eMedicine Specialties > Clinical Procedures > Soft Tissue Procedures

Thrombosed External Hemorrhoid Excision: Multimedia

Author: Brett Wallace Lorber, MD, MPH, Staff Physician, Emergency Department, Olive View/UCLA Medical Center
Coauthor(s): Rick Kulkarni, MD, Assistant Professor of Surgery, Section of Emergency Medicine, Yale-New Haven Hospital
Contributor Information and Disclosures

Updated: Apr 30, 2009

Multimedia

Taping of patient prior to procedure (thrombosed ...Media file 1: Taping of patient prior to procedure (thrombosed external hemorrhoid is at the 9-o'clock position).
Taping of patient prior to procedure (thrombosed ...

Taping of patient prior to procedure (thrombosed external hemorrhoid is at the 9-o'clock position).

Light source preparation for sterile field.Media file 2: Light source preparation for sterile field.
Light source preparation for sterile field.

Light source preparation for sterile field.

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Media file 3: Local anesthesia injected at hemorrhoid base and within the hemorrhoid.
Local anesthesia injected at hemorrhoid base and ...

Local anesthesia injected at hemorrhoid base and within the hemorrhoid.

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Media file 4: Application of povidone-iodine (Betadine) antiseptic.
Application of povidone-iodine (Betadine) antisep...

Application of povidone-iodine (Betadine) antiseptic.

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Media file 5: Primary elliptical incision over hemorrhoid.
Primary elliptical incision over hemorrhoid.

Primary elliptical incision over hemorrhoid.

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Media file 6: Further incision with removal of clot.
Further incision with removal of clot.

Further incision with removal of clot.

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Media file 7: Gauze packing postprocedure.
Gauze packing postprocedure.

Gauze packing postprocedure.

Dressing postexcision.Media file 8: Dressing postexcision.
Dressing postexcision.

Dressing postexcision.

Dressing postexcision.Media file 9: Dressing postexcision.
Dressing postexcision.

Dressing postexcision.

Thrombosed hemorrhoid. Image courtesy of Dr. Jona...Media file 10: Thrombosed hemorrhoid. Image courtesy of Dr. Jonathan Adler. This thrombosed hemorrhoid was treated by incision and removal of clot.
Thrombosed hemorrhoid. Image courtesy of Dr. Jona...

Thrombosed hemorrhoid. Image courtesy of Dr. Jonathan Adler. This thrombosed hemorrhoid was treated by incision and removal of clot.

Anatomy of external hemorrhoid. Image courtesy of...Media file 11: Anatomy of external hemorrhoid. Image courtesy of MedicineNet, Inc.
Anatomy of external hemorrhoid. Image courtesy of...

Anatomy of external hemorrhoid. Image courtesy of MedicineNet, Inc.

More on Thrombosed External Hemorrhoid Excision

Overview: Thrombosed External Hemorrhoid Excision
Treatment & Medication: Thrombosed External Hemorrhoid Excision
Multimedia: Thrombosed External Hemorrhoid Excision
References
Further Reading

References

  1. Oh C. Acute thrombosed external hemorrhoids. Mt Sinai J Med. Jan 1989;56(1):30-2. [Medline].

  2. Tan KY, Seow-Choen F. Fiber and colorectal diseases: separating fact from fiction. World J Gastroenterol. Aug 21 2007;13(31):4161-7. [Medline].

  3. Abramowitz L, Sobhani I, Benifla JL, Vuagnat A, Daraï E, Mignon M, et al. Anal fissure and thrombosed external hemorrhoids before and after delivery. Dis Colon Rectum. May 2002;45(5):650-5. [Medline].

  4. Cheng CY, Li Q. Integrative review of research on general health status and prevalence of common physical health conditions of women after childbirth. Womens Health Issues. Jul-Aug 2008;18(4):267-80. [Medline].

  5. Stites T, Lund DP. Common anorectal problems. Semin Pediatr Surg. Feb 2007;16(1):71-8. [Medline].

  6. Alonso-Coello P, Mills E, Heels-Ansdell D, López-Yarto M, Zhou Q, Johanson JF, et al. Fiber for the treatment of hemorrhoids complications: a systematic review and meta-analysis. Am J Gastroenterol. Jan 2006;101(1):181-8. [Medline].

  7. Greenspon J, Williams SB, Young HA, Orkin BA. Thrombosed external hemorrhoids: outcome after conservative or surgical management. Dis Colon Rectum. Sep 2004;47(9):1493-8. [Medline].

