Hemorrhoids are the consequence of the sitting defecation posture.
The defecation in the natural for a human being squatting posture will resolve this problem.
Try! It is not esthetic, but don't use the toilet bowl as a squatting device; it is dangerous (can break down) and may be not effective as doesn't permit natural squatting (see the instructions).

History of research of hemorrhoids is a history of one great mistake        sikironchair_01

                         History of treatment of hemorrhoids is history of needless invasive treatment.

 Wong J.C.H. et all  Stapled Technique for Acute Thrombosed Hemorrhoids: A Randomized, Controlled Trial with Long-Term Results. Desease Colon and Rectum Vol 51.

Number 4 April , 2008

The Purpose  of This study was designed to compare stapled vs. conventional hemorrhoidectomy for patients with acute thrombosed hemorrhoids.

The Methods Forty-one patients with acute thrombosed hemorrhoids were randomized into: 1) stapled hemorrhoidectomy (PPH group; n = 21), and 2) open hemorrhoidectomy (open group; n = 20). Emergency surgery was performed with perioperative data and complications were recorded. Patients were followed up by independent assessors to evaluate pain, recurrence, continence function, and satisfaction at regular intervals.

Results  The median follow-up for the PPH group and open group were 59 and 56 weeks, respectively. There was no significant difference in terms of the hospital stay, complication rate, and continence function; however, the mean pain intensity in the first postoperative week was significantly less in the PPH group (4.1 vs. 5.7, P = 0.02). Patients in the PPH group recovered significantly faster in terms of the time to become analgesic-free (4 vs. 8.5 days, P < 0.01), time to become pain-free (9 vs. 20.5 days, P = 0.01), resumption of work (7 vs. 12.5 days, P = 0.01), and time for complete wound healing (2 vs. 4 weeks, P < 0.01). On long-term follow-up, significantly fewer patients in the PPH group complained of recurrent symptoms (0 vs. 5, P = 0.02). The overall symptom improvement and patients' satisfaction were significantly better in the PPH group (90 vs. 80 percent, P = 0.03 and +3 vs. +2, P < 0.01 respectively).

Conclusions Stapled hemorrhoidectomy is safe and effective for acute thrombosed hemorrhoids. Similar to elective stapled procedure, emergency stapled excision has greater short-term benefits compared with conventional excision: diminished pain, faster recovery, and earlier return to work. Long-term results and satisfaction were excellent.

Hemorrhoids - Piles - Stapled - Thrombosed - Thrombosis

Presented at the Annual Scientific Meeting of Hong Kong Society for Coloproctology, Hong Kong, January 14, 2006, at the Conjoined Annual Scientific Meeting of Royal College of Surgeon of Edinburg and The College of Surgeons of Hong Kong, Hong Kong, October 10 to 13, 2006, and at Annual Scientific Meeting of the Society of Endoscopic and Laparoscopic Surgeons of Asia, Seoul, Korea, October 18 to 21, 2006.

 

Acute thrombosis of hemorrhoids is one of the most common perianal conditions requiring hospital admission. It causes significant morbidities and abstinence from work. Although the condition can be managed conservatively in some cases, the nonoperative approach often leads to prolonged hospitalization and disabilities. On the other hand, surgical excision for acute thrombosed hemorrhoids has been proven to be safe and effective, and results in more rapid symptom resolution and lower incidence of recurrence. However, postoperative pain is a major concern for patients. Although various strategies and techniques had been attempted by different enthusiasts trying to overcome or at least reduce this problem of postoperative pain, little success has been made and the postoperative pain remains significant and substantial. Thus ironically, even at the beginning of this new century, patients suffering from this painful condition are still mostly left with an equally painful wound in their bottoms.

The stapled procedure for hemorrhoids, first described by Longo in 1998, has rapidly emerged as a less painful alternative for treating hemorrhoidal disease. However, the use of this stapled technique in the presence of acute thrombosis remains controversial and data in the literature are limited. With this background, we conducted a prospective study that compared the outcomes of the stapled procedure with conventional surgical excision in the treatment of acute thrombosed hemorrhoid

Diseases colon and rectum vol. 51 number 4, April 2008