External Hemorrhoid

2020 ◽  
Author(s):  
Keyword(s):  
External Hemorrhoid

Anorectal Disorders

2017 ◽  
Author(s):  
Megan Fix ◽  
Steven Glerum
Keyword(s):  
Anal Canal ◽  
Foley Catheter ◽  
Functional Constipation ◽  
External Hemorrhoid ◽  
Anorectal Disorders ◽  
Recommended Treatment ◽  
Rome Iii ◽  
Pectinate Line ◽  
High Index Of Suspicion ◽  
Removal Technique

Anorectal disorders can generate considerable patient discomfort and disability. Although mortality due to such complaints is very low, it is important for the clinician to maintain a high index of suspicion for systemic illness caused by an anorectal source. A detailed history and physical examination should be performed, and the need for imaging or procedures should be assessed. This review examines the pathophysiology, stabilization and assessment, diagnosis and treatment, and disposition and outcomes for patients with anorectal disorders. Figures show the important structures of the anal canal; differences in the anatomy of the origin of internal and external hemorrhoid venous supplies; depictions of a typical anodermal linear tear; Foley catheter–assisted rectal foreign body removal technique; and pertinent anatomy related to a prolapsed rectum through the anus; and types and locations of anorectal abscesses and fistulas. Tables list common painful and painless anorectal disorders; key differences in anal canal structures above and below the pectinate line; anal symptoms mistakenly attributed to hemorrhoids; internal hemorrhoidal grading, description, and recommended treatment; Rome III criteria for the diagnosis of constipation; and a summary of anorectal conditions. This review contains 6 highly rendered figures, 6 tables, and 80 references. Keywords: functional constipation; PEG; abdominal radiographs; pediatric constipation

Anorectal Disorders

2018 ◽  
Author(s):  
Megan Fix ◽  
Steven Glerum
Keyword(s):  
Anal Canal ◽  
Foley Catheter ◽  
Functional Constipation ◽  
External Hemorrhoid ◽  
Anorectal Disorders ◽  
Recommended Treatment ◽  
Rome Iii ◽  
Pectinate Line ◽  
High Index Of Suspicion ◽  
Removal Technique

Anorectal disorders can generate considerable patient discomfort and disability. Although mortality due to such complaints is very low, it is important for the clinician to maintain a high index of suspicion for systemic illness caused by an anorectal source. A detailed history and physical examination should be performed, and the need for imaging or procedures should be assessed. This review examines the pathophysiology, stabilization and assessment, diagnosis and treatment, and disposition and outcomes for patients with anorectal disorders. Figures show the important structures of the anal canal; differences in the anatomy of the origin of internal and external hemorrhoid venous supplies; depictions of a typical anodermal linear tear; Foley catheter–assisted rectal foreign body removal technique; and pertinent anatomy related to a prolapsed rectum through the anus; and types and locations of anorectal abscesses and fistulas. Tables list common painful and painless anorectal disorders; key differences in anal canal structures above and below the pectinate line; anal symptoms mistakenly attributed to hemorrhoids; internal hemorrhoidal grading, description, and recommended treatment; Rome III criteria for the diagnosis of constipation; and a summary of anorectal conditions. This review contains 6 highly rendered figures, 6 tables, and 80 references. Keywords: functional constipation; PEG; abdominal radiographs; pediatric constipation

Granulocytic sarcoma presenting as a thrombosed external hemorrhoid in a patient with myelodysplastic syndrome overt leukemia

2008 ◽  
Vol 1 (4) ◽  
pp. 145-147
Author(s):  
Tadataka Hayashi ◽  
Toshio Nakamura ◽  
Satoki Nakamura ◽  
Kiyotaka Kurachi ◽  
Atsuko Fukazawa ◽  
...  
Keyword(s):  
Myelodysplastic Syndrome ◽  
Granulocytic Sarcoma ◽  
External Hemorrhoid ◽  
Overt Leukemia

scholarly journals Clinical current features and treatment tactics of acute external hemorrhoids in outpatient and polyclinic conditions

