Editorial
Copyright ©The Author(s) 2016.
World J Gastroenterol. Jul 14, 2016; 22(26): 5867-5878
Published online Jul 14, 2016. doi: 10.3748/wjg.v22.i26.5867
Table 1 Technical notes for urgent hemorrhoidectomy
Preoperative intravenous antibiotics
Surgery under general anesthesia, regional anesthesia, or intravenous sedation plus perianal infiltration of local anesthetic agent(s)
Prone jackknife position
Manual reduction of prolapsing hemorrhoids
Compression of hemorrhoids to reduce edema
During an operation, use of large-diameter anoscope e.g., Fansler anoscope
Anoderm or mucosa-sparing hemorrhoidectomy (preferably semi-closed technique)
Allowance of at least 1-cm mucosal bridge between surgical wounds and at least 50% of good circumferential mucosa
Use of long-lasting absorbable sutures e.g., polyglactin 910 for mucosal approximation
If applicable, instead of hemorrhoidectomy, plication of hemorrhoid may be applied to small lesions
Oral postoperative antibiotics against anaerobes for 1 wk