Acute thrombosis of hemorrhoidal nodes: conservative against surgical treatment

А comparative analysis of the effectiveness of conservative and surgical treatment of acute thrombosis of hemorrhoids. Was performed: 125 (61.6%) patients who received conservative treatment and 78 (38.4%) operated patients. The conservative treatment program contained recommendations on nutrition, formation of a bowel movement regime, use of thermal baths, and taking systemic and topical medications. Patients of the second group underwent surgical intervention in the amount of thrombectomy or excision of a thrombosed hemorrhoid node under local infiltration anesthesia. Results of the study : patients who received conservative therapy and patients who underwent surgery were comparable in gender, age, and stage of acute hemorrhoidal thrombosis. Statistically significant differences were found between the patients of the two groups in pain assessment on the 1st and 7th days of treatment (p=0.043 and p=0.037, respectively) and the duration of temporary disability (p=0.032). Surgical intervention in hemorrhoids complicated by acute thrombosis of hemorrhoids is a method of choice with many advantages. The key ones are to reduce pain on the 1st day after treatment to 3 points on the visual-analog scale (VAS), on the 7th day – to 1 point according to VAS. Compared with the group of patients receiving conservative therapy, after surgical treatment of acute hemorrhoidal thrombosis, a lower incidence of disease recurrence was noted. During the study period, a recurrent course was observed in 1 (2.0%) patient after surgery versus 5 (10.2%) cases in the conservative treatment group. Surgical treatment provides faster labor rehabilitation and reduces the period of temporary disability to 6.3 ± 0.3 days.