26 results match your criteria Thrombosed External Hemorrhoid Excision

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Office Management of Genitourinary and Gastrointestinal Procedures.

Prim Care 2021 Dec 7;48(4):677-684. Epub 2021 Oct 7.

Brody School of Medicine, East Carolina University, 101 Heart Drive, Greenville, NC 27834, USA.

Insertion of urinary catheters (most often Foley catheters) can be performed in outpatient settings to manage acute urinary obstruction without referral to emergency services, as well as to obtain urine samples in patients not able to provide a clean catch urine sample. For patients with established suprapubic urinary catheters, routine exchange can also occur safely in primary care settings. Excision of a thrombosed external hemorrhoid can be performed in the office setting with local anesthesia. Read More

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December 2021

Fundamentals of Anorectal Technical Skills: A Concise Surgical Skills Course.

Mil Med 2020 09;185(9-10):e1794-e1802

Division of General Surgery, Department of Surgery, Uniformed Services University of the Health Sciences (USUHS)/Walter Reed National Military Medical Center, 8901 Wisconsin Ave, Bethesda, MD 20889.

Introduction: Anorectal diseases, among the most common surgical conditions, are underrepresented in medical training. The Fundamentals of Anorectal Technical Skills course was developed to provide cost-effective formal training in diagnosis of common anorectal conditions and in commonly performed anorectal procedures using the theories of deliberative practice and perceptual and adaptive learning.

Materials And Methods: First- through third-year general surgery and internal medicine residents and third- and fourth-year medical students participated in a course consisting of didactic instruction and hands on skills stations. Read More

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September 2020

Benign Anorectal Conditions: Evaluation and Management.

Am Fam Physician 2020 01;101(1):24-33

University of Virginia School of Medicine, Charlottesville, VA, USA.

Common anorectal conditions include hemorrhoids, perianal pruritus, anal fissures, functional rectal pain, perianal abscess, condyloma, rectal prolapse, and fecal incontinence. Although these are benign conditions, symptoms can be similar to those of cancer, so malignancy should be considered in the differential diagnosis. History and examination, including anoscopy, are usually sufficient for diagnosing these conditions, although additional testing is needed in some situations. Read More

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January 2020

External hemorrhoidal thrombosis in the elderly patients: conservative and surgical management.

Minerva Chir 2020 Apr 2;75(2):117-120. Epub 2019 Jan 2.

Department of Surgical Sciences, Sapienza University, Rome, Italy -

Background: External hemorrhoidal thrombosis is a common disease with an acute anal pain as the major symptom. It is astonishing the lack of studies which investigates the most effective treatment and there are not guidelines. Furthermore, nobody has ever evaluated this peculiar condition in an elderly population. Read More

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Japanese Practice Guidelines for Anal Disorders I. Hemorrhoids.

Tetsuo Yamana

J Anus Rectum Colon 2017 25;1(3):89-99. Epub 2018 May 25.

Department of Coloproctology, Tokyo Yamate Medical Center.

The pathogenesis of hemorrhoids is a weakening of the anal cushion and spasm of the internal sphincter. Bowel habits and lifestyles can be risk factors for hemorrhoids. The prevalence of hemorrhoids can encompass 4 to 55% of the population. Read More

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Hemorrhoids: Diagnosis and Treatment Options.

Am Fam Physician 2018 Feb;97(3):172-179

Hamilton Medical Center, Dalton, GA, USA.

Many Americans between 45 and 65 years of age experience hemorrhoids. Hemorrhoidal size, thrombosis, and location (i.e. Read More

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February 2018

Manual reduction in acute haemorrhoids.

Clin Ter 2016 Mar-Apr;167(2):e32-7

Medicina Interna e Specialità Mediche, "Sapienza" Università di Roma.

Aim: In prolapsed internal hemorrhoids exposed outside the anus, manually reducing the prolapse with 48 hours of commencement of anal pain, decreased the progression of thrombosis. The aim of our study was to evaluate the effects of manual reduction of the inflamed piles hemorrhoids.

Materials Of Study: Eleven patients, 7 males and 4 pregnant females (in early post partum) with an average age of 34 years ± 8 (range 23- 52) were enrolled with anal pain cause by haemorrhoidal congestion, but prior to full blown thrombosis. Read More

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January 2017

Anorectal conditions: hemorrhoids.

FP Essent 2014 Apr;419:11-9

University of Oklahoma Department of Family and Preventive Medicine, 900 NE 10th St, Oklahoma City, OK 73104,

Hemorrhoids are engorged fibrovascular cushions lining the anal canal. Constipation, increased intra-abdominal pressure, and prolonged straining predispose to hemorrhoids. Approximately 1 in 20 Americans and almost one-half of individuals older than 50 years experience symptomatic hemorrhoids. Read More

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Stapled hemorrhoidopexy - Initial experience from a general surgery center.

Med J Armed Forces India 2013 Apr 30;69(2):119-23. Epub 2012 Nov 30.

Graded Specialist (Surgery), MH Allahabad, UP, India.

