Phlebotonics for haemorrhoids.

@article{Perera2012PhlebotonicsFH,
  title={Phlebotonics for haemorrhoids.},
  author={Nirmal Perera and Danae Liolitsa and Satheesh Iype and A. K. Croxford and Muhammed Yassin and Peter Lang and Obioha Ukaegbu and Christopher van Issum},
  journal={The Cochrane database of systematic reviews},
  year={2012},
  volume={8},
  pages={
          CD004322
        }
}
BACKGROUND Haemorrhoids are variceal dilatations of the anal and perianal venous plexus and often develop secondary to the persistently elevated venous pressure within the haemorrhoidal plexus (Kumar 2005. [] Key MethodSEARCH METHODS We searched the Cochrane Central Register of Controlled Trials (CENTRAL) in the Cochrane Library 2011 issue 9 , MEDLINE (1950 to September 2011) and EMBASE (1974 to September 2011).
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84 Citations
Highly Influential Citations
4
Background Citations
23
Methods Citations
4
Results Citations
2

84 Citations

Hemorrhoid management in women: the role of tribenoside + lidocaine
TLDR
Tribenoside + lidocaine can represent a fast, effective, and safe option to treat hemorrhoids when conservative therapy is indicated, and it deserves consideration as a first-line treatment of this disease in clinical practice.
Medical Therapy of Hemorrhoidal Disease
TLDR
The critical importance of the enteric microbiota to intestinal and, especially, colonic function, together with some limited clinical evidence to suggest some changes in the flora in the constipated subject provide a rationale for the use of probiotics and prebiotics in constipation.
Management of Hemorrhoidal Disease in Special Conditions
In this chapter, management of hemorrhoidal disease in special conditions is discussed. These special conditions include acutely thrombosed or strangulated external hemorrhoids and hemorrhoidal…
Pharmacological treatment of hemorrhoids: a narrative review
TLDR
This expert opinion, based also on long-lasting clinical practice, also supports the use of medical treatment in symptoms relief in patients with hemorrhoid disease.
Management of Hemorrhoid Complications in Persian Medicine
TLDR
This historical review surveyed the principle of management and different medicinal and non-medicinal treatments for each complication of hemorrhoid based on the main textbooks of disease-treatment and famous pharmacopoeias of PM from 10th to 18th century AD.
Treatment of haemorrhoidal disease with micronized purified flavonoid fraction and sucralfate ointment
TLDR
The experience with three cases treated with combined use of MPFF and a topical medical device in the form of rectal ointment, composed by sucralfate and herbal, has shown good results in terms of pain and itching control and in edema reduction.
Benign Anorectal Conditions: Evaluation and Management.
Common anorectal conditions include hemorrhoids, perianal pruritus, anal fissures, functional rectal pain, perianal abscess, condyloma, rectal prolapse, and fecal incontinence. Although these are…
Belgian consensus guideline on the management of hemorrhoidal disease.
TLDR
Conventional hemorrhoidectomy is the most efficacious intervention for all grades of hemorrhoids and is the only choice for non-reducible prolapsing hemorrhoids.
Evidências sobre tratamentos clínicos conservadores para doença hemorroidária
TLDR
In Primary Health Care, oral fibres or flavonoids can be used to improve overall symptoms and bleeding in haemorrhoid patients at grades I and II; to patient grade III who does not wish to undergo outpatient procedure; and postoperatively.
Management of haemorrhoids in tertiary care centre
TLDR
Sclerotherapy is the preferred technique for hemorrhoids (especially Grade I & II) with minimal duration of stay, early return to the work and less post operative pain and it can be done as a daycare procedure.
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References

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TLDR
Although the treatment with oral hydroxyethylrutosides looks promising for symptom relief in first and second degree haemorrhoids, its use cannot be recommended until new evidence reassures women and their clinicians about their safety.
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This study could not demonstrate any positive effect of prescribing flavonoids after stapler hemorrhoidopexy, and may not be sufficiently aggressive and is associated with too few postoperative complications to show any protective influence of flavonoid influence.
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TLDR
Diosmin is effective in alleviating postoperational symptoms of haemorrhoids and should be considered for the initial treatment after haemarrhoid surgery, and further prospective randomized trials are needed to confirm the findings.
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The application of Pycnogenol®, both in oral and in topical form, is effective for controlling this common, disabling health problem and eases the management of acute hemorrhoidal attacks and help avoid bleedings.
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TLDR
Together with recommendations about diet and bowel discipline, oral calcium dobesilate treatment provides an efficient, fast, and safe symptomatic relief from acute symptoms of hemorrhoidal disease.
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TLDR
It is suggested that O-(β-hydroxyethyl)rutosides provide a safe and effective treatment for women with haemorrhoids of pregnancy.
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TLDR
Daflon gives rapid relief from symptoms of acute internal haemorrhoids as compared to Rubber Band Ligation but the long duration of treatment and its high cost leads to poor patient acceptability and compliance.
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TLDR
The results obtained in this study confirm the usefulness on administering an oral treatment, and not only a local treatment, to patients with acute symptoms of haemorrhoids, both in case of intermittent treatment and in case it is used to prepare quickly the patient for surgery.
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TLDR
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Parenteral Troxerutin and Carbazochrome Combination in the Treatment of Post-hemorrhoidectomy Status: A Randomized, Double-blind, Placebo-controlled, Phase IV Study
Summary Flavonoids, such as troxerutin, have been shown to be safe and effective agents for the treatment of chronic venous insufficiency. The fixed combination between troxerutin 150mg and…
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