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Der Urologe

, Volume 46, Issue 3, pp 303–315 | Cite as

Das Hämorrhoidalleiden

  • G. PühseEmail author
  • F. Raulf
CME Weiterbildung • Zertifizierte Fortbildung

Zusammenfassung

Ein verbessertes Verständnis der Anatomie des Analkanals und der Funktion des Hämorrhoidalplexus hat zur Entwicklung neuer Behandlungsmethoden des Hämorrhoidalleidens geführt. Die klassischen und bekannten konservativen Verfahren (Sklerosierung, Gummibandligatur) haben ebenso wie die klassischen operativen Methoden aber weiterhin ihr breites Indikationsspektrum in der stadiengerechten Therapie. Neben neuen, semioperativen Verfahren, wie z. B. der Hämorrhoidalarterienligatur (HAL) in der ambulanten Therapie, findet im Rahmen der operativen Versorgung insbesondere die Staplerhämorrhoidopexie eine zunehmende Verbreitung und konkurriert mit den etablierten Verfahren.

Schlüsselwörter

Hämorrhoiden Sklerosierung Gummibandligatur Hämorrhoidektomie Staplerhämorrhoidopexie 

Haemorrhoidal suffering

Abstract

Improvements in our understanding of the anatomy of haemorrhoids have prompted the development of new and innovative methods of treatment. Conservative treatment consists of dietary and lifestyle modifications. Standard interventional procedures in outpatient treatment are injection sclerotherapy and rubber band ligation. Among the surgical options for prolapsed haemorrhoids, formal haemorrhoidectomy now competes with stapled haemorrhoidopexy, which is less painful and allows shorter convalescence but may have a higher recurrence rate and needs further long-term evaluation.

Keywords

Haemorrhoids Sclerotherapy Rubber band ligation Haemorrhoidectomy Stapled haemorrhoidopexy 

Notes

Interessenkonflikt

Es besteht kein Interessenkonflikt. Der korrespondierende Autor versichert, dass keine Verbindungen mit einer Firma, deren Produkt in dem Artikel genannt ist, oder einer Firma, die ein Konkurrenzprodukt vertreibt, bestehen. Die Präsentation des Themas ist unabhängig und die Darstellung der Inhalte produktneutral.

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Copyright information

© Springer Medizin Verlag 2007

Authors and Affiliations

  1. 1.Klinik und Poliklinik für UrologieUniversitätsklinikum MünsterMünsterDeutschland
  2. 2.Chirurgie II/KoloproktologieRaphaelsklinik MünsterMünsterDeutschland

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