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Treatment of Perianal Thrombosis

Due to the difficulties associated with the organization of treatment in Turkey, Switzerland, South Korea and India, we are not currently processing requests to these regions.

If you are interested in treatment in Germany, please leave a request and our specialists will contact you as soon as possible.

 

Cost for treatment

Diagnostic tests for perianal thrombosis
 from  349
Surgical treatment of perianal thrombosis
 from  1440
General therapeutic rehabilitation
 from  565.57

Academic Hospital Brothers of Mercy Munich

10/10
location_onGermany, Munich

Department of General and Abdominal Surgery

According to the Focus magazine, the Academic Hospital Brothers of Mercy Munich ranks among the top German hospitals in the Federal State of Bavaria! The hospital is a modern medical facility with the highest level of medical care and long traditions. The hospital operates on the basis of the Technical University of Munich and t
Diagnostic tests for perianal thrombosis
1504
Surgical treatment of perianal thrombosis
4774

University Hospital of Ludwig Maximilian University of Munich

10/10
location_onGermany, Munich

Department of General, Abdominal and Transplant Surgery

According to the Focus magazine, the University Hospital of Ludwig Maximilian University of Munich is regularly ranked among the best medical institutions in Germany! The hospital is the largest multidisciplinary medical facility, as well as a leading research and training center in Germany and Europe. The hospital is proud of i
Diagnostic tests for perianal thrombosis
1649
Surgical treatment of perianal thrombosis
5474

Charite University Hospital Berlin

9/10
location_onGermany, Berlin

Department of General, Abdominal and Vascular Surgery

According to the authoritative Focus magazine, the Charite University Hospital Berlin occupies the first place in the rating of the top German medical facilities! The hospital is one of the largest and leading university medical complexes in Europe. The hospital in Germany provides modern diagnostics and treatment of patients, a
Diagnostic tests for perianal thrombosis
2042
Surgical treatment of perianal thrombosis
6989

University Hospital Ulm

8.7/10
location_onGermany, Ulm

Department of General and Abdominal Surgery

The University Hospital Ulm started its activities 35 years ago and during this time it has become one of the most prestigious medical institutions in Europe. The hospital is famous for its numerous discoveries and the world-class achievements in medicine and pharmaceuticals. The medical facility has 29 specialized departments a
Diagnostic tests for perianal thrombosis
1611
Surgical treatment of perianal thrombosis
5167

University Hospital Carl Gustav Carus Dresden

9.1/10
location_onGermany, Dresden

Department of Abdominal, Thoracic and Vascular Surgery

According to the prestigious Focus magazine, the University Hospital Carl Gustav Carus Dresden is among the top three hospitals in Germany! The hospital is the embodiment of the standards of modern high-quality medicine. Since the hospital positions itself as a maximum care medical facility, it represents all medical fields. The
Diagnostic tests for perianal thrombosis
1842
Surgical treatment of perianal thrombosis
6151

University Hospital Marburg UKGM

8.6/10
location_onGermany, Marburg

Department of Abdominal, Thoracic and Vascular Surgery

The University Hospital Marburg UKGM offers patients modern diagnostics and comprehensive therapy at the international level. As a maximum care hospital, the medical facility specializes in all fields of modern medicine ranging from ophthalmology to traumatology and dentistry. The main areas of specialization of the hospital are
Diagnostic tests for perianal thrombosis
1478
Surgical treatment of perianal thrombosis
4678

University Hospital Frankfurt am Main

10/10
location_onGermany, Frankfurt am Main

Department of General and Abdominal Surgery

According to the reputable Focus magazine, the University Hospital Frankfurt am Main ranks among the top German medical facilities! The hospital was founded in 1914 and today is a well-known German medical facility, which combines rich traditions and scientific innovations. A medical team of more than 6,500 employees cares about
Diagnostic tests for perianal thrombosis
1540
Surgical treatment of perianal thrombosis
4884

