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[Therapy of hemorrhoidal disease]

A Herold1

  • 1Enddarm-Zentrum Mannheim, Bismarckplatz 1, 68165 Mannheim. a.herold@enddarm-zentrum.de

Der Chirurg; Zeitschrift Fur Alle Gebiete Der Operativen Medizen
|July 26, 2006
PubMed

Hemorrhoidal disease is one of the most frequent disorders in western countries. The aim of individual therapy is freedom from symptoms achieved by normalisation of anatomy and physiology. Treatment is orientated to the stage of disease: haemorrhoids 1 are treated conservatively. In addition to high-fibre diet, sclerotherapy is used. Haemorrhoids 2 prolapse during defecation and return spontaneously. First-line treatment is rubber band ligation. Haemorrhoids 3 that prolapse during defecation have to be digitally reduced, and the majority need surgery. For segmental disorders, haemorrhoidectomy according to Milligan-Morgan or Ferguson is recommended. In circular disease, Stapler hemorrhoidopexy is now the procedure of choice. Using a therapeutic regime according to the hemorrhoidal disease classification offers high healing rates and low rates of complications and recurrence.

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