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Haemorrhoids in Khartoum
1Department of Surgery, Faculty of Medicine, University of Khartoum, Sudan.
East African Medical Journal
|January 1, 1990
Summary
This study on hemorrhoids found that conservative treatments are effective for most internal hemorrhoid cases. Surgical intervention is often necessary for external hemorrhoids and some complex cases.
Area of Science:
- Colorectal Surgery
- Gastroenterology
- Hemorrhoid Management
Background:
- Hemorrhoids are a common anorectal condition affecting a significant patient population.
- Understanding the different types of hemorrhoids is crucial for effective treatment planning.
Purpose of the Study:
- To analyze the prevalence of different hemorrhoid types in a Sudanese population.
- To evaluate the efficacy of conservative versus surgical treatments for various hemorrhoid classifications.
Main Methods:
- Retrospective study of 572 patients with hemorrhoids from 1981-1984.
- Classification of hemorrhoids into internal, external, or mixed components.
- Assessment of treatment outcomes based on conservative (ointments, injection, ligation) and surgical approaches.
Main Results:
- Pure internal hemorrhoids (39.86%) responded well to conservative treatment (89%).
- Mixed internal and external hemorrhoids (33.22%) showed a 66% response to conservative measures.
- External hemorrhoids (5.07%) often required surgical excision, while some cases (skin tags) needed only reassurance.
- Miscellaneous group included prolapsed piles, perianal hematomas, and bilharzia-related hemorrhoids.
Conclusions:
- Conservative management is highly effective for pure internal hemorrhoids.
- A significant proportion of mixed hemorrhoid cases also benefit from non-surgical interventions.
- Treatment strategies should be tailored to the specific type and presentation of hemorrhoids for optimal outcomes.