Conservative management of Thrombosed external hemorrhoid

A prospective study of 20 patients (12 males ,8 female) with main age about 47 years in both sexes all were complained from thrombosed external hemorrhoid (TEH) was conducted, most of them complained from at least one symptom discharge , pain , lump…. As we know the surgical management is the gold...

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Main Author: Muslim Kandel Kadem
Format: Article
Language:English
Published: University of Thi-Qar 2019-07-01
Series:مجلة علوم ذي قار
Online Access:https://jsci.utq.edu.iq/index.php/main/article/view/580
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author Muslim Kandel Kadem
author_facet Muslim Kandel Kadem
author_sort Muslim Kandel Kadem
collection DOAJ
description A prospective study of 20 patients (12 males ,8 female) with main age about 47 years in both sexes all were complained from thrombosed external hemorrhoid (TEH) was conducted, most of them complained from at least one symptom discharge , pain , lump…. As we know the surgical management is the gold standard management of such conditions , but in this study .( because some patients refuse operation either afraid from operation or shying specially women in our society ) so try conservative management No surgery, no baths , but treated with gentle dry cleaning with smooth toilet paper after defecation, with intravenous antibiotics (cefetriaxazon, metronidazol) for 2 weeks then Follow-up information was collected six months after admission the results are :- 6 Pt (30%) (described as “healed” without need operation) , 10 Pt (50)% (described as unchanged with minimal symptom no need another operation), 4pt (20%) become sever pain or abscess formation need urgent operation. Only 2pt out of 16 (12.5%) have recurrence. In spit of the surgery is the gold standard therapy for TEH butwe can use conservative management especially for patients who were unfit for surgery or who refused with minimal risks.
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spelling doaj.art-2063c402cd7241fb9e8fe60ac025fc812023-11-14T08:05:56ZengUniversity of Thi-Qarمجلة علوم ذي قار1991-86902709-02562019-07-0141Conservative management of Thrombosed external hemorrhoidMuslim Kandel Kadem0 Thi Qar University - Medicine College A prospective study of 20 patients (12 males ,8 female) with main age about 47 years in both sexes all were complained from thrombosed external hemorrhoid (TEH) was conducted, most of them complained from at least one symptom discharge , pain , lump…. As we know the surgical management is the gold standard management of such conditions , but in this study .( because some patients refuse operation either afraid from operation or shying specially women in our society ) so try conservative management No surgery, no baths , but treated with gentle dry cleaning with smooth toilet paper after defecation, with intravenous antibiotics (cefetriaxazon, metronidazol) for 2 weeks then Follow-up information was collected six months after admission the results are :- 6 Pt (30%) (described as “healed” without need operation) , 10 Pt (50)% (described as unchanged with minimal symptom no need another operation), 4pt (20%) become sever pain or abscess formation need urgent operation. Only 2pt out of 16 (12.5%) have recurrence. In spit of the surgery is the gold standard therapy for TEH butwe can use conservative management especially for patients who were unfit for surgery or who refused with minimal risks. https://jsci.utq.edu.iq/index.php/main/article/view/580
spellingShingle Muslim Kandel Kadem
Conservative management of Thrombosed external hemorrhoid
مجلة علوم ذي قار
title Conservative management of Thrombosed external hemorrhoid
title_full Conservative management of Thrombosed external hemorrhoid
title_fullStr Conservative management of Thrombosed external hemorrhoid
title_full_unstemmed Conservative management of Thrombosed external hemorrhoid
title_short Conservative management of Thrombosed external hemorrhoid
title_sort conservative management of thrombosed external hemorrhoid
url https://jsci.utq.edu.iq/index.php/main/article/view/580
work_keys_str_mv AT muslimkandelkadem conservativemanagementofthrombosedexternalhemorrhoid