The optimal choice of therapy for acute hemorrhoids
https://doi.org/10.21518/1995-1477-2019-1-2-118-123
Abstract
The article presents the results of conservative therapy of patients with acute hemorrhoids, with a 10-day follow-up period, the purpose of which is to improve the results of treatment of this category of patients. The patients of Group I received conservative therapy with heparin ointment and Relief Pro® suppositories; Group II received local therapy with heparin ointment without rectal suppositories.
Design: a single-center randomized controlled follow-up study.
The study showed the efficacy of Relief Pro® suppositories in patients with acute haemorrhoids. The use of suppositories allowed to statistically reliably reduce the level of pain (2.59 ± 0.6 points in Group I versus 3.87 ± 0.7 points in Group II (p < 0.05)) on Day 3 of the therapy, reduce the frequency of blood excretion on Day 2 of the therapy (83% and 32% of patients, respectively (p <0.05)) and eliminate the discomfort in the anus (100% observations in Group I by Day 5 of the therapy and 67% in Group 2 by Day 10 of the therapy (p <0.05)).
About the Author
M. V. AbritsovaRussian Federation
Abrytsova Mariana Vladimirovna - Cand. of Sci.(Med.), Head of Coloproctology Service.
123182, Moscow, Schukinskaya St., 2.
References
1. Corman M.L. Colon and rectal surgery. 5-th ed. Philadelfia: Lippincott, 2004:1741.
2. Shelygin Yu.A., Blagodarny L.A. Coloproctologist’s reference. M.: Litter, 2012: 64-89. (In Russ).
3. Vorobiev G.I., Shelygin Yu.A., Blagodarny L.A. Hemorrhoids. 2nd edition. M.: Litter, 2010: 188. (In Russ).
4. Vorobiev G.I. Basics of Coloproctology. M.: MIA, 2006: 79-94.
5. Shestakov A.M., Sapin M.R. Rectum and anal canal. M.: GEOTAR-Media, 2011: 125.
6. Thomson W.H.F. The nature of haemorrhoids. Br J Surg. 1975;62:542–552.
7. Davis B.R., Lee-Kong S.A., Migaly J. et al. The American Society of Colon and Rectal Surgeons Clinical Practice Guidelines for the Management of Hemorrhoids. Dis Colon Rectum. 2018;61:284–292.
8. Chan K.K., Arthur J.D. External haemorrhoidal thrombosis: evidence for current management. Tech Coloproctol. 2013;17:21–25.
9. Shelygin Yu.A. Coloproctology. Clinical guidelines. M.: GEOTAR-Media, 2015: 30-53, 430-449. (In Russ).
10. Greenspon J., Williams S.B., Young H.A., Orkin B.A. Thrombosed external hemorrhoids: outcome after conservative or surgical management. Dis Colon Rectum. 2004;47:1493–1498.
11. Eberspacher C. et al. External hemorrhoidal thrombosis in the elderly patients: conservative and surgical management. Minerva Chir. 2019. DOI: 10.23736/S0026-4733.18.07724-6.
12. Abramowitz L., Weyandt G., Havlickova B. The diagnosis and management of haemorrhoidal disease from a global perspective. Aliment Pharmacol Ther. 2010;31(1):1–58.
13. Brunton L., Chabner B., Knollmann B. Goodman. Gilman’s the pharmacological basis of therapeutics, 2011.
14. Neiger A.H.E. The symptomatic therapy of hemorrhoids and anal eczema – a report of experiences from proctology practice. Schweiz Rundsch Med Prax. 1990;79:918–920.
Review
For citations:
Abritsova M.V. The optimal choice of therapy for acute hemorrhoids. Ambulatornaya khirurgiya = Ambulatory Surgery (Russia). 2019;(1-2):118-123. (In Russ.) https://doi.org/10.21518/1995-1477-2019-1-2-118-123

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