[Acute hemorrhoidal thrombosis: essence of the idea, correctness of the name and unification of terminology. alternative approaches to treatment].
Acute thrombosis of hemorrhoidal nodes (ATHN) was treated in 402 patients aged from 19 through 73 years of age. It was found that the decision for the volume and method of treatment should be determined individually and differentially, paying special attention to the degree of microcirculatory alterations in the walls of cavernous veins. Multi-component conservative therapy is the method of choice for treatment of ATHN of the 1st severity degree. For the II and III degree operation is indicated which should be fulfilled urgently (within 3 days) or in a postponed (within 5-7 days) order. Hemorrhoidectomy by Milligan-Morgan method with the tight suturing of the postoperative wounds and complete restoration of the mucous membrane of the anal canal allowed getting better immediate and long-term results.
Aliev
S A
SA
Sultanov
G A
GA
Aliev
E S
ES
D000208:Acute Disease; D000328:Adult; D000368:Aged; D005260:Female; D006484:Hemorrhoids / Q000145:classification / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D013536:Suture Techniques; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000379:methods*; D020246:Venous Thrombosis / Q000145:classification / Q000601:surgery