Diagnosis and Management of Symptomatic Hemorrhoids

Sneider, Erica B.; Maykel, Justin A.

doi:10.1016/j.suc.2009.10.005

Cited by 109 publications

(79 citation statements)

References 27 publications

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“…Around 5% of the general population suffers from symptoms of hemorrhoids, and one third seeks medical treatment [2]. The treatment of symptomatic hemorrhoids varies and ranges from conservative therapy involving dietary and lifestyle changes to use of various pharmacological agents and creams, office-based nonoperative procedures, and operative hemorrhoidectomy [3]. Surgery is indicated in the treatment of combined internal and external hemorrhoids or Grade III and Grade IV hemorrhoids, especially in patients who are unresponsive to other methods of treatment or those with extensive disease [4].…”

Section: Introductionmentioning

confidence: 99%

Stapled Hemorrhoidectomy; Results of a Prospective Clinical Trial in Saudi Arabia

Guraya

Khairy²

2013

JCDR

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Objectives: This study was designed to evaluate the effectiveness of stapled hemorrhoidectomy (SH) in terms of cure of the symptoms and post-operative pain control. Material and Methods:In this prospective clinical study, SH (Ethicon Endo-surgery, Cincinnati, OH) was performed for all patients with grade III and grade IV hemorrhoids, presenting to the surgical clinics of Ohud and Meeqat Hospitals Almadinah Almunawwarah Saudi Arabia. The results of SH were evaluated by a questionnaire focusing on the relief of symptoms, severity of post operative pain, and complications of SH.Results: Thirty patients (21 males and 9 females); with a mean age of 39.6 years were recruited in this study. Twenty six (86%) patients had grade III and 4 (14%) presented with grade IV hemorrhoids. Perianal prolapse was the most frequent presentation reported in 23 (76%). Mean operating time was 21.7 minutes (range; 17-36 minutes) whereas mean hospital stay was 1.9 days. Post-operative pain was tolerable (nonpersistent) in 28 (93%) cases whereas 2 (7%) experienced mild pain requiring additional analgesia. Urinary retention was the most common complication found in 5 (16%) patients. All patients were cured of the hemorrhoids Conclusion: SH is a safe, rapid, and convenient surgical remedy for grade III and grade IV hemorrhoids with low rate of complications, minimal postoepative pain, and early discharge from the hospital.

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Section: Introductionmentioning

confidence: 99%

Stapled Hemorrhoidectomy; Results of a Prospective Clinical Trial in Saudi Arabia

Guraya

Khairy²

2013

JCDR

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“…1 Treatment options include conservative management such as dietary advice, rubber band ligation and injection with phenol. In cases where conservative management is unsuccessful, surgical treatment such as haemorrhoidectomy may be offered to the patient.…”

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confidence: 99%

Quality analysis of patient information on surgical treatment of haemorrhoids on the internet

Yeung

D'Souza

2013

annals

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INTRODUCTION Haemorrhoids are the most common benign condition seen by colorectal surgeons. At clinic appointments, advice given about lifestyle modification or surgical interventions may not be understood fully by patients. Patients may use the internet for further research into their condition. However, the quality of such information has not been investigated before. This study assessed the quality of patient information on surgical treatment of haemorrhoids on the internet. METHODS Four searches were carried out using the search terms 'surgery for haemorrhoids' and 'surgery for piles' on two search engines (Google and Yahoo). The first 50 results for each search were assessed. Sites were evaluated using the DISCERN instrument. RESULTS In total, 200 websites were assessed, of which 144 fulfilled the inclusion criteria. Of these, 63 (44%) were sponsored by herbal remedies for haemorrhoids. Eighty-nine (62%) mentioned conservative treatment options but eleven (8%) did not include surgery in their treatment options. Only 38 sites (27%) mentioned recurrence of haemorrhoids following surgery and 28 sites (20%) did not list any complications. Overall, 19 websites (14%) were judged as being of high quality, 66 (45%) as moderate quality and 58 (40%) as low quality. CONCLUSIONS The quality of information on the internet is highly variable and a significant proportion of websites assessed are poor. The majority of websites are sponsored by private companies selling alternative treatments for haemorrhoids. Clinicians should be prepared to advise their patients which websites can provide high-quality information on the surgical treatment of haemorrhoids.

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“…В даль-нейшем присоединяются такие симптомы, как боли, уве-личение геморроидальных узлов, кровотечение, аналь-ный зуд и др. [6][7][8].…”

Section: ключевые слова: геморрой лечение местная терапия постеризанunclassified

Hemorrhoids in pregnant and postpartum women: principles of therapy

Lomova¹,

Dubrovina²,

Драгун³

et al. 2016

Med. sov.

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Diagnosis and Management of Symptomatic Hemorrhoids

Cited by 109 publications

References 27 publications

Stapled Hemorrhoidectomy; Results of a Prospective Clinical Trial in Saudi Arabia

Stapled Hemorrhoidectomy; Results of a Prospective Clinical Trial in Saudi Arabia

Quality analysis of patient information on surgical treatment of haemorrhoids on the internet

Hemorrhoids in pregnant and postpartum women: principles of therapy

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