Monday, 5 January 2015


Evidence Based Reports

Conservative management of symptomatic and/or complicated haemorrhoids in pregnancy and the puerperium (2012) [Cochrane Library]

Phlebotonics for haemorrhoids (2012)[Cochrane Library]

Rubber band ligation versus excisional haemorrhoidectomy for haemorrhoids (2011)[Cochrane Library]

Conventional versus LigaSure hemorrhoidectomy for patients with symptomatic Hemorrhoids (2011)[Cochrane Library]

Traditional Chinese Medicine herbs for stopping bleeding from haemorrhoids (2010)[Cochrane Library]

Stapled versus conventional surgery for hemorrhoids (2010)[Cochrane Library]

Conservative management of symptomatic and/or complicated haemorrhoids in pregnancy and the puerperium (2010)[Cochrane Library]

Haemorrhoids (2009)[Clinical Evidence] subscription required

Stapled haemorrhoidectomy (haemorrhoidopexy) for the treatment of haemorrhoids: a systematic review and economic evaluation (2009)[DARE]

Clinical Guidelines

Haemorrhoids (2012)[CKS]

Recent articles in core journals

Residual skin tags following procedure for prolapse and hemorrhoids: differentiation from recurrence.(2010)[EvicenceUpdates]

Randomized clinical trial of symptom control after stapled anopexy or diathermy excision for haemorrhoid prolapse (2010)[EvicenceUpdates]

Randomized prospective study of endoscopic rubber band ligation compared with bipolar coagulation for chronically bleeding internal hemorrhoids.(2009)[EvidenceUpdates]

Randomized clinical trial of botulinum toxin injection for pain relief in patients with thrombosed external haemorrhoids.(2008)[EvidenceUpdates]


Hemorrhoid Surgery (2014)[eMedicine]updated

Hemorrhoids (2014)[eMedicine]updated

Haemorrhoids (Piles)(2010)[Mentor]

Clinical Queries

How successful is the haemorrhoidal artery ligation operation? (2010)[ATTRACT]

What is the management of thrombosed haemorrhoids? (2008)[ATTRACT]

What proportion of otherwise well elderly men with visible haemorrhoids on proctoscopy and recurrent fresh rectal bleeding also have a bowel malignancy? (2008)[TRIPAnswers]

Should all patients with rectal bleeding be referred for further investigations even if have strong history and examination consistent with haemorrhoids? (2008)[TRIPAnswers]

Patient Information

Surgery for piles(haemorrhoidectomy)(2014)[BUPA] updated

Piles (Haemorrhoids)(2014)[NHS Choices] updated

Haemorrhoids (Piles)(2014)[Patient UK]updated


1. If you are a Welsh Primary Care Professional with a clinical query send it to ATTRACT online or email us at or call 01495 332343.
2. If you would like to comment on this CME topic, or suggest a new topic for ATTRACTcme, go to the comments hyperlink below.

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