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Hemorrhoids and Anal Fissures: A Short Photo Essay

October 31, 2012

If a patient's pain is severe at evaluation and there is ulceration, surgical excision (pictured here) can provide relief. Locally anesthetize the hemorrhoid, make an elliptical incision, and evacuate the clot or, preferably, excise the hemorrhoid. The remaining wound can be left open or closed loosely with 4-0 chromic gut suture.

Excision of external hemorrhoid
Photo courtesy of Allen P. Kong, MD and Michael J. Stamos, MD.
 

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by cyrus hassan | November 29, 2012 12:27 PM EST

Excellent article.

Condition appear often with all three manifestation.Recuurence is too often,hence to stick to conservative therapy.

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