Surgical management of hemorrhoids

Surgical management of hemorrhoids. State of the art.

Most patients with hemorrhoidal disease may be treated conservatively Along the years several surgical options have been proposed. including closed open and semiclosed hemorrhoidectomy (HC), radiofrequency HC (LigaSure), piles' suture or Farag operation, manual and stapled haemorrhoidopexy (PPH) with or without excision of anal tags, doppler hemorrhoidal artery ligation with or without recto-an...

Proper principles and practices in the surgical management of hemorrhoids.

THE TERN[ "HEMORRHOID" iS derived f rom the Greek (haima blood; rhoos = flowing) and was first used by Hippocrates in his treatises.n 2 T h e word "pile" (Latin pila, a ball) was used in the writings of John Arderne. 3 Hemorrhoids, which are varicosities of the hemorrhoidal veins, may be internal or external. In ternal hemorrhoids occupy the submucous space proximal to the dentate line. T h e l...

[Clinical observation of suspended ligation and Milligan-Morgan hemorrhoidectomy in surgical management of circumferential mixed hemorrhoids].

Diagnosis and Contemporary Management of Hemorrhoids A

13 INTRODUCTION Most physicians perceive hemorrhoids as pathologic. In fact, hemorrhoids are normal anatomic structures, as demonstrated by their presence in babies (1). Patients and physicians may initially ascribe symptoms of rectal bleeding and pain to hemorrhoids without considering the other likely and more dangerous possibilities such as colorectal cancer. Hemorrhoidal disease is clearly ...

Management of adult patients with hemorrhoids

■ Rubber band ligation is the preferred office procedure for treatment of grade I/II hemorrhoids that do not respond to medical therapy, and treatment of all grade III hemorrhoids. M ost cases of hemorrhoids can be managed in the primary care setting with simple measures and office procedures, including anoscopy. This paper reviews the advantages, disadvantages, and levels of evidence regarding...