Q) 57 year old male come to the surgery clinic with bleeding PR. He is diagnosed with Haemarrhoids . What is not an indication of haemorrhoidectomy
a) Persistent Second degree haemorrhoid 5 days after sclerotherapy
b) 3rd degree haemorrhoid
c) Fibrosed haemorrhoid
d) Interno-external haemorrhoids when the external haemorrhoid is well defined.
Ans a
Haemorrhoids can persist for 10 days after sclerotherapy
The indications for haemorrhoidectomy include:
● third- and fourth-degree haemorrhoids;
● second-degree haemorrhoids that have not been cured by non-operative treatments;
● fibrosed haemorrhoids;
● interno-external haemorrhoids when the external haemorrhoid is well defined.
Four degrees of haemorrhoids ●●
First degree – bleed only, no prolapse ●●
Second degree – prolapse but reduce spontaneously ●●
Third degree – prolapse and have to be manually reduced ●●
Fourth degree – permanently prolapsed
BAiley 28th page 1431
