Abstract
It is, at first sight, somewhat surprising that, in this age of rapid technological advances and medical achievements, our understanding of one of the commonest afflictions of the human race is, at best, limited. Literature relating to haemorrhoids spans many centuries, but the scientific basis of most of these contributions may be justly disputed. Theories relating to aetiology abound, and conversations with colleagues and lay people alike reveal an astounding spectrum of concepts. It is prudent, therefore, to return to an appreciation of the relevant anatomy, from which appropriate criticisms concerning theories of the development of haemorrhoids may be made.
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References and Further Reading
Burkitt DP (1972) Varicose veins, deep vein thrombosis, and haemorrhoids: epidemiology and suggested aetiology. BMJ ii: 556–61
Burkitt DP, Graham-Stewart CW (1975) Haemorrhoids–postulated pathogenesis and proposed prevention. Postgrad Med J 51: 631–6
Courtney H (1950) Anatomy of the pelvic diaphragm and anorectal musculature as related to sphincter preservation in anorectal surgery. Am J Surg 79: 155–73
Gibbons CP, Bannister JJ, Read NW (1988) Role of constipation and anal hypertonia in the pathogenesis of haemorrhoids. Br J Surg 75: 656–60
Haas PA, Fox TA (1980) Age-related changes and scar formations of perianal connective tissue. Dis Colon Rectum 23: 160–9
Haas PA, Fox TA, Haas GP (1984) The pathogenesis of haemorrhoids. Dis Colon Rectum 27: 442–50
Johanson JF (1997) Association of haemorrhoidal disease with diarrhoeal disorders. Dis Colon Rectum 40: 215–21
Johanson JF, Sonnenberg A (1990) The prevalence of haemorrhoids and chronic constipation. An epidemiologic study. Gastroenterology 98: 380–6
Johanson JF, Sonnenberg A (1991)Temporal changes in the occurrence of haemorrhoids in the United States and England. Dis Colon Rectum 34: 585–91
Johnson FP (1914) The development of the rectum in the human embryo. Am J Anat 16: 1–57
Hiltunen KM, Matikainen M (1985) Anal manometric findings in symptomatic haemorrhoids. Dis Colon Rectum 28: 807–9
Ho YH, Seow-Choen F, Goh HS (1995) Haemorrhoidectomy and disordered rectal and anal physiology in patients with prolapsed haemorrhoids. Br J Surg 82: 596–8
Kerremans R (1969) Morphological and Physiological Aspects of Anal Continence and Defaecation. Arscia Uitgaven, Brussels. pp 57–67
Lawson JON (1974) Pelvic Anatomy II. Anal canal and associated sphincters. Ann R Coll Surg Engl 54: 288–300
McGivney J (1967) A re-evaluation of etiologic factors of haemorrhoidal disease. Arizona Medicine 24: 333–6
Milligan ETC, Morgan CN (1934) Surgical anatomy of the anal canal with special reference to anorectal fistulae. Lancet Ãi: 1150–6, 1213–17
O’Kelly TJ (1996) Nerves that say NO: a new perspective on the human rectoanal inhibitory reflex. Ann R Coll Surg Engl 78: 31–8
O’Kelly TJ, Brading A, Mortensen NJ (1993) In vitro response of the human anal longitudinal muscle layer to cholinergic and adrenergic stimulation: evidence of sphincter specialization. Br J Surg 80: 1337–441
Parks AG (1954) A note on the anatomy of the anal canal. Proc R Soc Med 47: 997–8
Parks AG (1956) The surgical treatment of haemorrhoids. Br J Surg 43: 337–51
Roux C (1881) Contribution to the knowledge of the anal muscles in man. Arch Mikr Anat 19: 721–3
Rudinger N (1878) Topographisch chirurgische Anatomie des Menschen. Cotta JG, Stuttgart, pp 111–12
Schouten WR, Blankensteijn JD (1992) Ultra slow wave pressure variations in the anal canal before and after lateral internal sphincterotomy. Int J Colorect Dis 7: 115–18
Shafik A (1976) A new concept of the anatomy of the anal sphincter mechanism and the physiology of defaecation III. The longitudinal anal muscle: anatomy and role in sphincter mechanism. Invest Urol 13: 271–7
Stebbing JF, Brading AF, Mortensen NJ (1997) Role of nitric oxide in relaxation of the longitudinal layer of rectal smooth muscle. Dis Colon Rectum 40: 706–10
Stelzner F (1963) Haemorrhoids and other diseases of the corpus cavernosum recti and the anal canal. Deutsch Med Wochenschr 88: 177–82
Sun WM, Peck RJ, Shorthouse AJ, Read NW (1992) Haemorrhoids are associated not with hypertrophy of the internal anal sphincter but with hypertension of the anal cushions. Br J Surg 79: 592–4
Thomson WHF (1975) The nature of haemorrhoids. Br J Surg 62: 542–52
Treitz W (1853) Uber Einen Muskel am Duodenum des Menschen, uber elastische Sehnen, und einege andere anatomische Verhaltuisse. Viertal-Jahrschrift fur die praktische. Heilkunde 37: 113–44
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Lunniss, P.J. (2002). Anatomy and Development of Haemorrhoids (Including Classification). In: Mann, C.V. (eds) Surgical Treatment of Haemorrhoids. Springer, London. https://doi.org/10.1007/978-1-4471-3727-6_2
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DOI: https://doi.org/10.1007/978-1-4471-3727-6_2
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