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Hemorrhoidectomy for thrombosed external hemorrhoids.

Thomas J Zuber1

  • 1Saginaw Cooperative Hospital, Michigan, USA.

American Family Physician
|May 7, 2002
PubMed
Summary
This summary is machine-generated.

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Surgical removal of thrombosed external hemorrhoids within 72 hours of onset offers effective pain relief. This hemorrhoidectomy procedure requires careful technique to avoid sphincter injury and promotes rare infection rates.

Area of Science:

  • Gastroenterology
  • Surgical Procedures

Background:

  • External hemorrhoids are swollen vascular tissues in the anal canal.
  • Thrombosed external hemorrhoids cause significant pain during daily activities.

Purpose of the Study:

  • To describe the surgical management of acute thrombosed external hemorrhoids.
  • To outline the hemorrhoidectomy procedure and its critical considerations.

Main Methods:

  • Surgical excision of the thrombosed hemorrhoidal plexus via an elliptic incision.
  • Emphasis on avoiding injury to the underlying anal sphincter muscles.
  • Postoperative prescription of stool softeners to aid healing.

Main Results:

  • Surgical removal is indicated within 72 hours of symptom onset for acute cases.

Related Experiment Videos

  • The procedure involves complete removal of the diseased hemorrhoidal tissue.
  • Low incidence of postoperative infection due to rich vascularity.

    • Conclusions:

    • Hemorrhoidectomy is a viable treatment for acute thrombosed external hemorrhoids.
    • Surgical success depends on precise technique and appropriate patient selection.
    • Adequate surgical training is essential for performing this procedure safely.