By vgreene, 8 December, 2014 Most excisions safely performed in office/ED w/ local anesthetic injection. Excise thrombosis w/ overlying skin to leave wide-open wound (vs simple I&D that allows local recurrence).
By vgreene, 8 December, 2014 Tx: thrombosed ext hemorrhoids eventually self-resolve, yet excision gives more rapid sx resolution, ↓recurrence, longer remission
By vgreene, 8 December, 2014 Hemorrhoid Management: 2014 ACG Guideline | epocrates Guideline Synopsis
By vgreene, 8 December, 2014 ACG Clinical Guideline: Management of Benign Anorectal Disorders. <i>Am J Gastroenterol.</i> 2014;109(8):1141-47.