Background: Stapled hemorrhoidopexy is gaining popularity as a relatively painless alternative to conventional excisional hemorrhoidectomy. The initial experience from a service hospital is presented along with review of literature.

Methods: 40 cases were managed by stapled hemorrhoidopexy (SH) over a period of two and half years. Read More

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Perianal mantle cell lymphoma mimicking an external thrombosed hemorrhoid: a case report.

J Med Case Rep 2014 Feb 5;8:40. Epub 2014 Feb 5.

Department of General Surgery, Uludag University Faculty of Medicine, Görükle 16059, Bursa, Turkey.

Introduction: Malignancies of the anal margin and perianal skin are relatively uncommon, and account for approximately 2% to 3% of all anorectal malignancies. Despite the fact that gastrointestinal presentation of lymphoma is not uncommon, primary localization of mantle cell lymphoma to the perianal region is rare.

Case Presentation: We present the case of a 64-year-old Turkish man with a rapidly progressive perianal mass. Read More

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February 2014

External haemorrhoidal thrombosis: evidence for current management.

Tech Coloproctol 2013 Feb 19;17(1):21-5. Epub 2012 Oct 19.

Department of Colorectal Surgery, Aintree University Hospital, Lower Lane, Fazakerley, Liverpool, Merseyside, L9 7AL, UK.

Background: External haemorrhoidal thrombosis (EHT) may be managed surgically or conservatively. The optimal treatment is, however, unclear, as is the long-term outcome following treatment.

Methods: A literature search was undertaken to review and grade the evidence available for EHT management, determine the optimal management modality and assess long-term outcome after each treatment. Read More

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February 2013

[Haemorrhoidal disease in pregnancy].

Presse Med 2011 Oct 15;40(10):955-9. Epub 2011 Aug 15.

Hôpital Bichat-Claude-Bernard, unité de proctologie médicochirurgicale, 75722 Paris cedex 18, France.

External hemorrhoids thrombosis affects 8% of women during last trimester pregnancy and 20% of women immediately after delivery. Their treatment is medical with local treatment (with corticoid and anesthetic), defecation regulation and paracetamol. NSAID can be used after delivery in absence of breath-feeding. Read More

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October 2011

Clinical inquiries. Which treatments work best for hemorrhoids?

J Fam Pract 2009 Sep;58(9):492-3

University of North Carolina, Chapel Hill, NC, USA.

Excision is the most effective treatment for thrombosed external hemorrhoids. For prolapsed internal hemorrhoids, the best definitive treatment is traditional hemorrhoidectomy. Of nonoperative techniques, rubber band ligation produces the lowest rate of recurrence. Read More

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September 2009

[Efficacy of the procedure for prolapse and hemorrhoids combined with external hemorrhoids excision in the treatment of III or IV mixed hemorrhoids].

Zhonghua Wei Chang Wai Ke Za Zhi 2008 Nov;11(6):525-8

Department of Colorectal Surgery, The Third People's Hospital of Hangzhou, Hangzhou 310009, China.

Objective: To investigate the efficacy of the procedure for prolapse and hemorrhoids (PPH) combined with external hemorrhoids excision in the treatment of III or IV mixed hemorrhoids.

Methods: One hundred and twelve patients with III or IV mixed hemorrhoids admitted for surgical treatment were randomly divided into three groups: PPH 1 group (34 cases), PPH2 group (36 cases), and Milligan-Morgan group (42 cases). PPH1 group received the standard PPH operation, PPH2 received PPH and external hemorrhoids excision, and Milligan-Morgan group received Milligan-Morgan hemorrhoidectomy. Read More

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November 2008

Circular stapled hemorrhoidopexy: experience of a single center with 445 cases.

World J Surg 2008 Aug 14;32(8):1783-8. Epub 2008 Jun 14.

Department of Surgery, Cerrahpasa Medical School, Istanbul University, Istanbul, Turkey.

This study was designed to review the results of circular stapled hemorrhoidopexy (CSH) in the management of second-, third-, and fourth-degree hemorrhoidal disease. The medical records of 483 patients who had undergone circular stapled hemorrhoidopexy for symptomatic hemorrhoidal disease from June 2001 to September 2006 were evaluated. Data regarding complications, residual symptoms, and recurrence were collected. Read More

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Inflammatory polyps: a cause of late bleeding in stapled hemorrhoidectomy.

Dis Colon Rectum 2006 Dec;49(12):1910-3

Department of Surgery, Akron City Hospital, 525 East Market Street, Akron, OH 44309-2090, USA.

Purpose: Stapled hemorrhoidectomy has become a popular treatment of hemorrhoids, mainly because of the benefits of greatly reduced postoperative pain. However, complications unique to the new procedure have been reported. This study was designed to review our series of 82 patients with a focus on complications, with particular focus on late bleeding caused by inflammatory polyps at the staple line. Read More

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December 2006

[Morbidity after stapled haemorrhoidectomy: long-term results about 140 patients and review of the literature].

Ann Chir 2004 Dec;129(10):571-7

Département de chirurgie viscérale, CHU de Angers, 4, rue Larrey, 49033 Angers cedex 01, France.

