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Complications of hemorrhoids


Authors: P. Šlauf;  F. Antoš;  J. Marx
Authors place of work: Chirurgická klinika l. LF UK, nemocnice Na Bulovce, Praha, přednosta: Doc. MUDr. J. Fanta, DrSc.
Published in the journal: Rozhl. Chir., 2014, roč. 93, č. 4, s. 223-225.
Category: Various Specialization

Summary

The most common and serious complications of haemorrhoids include perianal thrombosis and incarcerated prolapsed internal haemorrhoids with subsequent thrombosis. They are characterised by severe pain in the perianal region possibly with bleeding. In a short history of the perianal thrombosis, acute surgical incision or excision is indicated, which can result in rapid relief of the painful symptoms. In incarcerated prolapsed internal haemorrhoids, emergency haemorrhoidectomy may also be indicated. Segmental haemorrhoidectomy in the most affected quadrants followed by further elective surgery for haemorrhoids in the next stage is preferred.

Key words:
perianal thrombosis – incarcerated prolapsed internal haemorrhoids – surgical treatment


Zdroje

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5. Alonso-Coello P, Mills E, Heels-Ansdell D, López-Yarto M, Zhou Q, et al. Fiber for the treatment of hemorrhoids complications: a systematic review and meta-analysis. Am J Gastroenterol 2006;101:181–8.

6. Jongen J, Bach S, Stübinger SH, Bock JU. Excision of thrombosed external hemorrhoid under local anesthesia: a retrospective evaluation of 340 patients. Dis Colon Rectum 2003;46:1226–31.

7. Greenspon J, Williams SB, Young HA, Orkin BA. Thrombosed external hemorrhoids: outcome after conservative or surgical management. Dis Colon Rectum 2004;47:1493–8.

Štítky
Surgery Orthopaedics Trauma surgery
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