Management of Hemorrhoids and Anal Fissures

Surg Clin North Am. 2024 Jun;104(3):473-490. doi: 10.1016/j.suc.2023.11.001. Epub 2023 Dec 9.ABSTRACTHemorrhoids and anal fissures are two of the most common benign anorectal diseases. Despite their high prevalence, diagnostic accuracy of benign anorectal disease is suboptimal at 70% for surgeons, especially for hemorrhoidal diseases. Once the diagnosis is correctly made, numerous medical and surgical treatment options are available, each with different rates of success and complications. In this article, the authors review each step of patient management, with emphasis on evidence-based treatment options for hemorrhoids and anal fissures. The article discusses the pathophysiology, diagnosis, medical management, and procedures for hemorrhoids followed by a detailed overview on the management of anal fissures.PMID:38677814 | DOI:10.1016/j.suc.2023.11.001

Source: The Surgical Clinics of North America - April 27, 2024 Category: Surgery Authors: Oladapo Akinmoladun William Oh Source Type: research