2020 ◽  
Vol 7 (2) ◽  
pp. 144-153
Author(s):  
D. A. Lomonosov ◽  
A. L. Lomonosov ◽  
S. V. Volkov ◽  
A. A. Golubev
Keyword(s):  
Outpatient Surgery ◽  
Point Of View ◽  
Continuous Series ◽  
Statistical Research ◽  
External Hemorrhoid ◽  
Acute Thrombosis ◽  
Surgical Department ◽  
Media Technologies ◽  
Severity Of The Disease ◽  
Operative Activity

Purpose of the study. The study of the current problems for acute external hemorrhoids (AEH) diagnosis and treatment from the point of view of a practicing ambulatory coloproctologist in the Tver region (based on an analysis of the clinical features of the disease, its course and the applied tactics of the coloproctologist) was made.Patients and methods. A retrospective study with continuous series of 124 patients (2016–2017), using clinical and statistical research methods.Results. Acute external hemorrhoids (AEH) is a painful formation that suddenly arises due to acute thrombosis of the external hemorrhoid plexus, located near the anus, mainly at 3, 5, 7 hours on the proctological dial, with a free space between the hemorrhoid and the mucous membrane of the anal canal. Patients with AEH turned to the ambulatory coloproctologist at a later date (on average 11.7 days after the onset of the disease), most often without pain or with slight pain in the anus, with mild and moderate severity of the disease. The main complications of AEH were necrosis and hemorrhoidal wall rupture with bleeding from it. Conservative treatment of patients with AEH was due to clinical guidelines of the Russian Coloproctologists Association (RCA); it was ineffective in 11.3% of patients, who underwent outpatient surgery. All patients with severe pain, high grades of AEH, were offered for hospitalization to the surgical department (including coloproctologcal), but they refused. Low operative activity and late surgery in patients with AEH, who applied to the polyclinic, were due to the fact that only 12 (9.7%) patients sought help within the first 72 hours of the onset of the disease, low severity of pain, as well as the patients refused the proposed operations.Conclusions. The studied features of the outpatient coloproctologic service in AEH reveal the inadequate availability of system resources for patients, inappropriate informing the population with «mass-media» technologies; it makes difficulties to implement the recommendations of the RCA.

scholarly journals Doppler-guided hemorrhoidal dearterialization. Technical evolution and results of treatment (review)

2021 ◽  
Vol 20 (1) ◽  
pp. 87-98
Author(s):  
E. A. Zagriadskiǐ ◽  
V. S. Tolstyh
Keyword(s):  
Gold Standard ◽  
Hemorrhoidal Disease ◽  
External Hemorrhoid ◽  
Results Of Treatment ◽  
Innovative Method ◽  
Treatment Review ◽  
Rehabilitation Period ◽  
Objective Control

Hemorrhoidectomy is considered as the “gold standard” for hemorrhoidal disease, but is associated with a long rehabilitation period. For this reason, 20 years ago, an innovative method for hemorrhoids was developed – Doppler-guided hemorrhoidal dearterialization. The aim of the work is to analyze the literary data of the use of Doppler-guided dearterialization for hemorrhoidal disease, the technical evolution of the method and the analysis of the results. An analysis of the literature shows that Dopplerguided dearterialization is a safe and effective method for hemorrhoidal disease. The combination of dearterialization with transanal mucopexy improves outcomes in patients with hemorrhoids III and IV stages. However, good results can be obtained not in all forms of hemorrhoidal disease. The efficacy depends on the peculiar features of the anorectal zone vascularization, the degree of destruction of the suspensory ligaments of the internal hemorrhoidal plexus and the degree of enlargement of the external hemorrhoid plexus. The adequacy of the dearterialization and mucopexy requires an objective control for assessment of the procedure.

Sign in / Sign up

Export Citation Format

Share Document