Interní Med. 2011; 13(7): 305-309

Haemorrhoids - conservative or surgical approach?

MUDr.Július Őrhalmi, MUDr.Karel Klos, MUDr.Stanislav Jackanin, MUDr.Milan Lerch, doc.MUDr.Pavol Holéczy, CSc.

Chirurgické oddělení, Vítkovická nemocnice, a.s., Ostrava-Vítkovice

Haemorrhoidal nodules are a physiological part of the anus. Haemorrhoidal disease is present in case there are haemorrhoidal symptoms.

Up to one third to one half of the population over 50 years of age suffer from haemorrhoidal disease. To choose an effective treatment,

it is important to correctly determine the stage of haemorrhoidal disease. Currently, outpatient and mini-invasive treatments are the

predominant options. In an outpatient setting, Barron ligation or a combination with diathermy are particularly used. The most effective

mini-invasive methods include dearterialization using Doppler US and stapler anopexy. Conservative medical treatment as well as classic

surgical technique also play a major role in the treatment of haemorrhoidal disease. The paper presents the recommended indications

for treatment with respect to the individual stages of haemorrhoidal disease. The pathophysiology of haemorrhoidal disease and a new

classification system are described in detail.

Keywords: haemorrhoids, classification, treatment, anopexy, haemorrhoidectomy

Published: October 1, 2011  Show citation