  8. Cavcic J, Turcic J, Martinac P, Mestrovic T, Mladina R, Pezerovic-Panijan R. Comparison of topically applied 0.2% glyceryl trinitrate ointment, incision and excision in the treatment of perianal thrombosis. Dig Liver Dis. May 2001;33(4):335-40. [Medline].

  9. Tan KY, Sng KK, Tay KH, Lai JH, Eu KW. Randomized clinical trial of 0.2 per cent glyceryl trinitrate ointment for wound healing and pain reduction after open diathermy haemorrhoidectomy. Br J Surg. Dec 2006;93(12):1464-8. [Medline].

  10. Perrotti P, Antropoli C, Molino D, De Stefano G, Antropoli M. Conservative treatment of acute thrombosed external hemorrhoids with topical nifedipine. Dis Colon Rectum. Mar 2001;44(3):405-9. [Medline].

  11. Zuber TJ. Hemorrhoidectomy for thrombosed external hemorrhoids. Am Fam Physician. Apr 15 2002;65(8):1629-32, 1635-6, 1639. [Medline][Full Text].

  12. Feldman M. Hemorrhoids. In: Sleisenger & Fordtran's Gastrointestinal and Liver Disease. 7th ed. Elsevier; 2002:2281-82.

  13. Reichman EF, Simon RR. External Hemorrhoid Management. In: Emergency Medicine Procedures. McGraw-Hill Medical Publishing; 2004:496-500.

  14. Roberts JR, Hedges JR. Anorectal Procedures. In: Clinical Procedures in Emergency Medicine. 4th ed. Philadelphia, PA: WB Saunders Company; 2004:871-4.

Further Reading

National Institute of Diabetes and Digestive and Kidney Disease, NIH: Hemorrhoids

National Library of Medicine, NIH: Hemorrhoids

Keywords

hemorrhoid, thrombosed external hemorrhoid, hemorrhoid excision, hemroid, hemroids, hemorrhoid treatment, hemorrhoid surgery, external hemorrhoid, external hemorrhoids, hemorrhoid relief, thrombosed hemorrhoid, hemorrhoid pictures

Contributor Information and Disclosures

Author

Brett Wallace Lorber, MD, MPH, Staff Physician, Emergency Department, Olive View/UCLA Medical Center
Brett Wallace Lorber, MD, MPH is a member of the following medical societies: American College of Emergency Physicians
Disclosure: Nothing to disclose.

Coauthor(s)

Rick Kulkarni, MD, Assistant Professor of Surgery, Section of Emergency Medicine, Yale-New Haven Hospital
Rick Kulkarni, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Emergency Medicine, American College of Emergency Physicians, American Medical Association, American Medical Informatics Association, Phi Beta Kappa, and Society for Academic Emergency Medicine
Disclosure: WebMD Salary Employment

Medical Editor

Erik D Schraga, MD, Consulting Staff, Department of Emergency Medicine, Mills-Peninsula Emergency Medical Associates; Consulting Staff, Permanente Medical Group, Kaiser Permanente, Santa Clara Medical Center
Disclosure: Nothing to disclose.

Pharmacy Editor

Mary L Windle, PharmD, Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy, Pharmacy Editor, eMedicine
Disclosure: Pfizer Inc Stock Investment from financial planner; Avanir Pharma Stock Investment from financial planner ; WebMD Salary and stock Employment and investment from financial planner

Managing Editor

Luis M Lovato, MD, Associate Clinical Professor, David Geffen School of Medicine at UCLA; Director of Critical Care, Department of Emergency Medicine, Olive View/UCLA Medical Center
Luis M Lovato, MD is a member of the following medical societies: Alpha Omega Alpha, American College of Emergency Physicians, and Society for Academic Emergency Medicine
Disclosure: Nothing to disclose.

CME Editor

Gil Z Shlamovitz, MD, Assistant Professor of Emergency Medicine, University of Connecticut School of Medicine; Attending Physician, Emergency Department, Windham Community Memorial Hospital, Willimantic, CT; Attending Physician, Emergency Department, Hartford Hospital, Hartford, CT
Gil Z Shlamovitz, MD is a member of the following medical societies: American Academy of Emergency Medicine and American College of Emergency Physicians
Disclosure: Nothing to disclose.

Chief Editor

Erik D Schraga, MD, Consulting Staff, Department of Emergency Medicine, Mills-Peninsula Emergency Medical Associates; Consulting Staff, Permanente Medical Group, Kaiser Permanente, Santa Clara Medical Center
Disclosure: Nothing to disclose.

 
 
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