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Review
. 2003 Oct 11;327(7419):847-51.
doi: 10.1136/bmj.327.7419.847.

Managing haemorrhoids

Pasha J Nisar  1 , John H Scholefield
Affiliations
Review

Managing haemorrhoids

Pasha J Nisar et al. BMJ. .

Abstract

Increased understanding of the anatomy of haemorrhoids has led to the development of new procedures to treat them. Among the surgical options for intractable prolapsed haemorrhoids, formal haemorrhoidectomy now competes with stapled haemorrhoidopexy, which is less painful and allows a shorter convalescence but may have a higher recurrence rate and needs further long term evaluation

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Figures

Fig 1
Fig 1
Suggested algorithm for management of haemorrhoids (dotted arrows indicate failure of initial treatment)
Fig 2
Fig 2
Thrombosed haemorrhoid
See this image and copyright information in PMC

References

    1. Johanson JF, Sonnenberg A. The prevalence of hemorrhoids and chronic constipation. An epidemiologic study. Gastroenterology 1990;98: 380-6. - PubMed
    1. Gazet JC, Redding W, Rickett JW. The prevalence of haemorrhoids. A preliminary survey. Proc R Soc Med 1970;63(suppl): S78-80. - PMC - PubMed
    1. Thomson WH. The nature of haemorrhoids. Br J Surg 1975;62: 542-52. - PubMed
    1. Moesgaard F, Nielsen ML, Hansen JB, Knudsen JT. High-fiber diet reduces bleeding and pain in patients with hemorrhoids: a double-blind trial of Vi-Siblin. Dis Colon Rectum 1982;25: 454-6. - PubMed
    1. Ho YH, Foo CL, Seow-Choen F, Goh HS. Prospective randomized controlled trial of a micronized flavonidic fraction to reduce bleeding after haemorrhoidectomy. Br J Surg 1995;82: 1034-5. - PubMed