Thrombectomy for Acute Treatment of Trombosed Hemorrhoids

Abstract

Hemorrhoidal disease is a common anorectal disorder characterized by the symptomatic enlargement and distal displacement of the hemorrhoids, which are the normal anal cushions. The main symptoms of hemorrhoidal disease include rectal bleeding, prolapse, pain, thrombosis, mucus discharge, and pruritus. Hemorrhoids are classified based on their location and the degree of prolapse. Clinical management of hemorrhoidal disease is based on severity. While conservative strategies are used for Patients with grades I or II disease, radical surgery is recommended for patients with grades III or IV hemorrhoids. Hereby we present our results of thrombectomy on acute treatment in patients with acute thrombosed hemorrhoids. 54 consecutive cases included this study. The mean age of the Patients was 38.5(+/-4.1), 22 patients were male, 32 patients were female. All patients underwent thrombectomy procedure and 8th hour 12th hour, 24th hour and 3rd day VAS scores were (4.1; 3.4; 5.8; 2.1) consecutively. 1 patient had developed intraoperative bleeding which controlled with monopolar electrocautery application, no postoperative bleeding has seen. 1 patient developed slight infection which controlled with simple antibiotics. No other complication has seen after procedure. Our study’s the results were similar with literature and as conclusion we believe thrombectomy is a very safe and effective method of management of acute hemorrhoidal crisis in patients with thrombosed hemorrhoids.