University Hospital RWTH Aachen

9.2/10
location_onGermany, Aachen

Department of Adult and Pediatric General, Abdominal, Transplant Surgery

According to the prestigious Focus magazine, the University Hospital RWTH Aachen ranks among the top German hospitals! As a maximum care university medical facility, the hospital guarantees patients first-class medical services combined with a respectful and human attitude. The hospital integrates all the modern options for the
Diagnostic tests for perianal thrombosis
1674
Surgical treatment of perianal thrombosis
5375

University Hospital Jena

8.9/10
location_onGermany, Jena

Department of General, Abdominal and Vascular Surgery

According to the prestigious Focus magazine, the University Hospital Jena regularly ranks among the top German medical facilities! The hospital has positioned itself as a multidisciplinary medical facility with a long history of more than 200 years. Since its foundation, the hospital has been constantly developing and modernizin
Diagnostic tests for perianal thrombosis
1450
Surgical treatment of perianal thrombosis
4419

University Hospital Heidelberg

9.8/10
location_onGermany, Heidelberg

Department of General, Abdominal and Transplant Surgery

According to the Focus magazine, the University Hospital Heidelberg ranks among the top five hospitals in Germany! The hospital is one of the most advanced and reputable medical institutions not only in Germany, but throughout Europe. There are more than 43 specialized departments and 13 medical institutes, which cover all field
Diagnostic tests for perianal thrombosis
0
Surgical treatment of perianal thrombosis
0

University Hospital Halle (Saale)

9.6/10
location_onGermany, Halle

Department of General, Abdominal, Vascular and Endocrine Surgery

According to the prestigious Focus magazine, the University Hospital Halle (Saale) ranks among the top German medical facilities! The history of the hospital has more than 300 years, and during this time it managed to earn an excellent reputation not only in Germany, but throughout the world. The hospital positions itself as a s
Diagnostic tests for perianal thrombosis
1527
Surgical treatment of perianal thrombosis
4909

University Hospital Hamburg-Eppendorf

9.2/10
location_onGermany, Hamburg

Department of General, Abdominal and Thoracic Surgery

According to the Focus magazine, the University Hospital Hamburg-Eppendorf ranks among the top ten hospitals in Germany! Since its foundation in 1889, the hospital has taken a leading position in the European medical arena and still occupies it until today. A highly competent medical team of more than 11,000 employees takes care
Diagnostic tests for perianal thrombosis
1846
Surgical treatment of perianal thrombosis
6185

University Hospital Würzburg

9.2/10
location_onGermany, Würzburg

Department of General, Abdominal, Transplant, Vascular and Pediatric Surgery

According to the Focus magazine in 2019, the University Hospital Würzburg ranks among the top national German hospitals! The hospital is one of the oldest medical facilities in Germany. The centuries-old traditions of first-class treatment are combined with the very latest achievements of modern evidence-based medicine and
Diagnostic tests for perianal thrombosis
1542
Surgical treatment of perianal thrombosis
4892

University Hospital Tuebingen

9.2/10
location_onGermany, Tuebingen

Department of General, Abdominal, Adult and Pediatric Transplant Surgery

According to the prestigious medical publication Focus, the University Hospital Tuebingen ranks among the top five German hospitals! The hospital was founded in 1805, therefore it is proud of its long history, unique experience, and outstanding achievements in the field of medical care, as well as research and teaching activitie
Diagnostic tests for perianal thrombosis
1584
Surgical treatment of perianal thrombosis
5245

University Hospital Rechts der Isar Munich

9.8/10
location_onGermany, Munich

Department of Surgery

According to the prestigious FOCUS magazine, the University Hospital Rechts der Isar Munich ranks among the Germany's top medical institutions! Founded in 1834, the hospital combines long traditions and the very latest achievements of modern medicine. The medical facility includes 33 specialized departments, 20 interdiscipli
Diagnostic tests for perianal thrombosis
1648
Surgical treatment of perianal thrombosis
5436

