Editing Haemorrhoids (section)

=== '''Formal     haemorrhoidectomy''' ===

** Indications
*** Grade IV internal
*** Grade I, II or III internal       in the presence of other anorectal disease, including substantial skin       tags
*** Internal with failure of       office-based therapy
*** Symptomatic external       haemorrhoids refractory to medical treatment and office-based treatment       (not required very often)
*** Consider haemorrhoidectomy       for thrombosed haemorrhoids within 72 hours of initial pain
**** Best to formally excise -        5-19% recurrence rate compared with 30% recurrence rate for simple        incision
**** Conservative management        first, as there is some evidence that there is a higher incidence of        sphincter injury when haemorrhoidectomy is done electively
** Technique
*** See separate topic

[[Category:Colorectal]]
[[Category:Intern education]]