medigraphic.com
Revista Mexicana de Coloproctología Enfermedades del Ano, Recto y Colon

2010, Number 1-3

Next >>

Rev Mex Coloproctol 2010; 16 (1-3)

Consensus hemorrhoids

Abarca AF, Nuñez RA, Bucio VG

Language: Spanish
References: 36
Page: 4-14
PDF size: 235.39 Kb.


ABSTRACT

Hemorrhoids are normal formations in the organism and when they’re asymptomatic doesn’t need any treatment. Hemorrhoids have an specific function in the continence mechanisms In about 80% of the cases, the hemorrhoidal disease is medical. In thrombosed external hemorrhoids the main treatment is simple hemorrhoidectomy. In the second grade hemorrhoids the Ideal treatment should be Barron ligation with the rubber band, In the 3rd grade of the hemorrhoids with mucosal prolapsed and external component should be use macro high ligation with removal of the external component a conventional technique (Milligan and Morgan semi closed or Ferguson closed). In 3rd grade hemorrhoids with little external component and mucosal prolapsed. The specific indication is the circular mucosectomy. While in the same grade with thick external component one of the conventional techniques should be used nowadays with the new etiology concepts of the hemorrhoidal disease as a product of freely chronic prolapsing of the anorectals walls, we should be sure that even of the external component marked in the hemorrhoidal disease of the 2nd, 3rd and 4th grade. The circular mucosectomy should be the gold standard in the treatment of these pathologies. For that reason, we propose a consensus of all the alternatives of the treatment, based on previously works, comparative results as well the contraindications of the treatment for the hemorrhoidal disease.


REFERENCES

  1. Saclarides TJ, Brand MI. Evolving trends in the treatment of anorectal diseases. Dis Col Rec 1999; 42: 1245-1252.

  2. Stelzner F, Staubesand J, Machkeidt H. Das cavernosum recti-die grundlage der inneren hammarhoiden. Arch Klin Chir 1967; 299: 302-306.

  3. Thomson WH. The nature of haemorrhoids. Br J Surg 1975; 62: 542-552.

  4. The Standards Task Force, American Society of Colon and Rectal Surgeons. Practice parameters for the treatment of hemorrhoids. Dis Col Rec 1990; 33: 992-993.

  5. Nelson RL, Abcarian H, Davis FG et al. Prevalence of benign anorectal disease in randomly selected population. Dis Col Rec 1995; 38: 341-344.

  6. Johanson JF, Sonnenberg A. The prevalence of haemorrhoids and chronic constipation: an epidemiologic study. Gastroenterology 1990; 98: 380-386.

  7. Gibbons CP, Bannister JJ, Read NW. Role of constipation and hypertonia in the pathogenesis of haemorrhoids. Br J Surg 1988; 75: 656-660.

  8. Muñoz JM, Luque LE, Moreno PE et al. Actualidades en el tratamiento de la enfermedad hemorroidal. Rev Gastroenterol Mex 1998; 63: 163-168.

  9. Blasidell DC. Office ligation of internal hemorrhoids. Am J Surg 1958; 96: 401-404.

  10. Barron J. Office ligation of internal hemorrhoids. Am J Surg 1963; 105: 563-570.

  11. Salvati EP. Non-operative management of hemorrhoids: evolution of the office management of hemorrhoids. Dis Col Rec 1999; 42: 989-993.

  12. MacRae HM, Mc Leod RS. Comparison of hemorrhoidal treatment modalities: a meta-analysis. Dis Col Rec 1995; 38: 687-694.

  13. Santos G, Novell JR, Khoury G et al. Long-term results of large dose, single-session phenol injection sclerotherapy for hemorrhoids. Dis Col Rec 1993; 36: 958-961.

  14. Kaman L, Aggrawal SKumar R et al. Necrotizing fasciitis after injection sclerotherapy for hemorrhoids: report of a case. Dis Col Rec 1999; 42: 421-423.

