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The treatment of hemorrhoids.
The treatment of acute hemorrhoids depends on stage of disease.
Only patients with third degree of acute hemorrhoid should be
operated (we perform hemorrhoidectomy).
For first and second degrees of acute hemorrhoids, we
indicate medical treatment.
1. To eliminate pain conditional by thrombosis and acute anal fissure
we use analgesics by systemic route and local medications, which
consist a combination of anti-inflammatories and analgesics
(Posterisan, Posterisan forte). 2. There is necessary to prescribe
phlebotonic drugs.
3. In case of bleeding, we use suppositories with adrenalin and local
haemostatic treatment.
Conservative treatment of hemorrhoids supplies temporal effect, and
risk of recurrence is quite high. That is why when escalation is healed we recommend one of microinvasive
techniques or operation that depends on the stage of hemorrhoid.
For chronic hemorrhoids (first and second stages), conservative treatment mostly is effective, but often
this treatment is required for them during all there life. High-fiber diet, refusal of alcohol and spicy food,
regulation of bowel movement, prophylaxis of trauma of this area, washing after defecation, suppositories
and ointments help patients with hemorrhoid practically avoid discomfort. Conservative treatment of chronic
hemorrhoids includes phlebotonic drugs, suppositories with anti-inflammatory and analgesic, microenema
with medications. There is necessary to admit that any treatment of hemorrhoid can be not high effective if
other gastrointestinal diseases, first of all, of large bowel, that patient have, are not treated. There is
important to treat concomitant colitis and eliminate constipation (Forlax).
If patient has first- or second- degree- hemorrhoids, but escalation and bleeding occurs often there is possible
to perform microinvasive techniques.
For treatment of first-degree- hemorrhoids in our department we use infrared coagulation.
For treatment of second-degree- hemorrhoids , we apply infrared coagulation, Rubber band ligation of
hemorrhoidal piles, Transanal hemorrhoidal dearterialisation (THD).
For treatment of third-degree- hemorrhoids, we apply rubber bang ligation, Transanal hemorrhoidal
dearterialisation (THD).
For treatment of fourth -degree- hemorrhoids , we apply Transanal hemorrhoidal dearterialisation (THD),
Longo operation and operations (Milligan-Morgan, Parks, Waithead methods).
The treatment of acute hemorrhoids depends on stage of disease.
Only patients with third degree of acute hemorrhoid should be
operated (we perform hemorrhoidectomy).
For first and second degrees of acute hemorrhoids, we
indicate medical treatment.
1. To eliminate pain conditional by thrombosis and acute anal fissure
we use analgesics by systemic route and local medications, which
consist a combination of anti-
phlebotonic drugs.
3. In case of bleeding, we use suppositories with adrenalin and local
haemostatic treatment.
Conservative treatment of hemorrhoids supplies temporal effect, and
risk of recurrence is quite high. That is why when escalation is healed we recommend one of microinvasive
techniques or operation that depends on the stage of hemorrhoid.
For chronic hemorrhoids (first and second stages), conservative treatment mostly is effective, but often
this treatment is required for them during all there life. High-
and ointments help patients with hemorrhoid practically avoid discomfort. Conservative treatment of chronic
hemorrhoids includes phlebotonic drugs, suppositories with anti-
other gastrointestinal diseases, first of all, of large bowel, that patient have, are not treated. There is
important to treat concomitant colitis and eliminate constipation (Forlax).
If patient has first-
For treatment of first-
For treatment of second-
hemorrhoidal piles, Transanal hemorrhoidal dearterialisation (THD).
For treatment of third-
dearterialisation (THD).
For treatment of fourth -
Longo operation and operations (Milligan-