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Treatment of Haemorrhoids

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Recent Advances in Coloproctology

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Abstract

Over the years there have been many so-called advances in the treatment of haemorrhoids so that there are now many options for their treatment (Table 9.1). The variety of treatments highlights a lack of consensus, choice often depending on an individual surgeon’s experience and expertise rather than evidence. As most are carried out in out-patients, the role for surgery which hereto has required a moderately long hospital stay and time off work has been questioned. However, the evidence in favour of these treatments is mainly from uncontrolled studies and there are few controlled trials with long-term follow-up. In this chapter we look critically at the literature and examine some of the more important studies published over the past 20 years in an attempt to formulate an evidence-based and rational approach to the treatment of this most common anal condition. We then look at day-case haemorrhoidectomy, which is now feasible for all patients fit for day surgery, and which has a very low complication rate and high patient satisfaction whilst being economical.

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Authors
  1. E. A. Carapeti
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  2. R. K. S. Phillips
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Editors and Affiliations

  1. Department of Colorectal Surgery, Singleton Hospital, SA2 8QA, Sketty, Swansea, UK

    John Beynon BSc, MS, FRCS  & Nicholas David Carr MD, FRCS  & 

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© 2000 Springer-Verlag London Limited

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Carapeti, E.A., Phillips, R.K.S. (2000). Treatment of Haemorrhoids. In: Beynon, J., Carr, N.D. (eds) Recent Advances in Coloproctology. Springer, London. https://doi.org/10.1007/978-1-4471-0731-6_9

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  • DOI: https://doi.org/10.1007/978-1-4471-0731-6_9

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-1190-0

  • Online ISBN: 978-1-4471-0731-6

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