Prospective randomised study of urgent haemorrhoidectomy compared with non‐operative treatment in the management of prolapsed thrombosed internal haemorrhoids

Allan, A.; Samad, Abdus; Mellon, A F; Marshall, T.

doi:10.1111/j.1463-1318.2005.00910.x

Cited by 21 publications

(8 citation statements)

References 6 publications

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“…Hemorrhoidectomy could be proposed [85]; however, conservative treatment for prolapsed thrombosed internal hemorrhoids is associated with shorter inpatient stay and less anal sphincter damage than with surgical treatment [86].…”

Section: Surgical Treatmentmentioning

confidence: 99%

Evaluation and management of hemorrhoids: Italian society of colorectal surgery (SICCR) consensus statement

Trompetto¹,

Clerico²,

Cocorullo

et al. 2015

Tech Coloproctol

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Hemorrhoids are one of the most common medical and surgical diseases and the main reason for a visit to a coloproctologist. This consensus statement was drawn up by the Italian society of colorectal surgery in order to provide practice parameters for an accurate assessment of the disease and consequent appropriate treatment. The authors made a careful search in the main databases (MEDLINE, PubMed, Embase and Cochrane), and all results were classified on the basis of the grade of recommendation (A-C) of the American College of Chest Physicians.

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Section: Surgical Treatmentmentioning

confidence: 99%

Evaluation and management of hemorrhoids: Italian society of colorectal surgery (SICCR) consensus statement

Trompetto¹,

Clerico²,

Cocorullo

et al. 2015

Tech Coloproctol

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“…Conservative treatment for prolapsed thrombosed internal haemorrhoids, if compared with urgent hemorrhoidectomy, is associated with a shorter inpatient stay and less anal sphincter damage than operative treatment [140] ( Level of evidence: 1; Grade of recommendation: B).…”

Section: Thrombosed Hemorrhoidsmentioning

confidence: 99%

Consensus statement of the Italian society of colorectal surgery (SICCR): management and treatment of hemorrhoidal disease

et al. 2020

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Hemorrhoidal disease (HD) is the most common proctological disease in the Western countries. However, its real prevalence is underestimated due to the frequent self-medication. The aim of this consensus statement is to provide evidence-based data to allow an individualized and appropriate management and treatment of HD. The strategy used to search for evidence was based on application of electronic sources such as MEDLINE, PubMed, Cochrane Review Library, CINAHL, and EMBASE. These guidelines are inclusive and not prescriptive. The recommendations were defined and graded based on the current levels of evidence and in accordance with the criteria adopted by American College of Chest Physicians. The recommendations were graded A, B, and C.

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“…1 Postoperative bleeding is not infrequent and has been reported in up to 8 per cent of urgent hemorrhoidectomies. 17 Accuracy in the placement of ligating suture at the well-visualized hemorrhoidal radix and avoidance of ''en mass'' excisions may play a protective role against this unpleasant complication in our series.…”

Section: Discussionmentioning

confidence: 78%

Submucosal Anoderm-Preserving Hemorrhoidectomy Revisited: A Modified Technique for the Surgical Management of Hemorrhoidal Crisis

Theodoropoulos

Michalopoulos

Linardoutsos

et al. 2013

The American Surgeon

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Submucosal hemorrhoidectomy (Parks’ procedure) is a recognized method for treating acute hemorrhoidal crisis. Anoderm preservation has been stressed in various techniques described for elective or emergency excisional hemorrhoidal management. Mucopexy techniques have been proven useful as an adjunct to minimally resectional techniques. A modified submucosal technique with anoderm preservation and mucopexy was applied to 45 patients who presented on an emergency basis with hemorrhoidal crisis. External piles were minimally removed, the minimum possible amount of diseased mucosa was excised, a linear incision was used at the anoderm to enter the subanodermal/mucosal plane to achieve the submucosal excision, and a mucopexy was added at the approximation of the mucosal flaps. Postoperative morbidity was minimal and pain after the procedure remained at acceptable levels. This technique allows for an excision limited to the pathology with important anatomic tissue preservation. This results in conservation of the sensitive and useful anoderm, a decreased risk of stenosis, and addresses the mucosal prolapse. The level of postoperative pain with this technique is acceptable and long-term follow-up reveals a high degree of patient satisfaction.

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Prospective randomised study of urgent haemorrhoidectomy compared with non‐operative treatment in the management of prolapsed thrombosed internal haemorrhoids

Abstract: Conservative treatment for prolapsed thrombosed internal haemorrhoids is associated with shorter in patient stay and less anal sphincter damage compared with operative treatment.

Cited by 21 publications

References 6 publications

Evaluation and management of hemorrhoids: Italian society of colorectal surgery (SICCR) consensus statement

Evaluation and management of hemorrhoids: Italian society of colorectal surgery (SICCR) consensus statement

Consensus statement of the Italian society of colorectal surgery (SICCR): management and treatment of hemorrhoidal disease

Submucosal Anoderm-Preserving Hemorrhoidectomy Revisited: A Modified Technique for the Surgical Management of Hemorrhoidal Crisis

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