(3): 34-382321-63792395-1893http://imsear.searo.who.int/handle/123456789/189880Aim: To study the clinical features and risk factors of Hemorrhoids. Materials and Methods: One hundred and eighty-nine adult patients aged between 35 and 65 years were studied. The history of patients was as follows: 57 (30.1%) had constipation, 19 (10%) had chronic cough, 33 (17.4%) had straining, 24 (12.6%) were alcoholic, 17 (8.99%) were smokers, and 39 (20.6%) had sedentary behavior. Result: The clinical manifestations were as follows: 51 (26.9%) had bleeding through rectum, 52 (27.5%) had prolapse, 32 (16.9%) had pain during defecation, and 19 (10%) had pruritis. The hemorrhoids were classified as per their grades. 51 (26.9%) had Grade I, 31 (16.4%) had Grade II, 38 (20.1%) had Grade III, and 69 (36.5%) had Grade IV. Conclusion: This pragmatic approach toward different ages in both sexes will be useful for surgeon to treat efficiently to prevent morbidity and mortality of the patients.Journal ArticleIndiaAssistant Professor, Department of Surgery, Army College of Medical Sciences and Base Hospital, New Delhi, IndiaSenior Resident, Department of Obstetrics and Gynecology, Al Falah College of Medical Sciences Research Centre and Hospital, Faridabad, Haryana, India