Guidelines for the treatment of hemorrhoids (short report)
| Autor: | B. Vinson-Bonnet, T. Higuero, Ghislain Staumont, H. Pillant-Le Moult, F. Pigot, A. Senéjoux, P. Hemery, Nadia Fathallah, A. Castinel, J.-M. Suduca, Laurent Siproudhis, C. Laclotte Duhoux, Laurent Abramowitz |
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| Rok vydání: | 2016 |
| Předmět: |
Hemorrhoidectomy
medicine.medical_specialty Diet therapy MEDLINE Anti-Inflammatory Agents Hemorrhoids 03 medical and health sciences 0302 clinical medicine Gastrointestinal Agents Medicine Combined Modality Therapy Humans Gastrointestinal agent Analgesics Pain Postoperative business.industry General surgery General Medicine Ambulatory Surgical Procedure medicine.disease Surgery Ambulatory Surgical Procedures Elective Surgical Procedures Laxatives 030220 oncology & carcinogenesis Ambulatory 030211 gastroenterology & hepatology business Elective Surgical Procedure Diet Therapy |
| Zdroj: | Journal of visceral surgery. 153(3) |
| ISSN: | 1878-7886 |
| Popis: | Hemorrhoids are a common medical problem that is often considered as benign. The French Society of Colo-Proctology (Societe nationale francaise de colo-proctologie [SNFCP]) recently revised its recommendations for the management of hemorrhoids (last issued in 2001), based on the literature and consensual expert opinion. We present a short report of these recommendations. Briefly, medical treatment, including dietary fiber, should always be proposed in first intention and instrumental treatment only if medical treatment fails, except in grade ≥III prolapse. Surgery should be the last resort, and the patient well informed of the surgical alternatives, including the possibility of elective ambulatory surgery, if appropriate. Postoperative pain should be prevented by the systematic implementation of a pudendal block and multimodal use of analgesics. |
| Databáze: | OpenAIRE |
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