BMJ  2003;327 (11 October), doi:10.1136/bmj.327.7419.0-b

Limited haemorrhoidectomy is the most effective treatment for intractable disease

Haemorrhoidopexy is a new treatment that is less painful and allows a shorter convalescence than open haemorrhoidectomy, but it requires further long term evaluation. In their clinical review, Nisar and Scholefield (p 847) discuss the evidence comparing these two procedures and explain conservative methods of managing haemorrhoids. The traditional treatment for prolapsing haemorrhoids not responding to band ligation has been formal haemorrhoidectomy, but the authors say that current practice favours a limited approach, conserving continence mechanisms and decreasing pain.


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Relevant Article

Managing haemorrhoids
Pasha J Nisar and John H Scholefield
BMJ 2003 327: 847-851. [Extract] [Full Text] [PDF]




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