Do we at all need surgery to treat thrombosed external hemorrhoids? Results of a prospective cohort study
Ole Gebbensleben1, York Hilger2, Henning Rohde31Park-Klinik Berlin-Weissensee, Berlin, Germany; 2Institut für Biostatistik, Freiburg im Breisgau, Germany; 3Praxis für Endoskopie und Proktologie, Berlin, GermanyBackground: It is unknown whether surgery is the gold standard f...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2009-06-01
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| Series: | Clinical and Experimental Gastroenterology |
| Online Access: | http://www.dovepress.com/do-we-at-all-need-surgery-to-treat-thrombosed-external-hemorrhoids-res-a3314 |
| _version_ | 1811320690784075776 |
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| author | Ole Gebbensleben York Hilger Henning Rohde |
| author_facet | Ole Gebbensleben York Hilger Henning Rohde |
| author_sort | Ole Gebbensleben |
| collection | DOAJ |
| description | Ole Gebbensleben1, York Hilger2, Henning Rohde31Park-Klinik Berlin-Weissensee, Berlin, Germany; 2Institut für Biostatistik, Freiburg im Breisgau, Germany; 3Praxis für Endoskopie und Proktologie, Berlin, GermanyBackground: It is unknown whether surgery is the gold standard for therapy of thrombosed external hemorrhoids (TEH).Methods: A prospective cohort study of 72 adults with TEH was conducted: no surgery, no sitz baths but gentle dry cleaning with smooth toilet paper after defecation. Follow-up information was collected six months after admission by questionnaire.Results: Despite our strict conservative management policy 62.5% (45/72) of patients (95% confidence interval [CI]: 51.0–74.0) described themselves as “healed” or “ameliorated”, and 61.1% (44/72, 95% CI: 49.6–72.6) found our management policy as “valuable to test” or “impracticable”. 13.9% (10/72, 95% CI: 5.7–22.1) of patients suspected to have recurrences. 4.2% did not know. Twenty-two of the 48 responding patients reported symptoms such as itching (18.8%), soiling (12.5%), pricking (10.4%), or a sore bottom (8.3%) once a month (59.1%, 13/22), once a week (27.3%, 6/22), or every day (13.6%, 3/22). Conclusions: The dictum that surgery is the gold standard for therapy for TEH should be checked by randomized controlled trials.Keywords: hemorrhoids, acute hemorrhoidal disease, thrombosed external hemorrhoid, perianal thrombosis, conservative therapy, surgery |
| first_indexed | 2024-04-13T13:04:55Z |
| format | Article |
| id | doaj.art-283e2a48d61845e299c667bd1e09d91f |
| institution | Directory Open Access Journal |
| issn | 1178-7023 |
| language | English |
| last_indexed | 2024-04-13T13:04:55Z |
| publishDate | 2009-06-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Clinical and Experimental Gastroenterology |
| spelling | doaj.art-283e2a48d61845e299c667bd1e09d91f2022-12-22T02:45:49ZengDove Medical PressClinical and Experimental Gastroenterology1178-70232009-06-012009default6974Do we at all need surgery to treat thrombosed external hemorrhoids? Results of a prospective cohort studyOle GebbenslebenYork HilgerHenning RohdeOle Gebbensleben1, York Hilger2, Henning Rohde31Park-Klinik Berlin-Weissensee, Berlin, Germany; 2Institut für Biostatistik, Freiburg im Breisgau, Germany; 3Praxis für Endoskopie und Proktologie, Berlin, GermanyBackground: It is unknown whether surgery is the gold standard for therapy of thrombosed external hemorrhoids (TEH).Methods: A prospective cohort study of 72 adults with TEH was conducted: no surgery, no sitz baths but gentle dry cleaning with smooth toilet paper after defecation. Follow-up information was collected six months after admission by questionnaire.Results: Despite our strict conservative management policy 62.5% (45/72) of patients (95% confidence interval [CI]: 51.0–74.0) described themselves as “healed” or “ameliorated”, and 61.1% (44/72, 95% CI: 49.6–72.6) found our management policy as “valuable to test” or “impracticable”. 13.9% (10/72, 95% CI: 5.7–22.1) of patients suspected to have recurrences. 4.2% did not know. Twenty-two of the 48 responding patients reported symptoms such as itching (18.8%), soiling (12.5%), pricking (10.4%), or a sore bottom (8.3%) once a month (59.1%, 13/22), once a week (27.3%, 6/22), or every day (13.6%, 3/22). Conclusions: The dictum that surgery is the gold standard for therapy for TEH should be checked by randomized controlled trials.Keywords: hemorrhoids, acute hemorrhoidal disease, thrombosed external hemorrhoid, perianal thrombosis, conservative therapy, surgeryhttp://www.dovepress.com/do-we-at-all-need-surgery-to-treat-thrombosed-external-hemorrhoids-res-a3314 |
| spellingShingle | Ole Gebbensleben York Hilger Henning Rohde Do we at all need surgery to treat thrombosed external hemorrhoids? Results of a prospective cohort study Clinical and Experimental Gastroenterology |
| title | Do we at all need surgery to treat thrombosed external hemorrhoids? Results of a prospective cohort study |
| title_full | Do we at all need surgery to treat thrombosed external hemorrhoids? Results of a prospective cohort study |
| title_fullStr | Do we at all need surgery to treat thrombosed external hemorrhoids? Results of a prospective cohort study |
| title_full_unstemmed | Do we at all need surgery to treat thrombosed external hemorrhoids? Results of a prospective cohort study |
| title_short | Do we at all need surgery to treat thrombosed external hemorrhoids? Results of a prospective cohort study |
| title_sort | do we at all need surgery to treat thrombosed external hemorrhoids results of a prospective cohort study |
| url | http://www.dovepress.com/do-we-at-all-need-surgery-to-treat-thrombosed-external-hemorrhoids-res-a3314 |
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