Haemorrhoids: modern diagnosis and treatment

@article{Hollingshead2015HaemorrhoidsMD,
  title={Haemorrhoids: modern diagnosis and treatment},
  author={Joshua Hollingshead and Robin K. S. Phillips},
  journal={Postgraduate Medical Journal},
  year={2015},
  volume={92},
  pages={4 - 8}
}
Haemorrhoids present often to primary and secondary care, and haemorrhoidal procedures are among the most common carried out. They may co-exist with more serious pathology, and correct evaluation is important. In most cases a one-off colonoscopy in patients aged 50 or above with flexible sigmoidoscopy in younger patients is reasonable. Many people with haemorrhoids do not require treatment. Topical remedies provide no more than symptomatic relief—and even evidence for this is poor. Bulk… 
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References

SHOWING 1-10 OF 65 REFERENCES
Long-term evaluation of sclerotherapy for haemorrhoids. A prospective study.
TLDR
The frequency of recurrent symptoms 3 years after sclerotherapy for symptomatic 1st and 2nd degree haemorrhoids is high and Sclerotherapy appears to be an inappropriate method of treatment for symptomomatic 1 first and especially 2nd degrees haemOrrhoids.
The acute management of haemorrhoids.
  • A. Hardy, C. Cohen
  • Medicine
    Annals of the Royal College of Surgeons of England
  • 2014
TLDR
Ambiguities exist in the terminology used to describe the two separate pathologies that make up the acute complications of haemorrhoids, but there is evidence that early operative intervention for strangulated internal haem orrhoids is safe and effective.
Rubber band ligation versus excisional haemorrhoidectomy for haemorrhoids.
TLDR
The present systematic review confirms the long-term efficacy of EH, at least for grade III haemorrhoids, compared to the less invasive technique of RBL but at the expense of increased pain, higher complications and more time off work.
Tamponade dressings may be unnecessary after haemorrhoidectomy: a randomised controlled clinical trial
TLDR
Data indicate that insertion of an anal tampon after haemorrhoidectomy does not reduce postoperative bleeding but causes significantly more pain, and anal tampons should not be used routinely but may be considered when specific indications justify its use.
The treatment of second degree haemorrhoids by injection, rubber band ligation, maximal anal dilatation, and haemorrhoidectomy: a prospective clinical trial.
TLDR
Rubber band ligation has the additional advantage of not requiring hospital stay or anaesthesia and is therefore considered to be the most appropriate method of treatment for second degree haemorrhoids.
Comparison of emergency and elective haemorrhoidectomy
TLDR
A total of 704 patients with symptomatic prolapsed haemorrhoids were operated on over a 24‐month period and none of the patients in either group developed portal pyaemia.
Transanal haemorrhoidal dearterialisation with mucopexy versus stapler haemorrhoidopexy: a randomised trial with long-term follow-up.
TLDR
The recurrence rate after THD with mucopexy is significantly higher than after SH at long-term follow-up although results are similar with respect to symptom control and patient satisfaction.
Doppler-guided hemorrhoidal artery ligation in the management of symptomatic hemorrhoids.
TLDR
Doppler-guided hemorrhoid artery ligation is an easy-to-perform technique that is well accepted by patients and has good results for grade III hemorrhoids.
Stapled versus conventional surgery for hemorrhoids.
TLDR
Stapled hemorrhoidopexy is associated with a higher long-term risk of hemorrhoid recurrence and the symptom of prolapse and should be informed of these risks when being offered the stapling devices as surgical therapy.
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