Aim: The aim of this study was to determine the results and the complications of the treatment of hemorrhoids with circular stapler with a follow-up of 18 months, and to review the complications in the literature.

Methods: From April 1998 to August 1999, 140 patients (83 males and 57 females) with an average age of 43.8 years (range: 19-83 years) underwent haemorrhoidectomy using a circular stapler in three university hospital centers. Read More

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December 2004

Thrombosed external hemorrhoids: outcome after conservative or surgical management.

Dis Colon Rectum 2004 Sep 12;47(9):1493-8. Epub 2004 Aug 12.

Division of Colon and Rectal Surgery, The George Washington University, Washington, D.C., USA.

Purpose: Few data exist on the actual recurrence rates of thrombosed external hemorrhoids. We wished to determine the incidence of recurrence, intervals to recurrence, and factors predicting recurrence of thrombosed external hemorrhoids after conservative or surgical management.

Methods: Two hundred and thirty-one consecutive patients with thrombosed external hemorrhoids treated from 1990 to 2002 were identified. Read More

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September 2004

Hemorrhoidectomy: indications and risks.

Eur J Med Res 2004 Jan;9(1):18-36

University Halle-Wittenberg, Germany.

Hemorrhoids are a common cause of perianal complaints and affect 1-10 million people in North-America and with similar incidence in Europe. Symptomatic hemorrhoids are associated with nutrition, inherited predisposition, retention of feces with or without chronic abuse of laxatives or diarrhea. Increased pressure and shearing force in the anal canal may lead to severe changes in topography with detachment of the hemorrhoids from the internal sphincter and fibromuscular network resulting in bleeding, itching, pain and disordered anorectal function, even incontinence. Read More

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January 2004

Excision of thrombosed external hemorrhoid under local anesthesia: a retrospective evaluation of 340 patients.

Dis Colon Rectum 2003 Sep;46(9):1226-31

Proctological Office and Department of Surgical Proctology, Park-Klinik, Kiel, Germany.

Purpose: This study was a retrospective analysis of complication rates, symptom recurrence, long-term results, and patient satisfaction after outpatient excision (local anesthesia) of thrombosed external hemorrhoids.

Methods: From 1995 to 2000, 340 patients (166 males) underwent office-based excision of thrombosed external hemorrhoids under local anesthesia. Data regarding complications, operations because of recurrence, residual symptoms, patient's satisfaction with anesthesia, and wound treatment were obtained by questionnaire. Read More

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September 2003

[Use of mechanical staplers for the solution of proctological problems. Our experience with 122 patients].

Chir Ital 2001 Nov-Dec;53(6):835-9

Struttura Complessa di Chirurgia Generale di Asiago (VI), Dipartimento Chirurgia Generale, Azienda Sanitaria ULSS 3, Regione Veneto.

The Longo technique using a circular stapler has changed haemorrhoid therapy. Thanks to the advent of this technique for treating haemorrhoids without excision, we can now successfully eliminate the mechanism responsible for their pathogenesis. The aims of circumferential stapled anoplasty are to correct the anodermal prolapse and restore the haemorrhoidal cushions to their anatomical position. Read More

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Eight-year experience in treatment of hemorrhoidal disease.

Acta Chir Hung 1998 ;37(1-2):71-6

Department of Surgery, Vaszary Kolos County Hospital, Esztergom, Hungary.

During an eight-year period 887 patients with symptoms of hemorrhoids were treated at the Department of Surgery and Outpatient Care of the Vaszary Kolos County Hospital, Esztergom. 178 patients with first degree hemorrhoids received only conservative treatment. Rubber band ligation (RBL) which can be performed on outpatients was applied in 324 patients with first, second and third degree hemorrhoids. Read More

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Anorectal disorders.

Emerg Med Clin North Am 1996 Nov;14(4):757-88

Department of Emergency Medicine, State University of New York at Buffalo, Millard Fillmore Hospitals, USA.

Anorectal disorders are commonly encountered in the practice of emergency medicine. Most can be diagnosed and treated in the emergency department setting. Almost all anorectal disorders once diagnosed and treated in the emergency department need appropriate follow-up to ensure adequacy of treatment, for further possible diagnostic procedures (e. Read More

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November 1996

Acute thrombosed external hemorrhoids.

C Oh

Mt Sinai J Med 1989 Jan;56(1):30-2

From 1981 to 1985, 159 patients with acute thrombosed external hemorrhoids were treated by the author. This condition is relatively common in young persons; the mean age of the 159 patients in the series was 36 years. The condition was often preceded by a bout of constipation. Read More

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January 1989

Outpatient management of hemorrhoids.

Prim Care 1986 Sep;13(3):527-41

Hemorrhoids are a common medical problem that usually can be managed conservatively with dietary changes, stool softeners, and local hydrocortisone creams. Acutely thrombosed external hemorrhoids require excision of the entire hemorrhoidal mass and the overlying skin. Persistently bleeding or painful internal hemorrhoids are best managed by the technique of band ligation. Read More

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September 1986
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