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Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
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Acupoint Needle-Embedding Combined with Ironing Therapy for Postoperative Pain After Anal Surgery

Acupoint Needle-Embedding Combined with Ironing Therapy for Postoperative Pain After Anal Surgery

Published on: June 23, 2023

Approach to hemorrhoids.

Varut Lohsiriwat¹

¹Division of Colon and Rectal Surgery, Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, 2 Prannok Road, Bangkok Noi, Bangkok, 10700, Thailand. bolloon@hotmail.com

Current Gastroenterology Reports

|May 30, 2013

Summary

Hemorrhoids, common anorectal conditions, are treated with lifestyle changes or surgery. Modern surgical techniques aim to reduce pain and recurrence, offering improved outcomes for patients.

Area of Science:

Gastroenterology
Colorectal Surgery

Background:

Hemorrhoids are a prevalent anorectal disorder characterized by enlarged anal cushions.
Pathophysiology involves supportive tissue degeneration, vascular hyperplasia, and hemorrhoidal plexus hyperperfusion.

Purpose of the Study:

To review modern evidence-based approaches for hemorrhoid management.
To discuss treatment strategies for complicated hemorrhoid cases.

Main Methods:

Literature review of current evidence on hemorrhoid treatment.
Analysis of surgical interventions and their outcomes.

Main Results:

Low-grade hemorrhoids respond well to conservative and office-based treatments.
Surgical options like hemorrhoidectomy, Ligasure hemorrhoidectomy, stapled hemorrhoidopexy, and doppler-guided hemorrhoidal artery ligation are used for high-grade cases.

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Conclusions:

Post-procedural pain and recurrence are key challenges in hemorrhoid treatment.
Modern approaches focus on optimizing surgical techniques for better patient outcomes.