Abstract
Haemorrhoids represent one of the most frequent proctologic diseases, ranging in the adult population from 4 to 34 %. Bleeding during or soon after evacuation, anal pain and/or discomfort and haemorrhoidal prolapse are the most common findings. According to the “Unitary Theory of Rectal Prolapse”, haemorrhoids are determined by an internal rectal prolapse that can be limited to the rectal mucosa (mucosal prolapse) or involve the muscle wall (full-thickness rectal prolapse) as well. During defecation, this internal prolapse can descend down to the anal canal, up to or even beyond the anal verge, thus pushing out anorectal mucosa and haemorrhoids. This dynamic prolapse weakens over time the supporting structures, such as Treitz’s and Parks’ ligaments, with a progressive sliding down of the haemorrhoids, which is primarily due to the internal recto-anal prolapse.
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Reboa, G., Gipponi, M. (2015). The Role of High Volume Devices in the Prevention of Residual/Recurrent Haemorrhoidal Prolapse After Stapled Haemorrhoidopexy: Experimental and Clinical Data. In: Meng, W., Cheung, H., Lam, D., Ng, S. (eds) Minimally Invasive Coloproctology. Springer, Cham. https://doi.org/10.1007/978-3-319-19698-5_17
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DOI: https://doi.org/10.1007/978-3-319-19698-5_17
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