External hemorrhoid excision - Revision history

Ostermayer: Prepared the page for translation

2026-01-04T22:54:09Z

Prepared the page for translation

← Older revision		Revision as of 22:54, 4 January 2026
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			<languages/>
			<translate>

	==Indications==		==Indications==
	*Acute (<72 hours) thrombosed [[external hemorrhoid]]
			*Acute (<72 hours) thrombosed [[Special:MyLanguage/external hemorrhoid\|external hemorrhoid]]
	*Pain/discomfort affects daily life		*Pain/discomfort affects daily life


	==Contraindications==		==Contraindications==

	*Immunocompromised patient		*Immunocompromised patient
	*Pediatric patient		*Pediatric patient
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	*Portal hypertension		*Portal hypertension
	*Coagulopathy		*Coagulopathy


	==Equipment Needed==		==Equipment Needed==

	*Scalpel		*Scalpel
	*Local anesthetic		*Local anesthetic


	==Procedure==		==Procedure==

	#Place patient in side-lying or prone position		#Place patient in side-lying or prone position
	#Apply lidocaine/prilocaine cream 1 hr prior to procedure		#Apply lidocaine/prilocaine cream 1 hr prior to procedure
	#*Apply tape to each buttock with force directed laterally for better visualization		#*Apply tape to each buttock with force directed laterally for better visualization
	#Inject local anesthetic (e.g. [[bupivacaine]] 0.5% with epi) with 30-gauge needle directly into dome of hemorrhoid as a ''single'' injection		#Inject local anesthetic (e.g. [[Special:MyLanguage/bupivacaine\|bupivacaine]] 0.5% with epi) with 30-gauge needle directly into dome of hemorrhoid as a ''single'' injection
	#*Alternatively, a [[perianal block]] can be used for local analgesia		#*Alternatively, a [[Special:MyLanguage/perianal block\|perianal block]] can be used for local analgesia
	#Make elliptical incision in overlying skin to expose the thrombosis		#Make elliptical incision in overlying skin to expose the thrombosis
	#*Remove the clot and the overlying skin through the incision site		#*Remove the clot and the overlying skin through the incision site
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	#*Leave in place for a few hours		#*Leave in place for a few hours
	#Apply pressure dressing have patient remove 6-12 hr later when takes first stiz bath		#Apply pressure dressing have patient remove 6-12 hr later when takes first stiz bath
	#Patient may apply soothing ointments (preparation H, Anusol HC, [[Lidocaine]] ointment) after dressing is removed		#Patient may apply soothing ointments (preparation H, Anusol HC, [[Special:MyLanguage/Lidocaine\|Lidocaine]] ointment) after dressing is removed
	#Provide follow up in 24-48hr		#Provide follow up in 24-48hr


	==Complications==		==Complications==

	*Continued bleeding		*Continued bleeding
	*Recurrence		*Recurrence
	*Infection		*Infection
	*[[anal fistula\|Fistula]]		*[[Special:MyLanguage/anal fistula\|Fistula]]
	*[[perianal Abscess\|Abscess]]		*[[Special:MyLanguage/perianal Abscess\|Abscess]]
	*[[anal tags\|Skin tags]]		*[[Special:MyLanguage/anal tags\|Skin tags]]


	==See Also==		==See Also==
	*[[Hemorrhoids]]
	*[[Anorectal disorders]]		*[[Special:MyLanguage/Hemorrhoids\|Hemorrhoids]]
	*[[Internal hemorrhoid]]		*[[Special:MyLanguage/Anorectal disorders\|Anorectal disorders]]
	*[[External hemorrhoid]]		*[[Special:MyLanguage/Internal hemorrhoid\|Internal hemorrhoid]]
			*[[Special:MyLanguage/External hemorrhoid\|External hemorrhoid]]


	==External Links==		==External Links==

	*[https://www.merckmanuals.com/professional/gastrointestinal-disorders/anorectal-disorders/hemorrhoids?query=external%20hemorrhoid Merk Manual - How To Do Hemorrhoidal Thrombectomy]		*[https://www.merckmanuals.com/professional/gastrointestinal-disorders/anorectal-disorders/hemorrhoids?query=external%20hemorrhoid Merk Manual - How To Do Hemorrhoidal Thrombectomy]


	===Videos===		===Videos===

			</translate>
	{{#widget:YouTube\|id=KU1c1JfpJHM}}		{{#widget:YouTube\|id=KU1c1JfpJHM}}
			<translate>


	==References==		==References==

	<references/>		<references/>

	[[Category:Procedures]]		[[Category:Procedures]]
	[[Category:GI]]		[[Category:GI]]
			</translate>

Blsimpso: /* External Links */

2021-07-16T00:30:40Z

External Links

← Older revision		Revision as of 00:30, 16 July 2021
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	==External Links==		==External Links==
	*[https://~~emedicine~~.~~medscape~~.com/~~article~~/~~81039~~-~~overview#showall Medscape~~ - ~~Thrombosed External Hemorrhoid Excision~~]		*[https://www.merckmanuals.com/professional/gastrointestinal-disorders/anorectal-disorders/hemorrhoids?query=external%20hemorrhoid Merk Manual - How To Do Hemorrhoidal Thrombectomy]

