Endovenous surgery

As haemorrhoids are usually treated by bowel surgeons with little research or interest in venous surgery, traditionally haemorrhoids have just been chopped out - not only a very painful operation but also leading to recurrence in a large proportion of cases.
This week sees the 15th anniversary of the first minimally invasive varicose vein operation in the UK and what a massive difference has occurred.
As we all know, the medical world moves slowly, particularly when it comes to recommendations or guidelines. In many instances when drugs or malignant conditions are being assessed, there is a very good rationale for this slow change and there are many examples to support a thorough and well-reasoned (albeit slow) approach.