Haemorrhoidal disease: role of conservative outpatient treatments

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Alberto Serventi
Pier Carlo Rassu
Eliana Giaminardi
Andrea Massobrio
Giulio Cesare Vitali
Lorenzo Stabilini

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.

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How to Cite
Serventi, Alberto, et al. “Haemorrhoidal Disease: Role of Conservative Outpatient Treatments”. Annali Italiani Di Chirurgia, vol. 82, no. 5, Sept. 2011, pp. 341-7, https://annaliitalianidichirurgia.it/index.php/aic/article/view/2812.
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