	===Videos===		===Videos===

Blsimpso: /* External Links */

2021-07-03T01:09:09Z

External Links

← Older revision		Revision as of 01:09, 3 July 2021
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	==External Links==		==External Links==
			*[https://emedicine.medscape.com/article/81039-overview#showall Medscape - Thrombosed External Hemorrhoid Excision]

	===Videos===		===Videos===

Blsimpso at 03:40, 29 June 2021

2021-06-29T03:40:06Z

← Older revision		Revision as of 03:40, 29 June 2021
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	*[[Internal hemorrhoid]]		*[[Internal hemorrhoid]]
	*[[External hemorrhoid]]		*[[External hemorrhoid]]

			==External Links==

			===Videos===
			{{#widget:YouTube\|id=KU1c1JfpJHM}}

	==References==		==References==

Elcatracho: /* See Also */

2021-02-21T01:27:16Z

ClaireLewis at 16:10, 9 October 2019

2019-10-09T16:10:06Z

← Older revision		Revision as of 16:10, 9 October 2019
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	==Indications==		==Indications==
	*Acute (<72 hours) thrombosed hemorrhoid		*Acute (<72 hours) thrombosed [[external hemorrhoid]]
	*Pain/discomfort affects daily life		*Pain/discomfort affects daily life

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	*Recurrence		*Recurrence
	*Infection		*Infection
	*Fistula		*[[anal fistula\|Fistula]]
	*Abscess		*[[perianal Abscess\|Abscess]]
	*Skin tags		*[[anal tags\|Skin tags]]

	==See Also==		==See Also==

Spenceemmett: /* Procedure */

2018-10-10T16:29:54Z

Procedure

← Older revision		Revision as of 16:29, 10 October 2018
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	==Procedure==		==Procedure==
	#Place patient in side-lying or prone position		#Place patient in side-lying or prone position
	#Apply ~~EMLA~~ 1 hr prior to procedure		#Apply lidocaine/prilocaine cream 1 hr prior to procedure
	#*Apply tape to each buttock with force directed laterally for better visualization		#*Apply tape to each buttock with force directed laterally for better visualization
	#Inject local anesthetic (e.g. [[bupivacaine]] 0.5% with epi) with 30-gauge needle directly into dome of hemorrhoid as a ''single'' injection		#Inject local anesthetic (e.g. [[bupivacaine]] 0.5% with epi) with 30-gauge needle directly into dome of hemorrhoid as a ''single'' injection

Spenceemmett: /* Indications */

2018-10-10T16:28:52Z

Indications

← Older revision		Revision as of 16:28, 10 October 2018
Line 1:		Line 1:
	==Indications==		==Indications==
	*Acute (<48 hours) thrombosed hemorrhoid		*Acute (<72 hours) thrombosed hemorrhoid
	*Pain/discomfort affects daily life		*Pain/discomfort affects daily life

Rossdonaldson1: /* Procedure */

2017-02-14T12:22:52Z

Procedure

← Older revision		Revision as of 12:22, 14 February 2017
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	#Apply EMLA 1 hr prior to procedure		#Apply EMLA 1 hr prior to procedure
	#*Apply tape to each buttock with force directed laterally for better visualization		#*Apply tape to each buttock with force directed laterally for better visualization
	#Inject local anesthetic (e.g. bupivacaine 0.5% with epi) with 30-gauge needle directly into dome of hemorrhoid as a ''single'' injection		#Inject local anesthetic (e.g. [[bupivacaine]] 0.5% with epi) with 30-gauge needle directly into dome of hemorrhoid as a ''single'' injection
	#*Alternatively, a [[perianal block]] can be used for local analgesia		#*Alternatively, a [[perianal block]] can be used for local analgesia
	#Make elliptical incision in overlying skin to expose the thrombosis		#Make elliptical incision in overlying skin to expose the thrombosis

Rossdonaldson1: /* Procedure */

2017-02-14T12:22:39Z

Procedure

← Older revision		Revision as of 12:22, 14 February 2017
Line 25:		Line 25:
	#*Leave in place for a few hours		#*Leave in place for a few hours
	#Apply pressure dressing have patient remove 6-12 hr later when takes first stiz bath		#Apply pressure dressing have patient remove 6-12 hr later when takes first stiz bath
	#Patient may apply soothing ointments (preparation H, Anusol HC, [[Lidocaine]] ointment)after dressing is removed		#Patient may apply soothing ointments (preparation H, Anusol HC, [[Lidocaine]] ointment) after dressing is removed
	#Provide follow up in 24-48hr		#Provide follow up in 24-48hr

← Older revision		Revision as of 01:27, 21 February 2021
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	==See Also==		==See Also==
	*[[Hemorrhoids]]		*[[Hemorrhoids]]
			*[[Anorectal disorders]]
			*[[Internal hemorrhoid]]
			*[[External hemorrhoid]]

	==References==		==References==