[Haemorrhoidal disease: role of conservative outpatient treatments].

Abstract:

AIM:This study is a critical review of conservative office treatments of haemorrhoidal disease. MATERIAL OF STUDY:Many are outpatient techniques proposed in current literature; several with small series, anecdotal ones or some ones yet abandoned for excessive morbidity (for example anal divulsion, dilatation and so on); among most used we describe procedure, indications, contraindications, results and limits about rubber band ligation, sclerotherapy, cryotherapy, infrared photocoagulation, bipolar diathermy and direct current therapy. RESULTS:Each method has its supporters, indications and limits; therefore in literature there are discordant opinions even when randomized studies are compared. Indeed each technique is been compared with one or more other ones but there is not a randomized trial which compares all these treatments. CONCLUSIONS:Conservative office techniques, and rubber band ligation in particular, have an important role in second degree haemorrhoidal disease, in non-responsive to medical treatment first degree and also in third degree haemorrhoids in elderly patients with comorbidity or with sectorial or moderate prolapse.

journal_name

Ann Ital Chir

authors

Serventi A,Rassu PC,Giaminardi E,Massobrio A,Vitali GC,Stabilini L

subject

Has Abstract

pub_date

2011-09-01 00:00:00

pages

341-7

issue

5

eissn

0003-469X

issn

2239-253X

journal_volume

82

pub_type

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