Dr. Vincent de Parades discussed the management of hemorrhoidal disease at a conference in France. For edematous hemorrhoidal thrombosis, NSAIDs and analgesics are recommended. Topical treatments are not proven effective for hemorrhoids, but may be prescribed for hemorrhoidal thrombosis. For abscesses, NSAIDs should not be used. If medical management fails, minimally invasive surgery is recommended, such as elastic band ligation or infrared photocoagulation. Surgery, including hemorrhoidectomy, is recommended for severe cases. Hemorrhoidal embolization is another option for bleeding without prolapse. These treatments aim to reduce pain and improve quality of life for patients with hemorrhoidal disease.
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When and How to Intervene
