AI Article Synopsis
- The guidelines focus on diagnosing and treating hemorrhoids, emphasizing surgical options while starting with conservative treatment.
- Most grade II hemorrhoids can be managed effectively with conservative measures, but surgery may be an option for severe cases.
- For grade III and IV hemorrhoids, preferred surgical methods include Doppler guided dearterilization, stapled haemorrhoidopexy, or the conventional Milligan Morgan haemorrhoidectomy.
Article Abstract
These guidelines provide a review of diagnosis, conservative and surgical treatment of haemorrhoids with primary focus on the surgical treatment. In symptomatic hemorrhoids it is recommended, that conservative treatment is used as basic treatment regardless of grading. The vast majority of grade II haemorrhoids are treated conservatively, but surgery may be considered in a few cases with pronounced symptoms. In these cases chirurgia minor, Doppler guided dearterilization procedures or stapled haemorrhoidopexy are recommended. In grade III and IV Doppler guided dearterilization procedures, stapled haemorrhoidopexy (Grade III) or conventional Milligan Morgan haemorrhoidectomy are recommended.
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