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A Clinical Study of Secondary Haemorrhoids and Its Management

S. Naveen, B. N. Lenka, Alin Kumar Nayak

Abstract


Background Haemorrhoids are defined as the symptomatic enlargement and distal displacement of the normal anal cushions. The most common symptom of haemorrhoids is rectal bleeding associated with bowel movement. The abnormal dilatation and distortion of the vascular channel, together with destructive changes in the supporting connective tissue within the anal cushion, is a paramount finding of haemorrhoids. In most instances, haemorrhoids are treated conservatively using many methods such as lifestyle modification, fibre supplement, suppository, anti-inflammatory drugs and administration of venotonic drugs. Non-operative approaches include sclerotherapy and rubber band ligation. An operation is indicated when non-operative approaches have failed or complications have occurred. Several surgical approaches for treating haemorrhoids have been
introduced including haemorrhoidectomy and stapled haemorrhoidopexy.

Materials and Methods Clinical study of secondary haemorrhoids and its management were collected from cases admitted in Hi-Tech Medical College and Hospital, Bhubaneswar, Odisha, during the period from 1st January 2014 to 31st December 2015.

Results The study was conducted on 50 cases who were admitted in Hi-Tech Medical College and Hospital, Bhubaneswar, Odisha with features of secondary haemorrhoids.

Conclusions In this study, we assess the common causes of secondary haemorrhoids and its management.


Keywords


secondary haemorrhoids, haemorrhoidal plexus, banding, haemorrhoidectomy (closed and stapled), bowel care, sitz bath

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References


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