  15. Barwell J, Watkins RM, Lloyd-Davies E et al. Life threatening retroperitoneal sepsis after hemorrhoid injection sclerotherapy: report of a case. Dis Col Rec 1999; 42: 421-423.

  16. Eitan A, Bishara B, Duek DS et al. Comparison of infrared coagulation and rubber band ligations for treatment of haemorrhoids. Coloproctology 1990; 12: 88-90.

  17. Lewis MI, De la Cruz T, Gazzaniga DE et al. Cryosurgical hemorrhoidectomy: preliminary report. Dis Col Rec 1969; 12: 371-378.

  18. Oh C. Problems of cryohemorrhoidectomy. Cryobiology 1982; 19: 283-286.

  19. Konsten J, Baeten CGMI. Hemorrhoidectomy vs Lord’s method: 17-year follow-up of a prospective, randomized trial. Dis Col Rec 2000; 43: 503-506.

  20. Goligher JC. Cryosurgery for hemorrhoids. Dis Col Rec 1976; 19: 213-215.

  21. Hosch SB, Knoefel WT, Pichlmeier U et al. Surgical treatment of piles: prospective, randomized study of Parks vs Milligan-Morgan hemorrhoidectomy. Dis Col Rec 1998; 41: 159-164.

  22. Ferguson JA, Heaton JR. Closed hemorrhoidectomy. Dis Col Rec 1959; 2: 176-179.

  23. Milligan ET, Morgan CN, Jones LE et al. Surgical anatomy of the anal canal, and the operative treatment of hemorrhoids. Lancet 1937; 2: 1119-1124.

  24. Ruiz MF. Hemorrhoidectomy –How I do it: Semiclosed technique. Dis Col Rec 1977; 20: 177-179.

  25. Arbman G, Krook H, Haapaniemi S. Closed vs open hemorrhoidectomy –is there any difference? Dis Col Rec 2000; 43: 31-34.

  26. O’Connor JJ. Staplers and hemorrhoids. Dis Col Rec 2000; 43: 118-119.

  27. Carapeti EA, Kamm MA, McDonald PJ et al. Randomized trial of open vs closed day-case hemorrhoidectomy. Br J Surg 1999; 86: 612-617.

  28. Roswell M, Bello M, Hemingway DM. Circumferential mucosectomy (stapled hemorrhoidectomy) versus conventional haemorrhoidectomy: randomized controlled trial. Lancet 2000; 355: 779-781.

  29. Correa RJM, Téllez O, Obregón L et al. Stapled rectal mucosectomy vs closed hemorrhoidectomy, a randomized clinical trial. Dis Col Rec 2002; 45: 1367-1374.

  30. Wang JY, Chang-Chien CR, Chen JS et al. The role of lasers in hemorroidectomy. Dis Col Rec 1991; 34: 78-82.

  31. Longo A. Stapled anopexy and stapled hemorrhoidectomy: two opposite concepts and procedures. Dis Col Rec 2002; 45: 571-572.

  32. The Standards Practice Task Force, American Society of Colon and Rectal Surgeons. Practice parameters for the management of hemorrhoids. Dis Col Rec 2005; 48: 189-194.

  33. Villanueva SE, Peña REJP, Martínez HMP et al. Enfermedad hemorroidal en Unidad Médica de Alta Especialidad. Rev Gastroenterol Mex 2006; 71: 428-432.

  34. Festen S, van Hoogstraten MJ, van Geloven AA et al. Treatment of grade III and IV hemorrhoidal disease with PPH or THD. A randomized trial on postoperative complications and short-term results. Int J Colorectal Dis 2009; 24: 1401-1405.

  35. Sneider EB, Maykel JA. Diagnosis and management of symptomatic hemorrhoids. Surg Clin North Am 2010; 90: 17-32.

  36. Reis NJA, Kagohara O, Simoes NJ et al. Macroligadura alta. Un nuevo concepto en el tratamiento de hemorroides. Rev Mex Colopro 2007; 13: 15-19.




2020     |     www.medigraphic.com