Minimally Invasive Treatment of Advanced Hemorrhoids and Ultrasound Imaging of Hemorrhoids
نویسنده
چکیده
The current patho-physiologies of hemorrhoids include the degenerative change of supportive tissue within the anal cushions, vascular hyperplasia, and hyper perfusion of the hemorrhoidal plexus. On the one hand hemorrhoidectomy has been the mainstay of surgical treatment, while more recently other approaches have been employed including stapled hemorrhoidopexy and Dopplerguided hemorrhoidal artery ligation. In Japan, on the other hand aluminum potassium sulfate and tannic acid sclerotherapy has been the mainstay for all Goligher grade internal hemorrhoids as a minimally invasive non-operative treatment since 2000. As well, ultrasound imaging of hemorrhoids is improving and useful for the evaluation of treatment.
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