[Pathomorphology and therapy of hemorrhoids]

Area of Science:

• Anatomy
• Pathology
• Vascular Surgery

Context:

• The corpus cavernosum recti, a vascular structure, plays a crucial role in anorectal function.
• Hemorrhoidal disease pathogenesis is incompletely understood, particularly regarding vascular contributions.
• Existing knowledge lacks detailed insights into the venous drainage pathways from the corpus cavernosum recti.

Purpose:

• To investigate the detailed morphology and pathomorphology of the corpus cavernosum recti.
• To elucidate the anatomical course and significance of blood reflux from the corpus cavernosum recti.
• To establish the relationship between these vascular structures and the pathogenesis of hemorrhoidal disease.

Summary:

• This study presents novel findings on the morphology and pathomorphology of the corpus cavernosum recti.
• It highlights the crucial role of the m. canalis ani and the previously unrecognized transsphincteric blood reflux.
• The research delineates the pathway of blood reflux from the arterially supplied corpus cavernosum recti.

Impact:

• Provides a deeper understanding of the anatomical basis of hemorrhoidal disease.
• Identifies the transsphincteric course of blood reflux as a significant factor in disease development.
• Offers insights for developing more adequate and targeted therapeutic interventions for hemorrhoidal disease.