Thrombosed External Hemorrhoid Excision Questions & Answers

Updated: Aug 17, 2018
  • Author: Brett Wallace Lorber, MD, MPH, FACEP; Chief Editor: Erik D Schraga, MD  more...
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Questions & Answers

Overview

Where are external hemorrhoids (piles) located?

What are the risk factors for thrombosed external hemorrhoid?

What are the treatment options for thrombosed external hemorrhoids?

What is the role of excision in the treatment of thrombosed external hemorrhoids?

When is excision indicated in the treatment of external hemorrhoids?

What are the absolute contraindications to emergent excision of thrombosed external hemorrhoids?

What are the relative contraindications to emergent excision of thrombosed external hemorrhoids?

Periprocedural Care

What patient education should be given regarding excision of thrombosed external hemorrhoids?

What equipment is required for thrombosed external hemorrhoid excision?

What type of anesthesia is indicated in thrombosed external hemorrhoid excision?

How should patients be positioned for a thrombosed external hemorrhoid excision?

How should patients be monitored following excision of thrombosed external hemorrhoids?

Technique

How is exposure to thrombosed external hemorrhoid increased prior to excision?

Where is local anesthetic injected for excision of thrombosed external hemorrhoids?

How is a sterile field created for excision for thrombosed external hemorrhoids?

How is an elliptical incision made in thrombosed external hemorrhoid excision?

How should blood clots be removed from thrombosed external hemorrhoids?

How is gauze packed following thrombosed external hemorrhoid excision?

How is the wound dressed following thrombosed external hemorrhoid excision?

What is the postoperative care for thrombosed external hemorrhoid excision?

What are the possible complications of thrombosed external hemorrhoid excision?