University Hospital Muenster

9.8/10
location_onGermany, Muenster

Department of General, Abdominal and Transplant Surgery

According to the Focus magazine, the University Hospital Muenster ranks among the top German hospitals! The hospital belongs to the most prestigious medical institutions in Germany. The hospital is distinguished by a high professionalism of its doctors, state-of-the-art technological equipment and the availability of the most ad
Diagnostic tests for perianal thrombosis
1532
Surgical treatment of perianal thrombosis
4936
| from Booking Health GmbH

In case of chronic hemorrhoids, some patients develop blood clots in the hemorrhoidal nodes. This condition is called perianal venous thrombosis. It is accompanied by unbearable pain. In one of three cases, the necrosis of the node wall occurs. The pathology can cause complications such as severe bleeding and purulent inflammation in the anus. Doctors abroad perform sparing minimally invasive procedures and operations for the treatment of the disease.

Content

  1. Causes
  2. Types of pathology
  3. Symptoms
  4. Diagnostics
  5. Treatment tactics
  6. Surgical treatment
  7. Where to undergo treatment

Causes 

 

Perianal thrombosis is an acute complication of hemorrhoids. It occurs due to the development of blood clots in the hemorrhoidal nodes. This disease also has other names. These are as follows: 

  • Perianal venous thrombosis.
  • Acute thrombosis of the external hemorrhoidal nodes. 
  • Anal or perianal hematoma.
  • Thrombosed hemorrhoids. 
  • Hemorrhoidal thrombosis. 

The causes of the pathology are unknown. Many patients report the onset of their first symptoms after heavy physical exertion or prolonged sitting. Acute perianal thrombosis develops more often in pregnant women.

Types of pathology 

 

Here are some clinical variants of the disease that correspond to the severity:

  • Node thrombosis without inflammation.
  • Thrombosis with inflammation.
  • Thrombosis with the spread of the inflammatory process to the subcutaneous fat, perianal skin, accompanied by necrosis (death) of the mucous membrane of hemorrhoidal nodes.

According to the localization of the process, thrombosis can be external or internal. In 85% of cases, a combined variant of the pathology is diagnosed.

Symptoms 

 

The main patient complaints are as follows: 

  • Severe pain. 
  • Foreign body sensation. 
  • Bleeding that occurs when the area of the skin over the blood clot dies. 

The pain can be more severe in the following cases: 

  • Defecation, especially difficult, in patients with constipation.
  • After taking laxatives. 

The most intense pain occurs in the first 1-2 days. The larger the thrombosed nodes, the stronger the pain syndrome. Even in the natural course of the disease, when the patient is not receiving treatment, thrombosis is not always complicated by inflammation. After a few days, the nodes decrease in size, and the pain becomes less pronounced.

Some patients may develop inflammation in the rectal area as a result of thrombosis. In this case, the pain intensifies and general symptoms such as weakness and fever develop.

In one of three patients, the wall of the node dies off. A hole is formed, and the blood clot comes out through it on its own.

Diagnostics 

 

The basis of diagnostics is the assessment of patient complaints and objective examination: check-up, palpation of the anus. When conducting a diagnostic examination, the doctor may see a blue formation near the anus.

Laboratory diagnostics can assess blood loss and detect signs of inflammation.

The doctor's task is not only to make a diagnosis, but it is also important to determine the therapeutic tactics, to exclude or detect infectious complications of thrombosis: paraproctitis, phlegmon of the anus and others.

Treatment tactics 

 

The most significant factor influencing the choice of treatment method is the period of diagnosis of perianal thrombosis. If the diagnosis is established within the first 3 days, surgery is performed. If the diagnosis is made later, doctors often use only conservative therapy.

Conservative therapy involves the use of pain relievers. These are local agents with anesthetics that "turn off" sensitivity in the area of application, as well as agents that relax the anal sphincter, namely calcium channel blockers and NO donors (nitrates).

To prevent blood clots, local agents with anticoagulants are used. Edema can be reduced due to the use of venotonic medications, which are drugs that increase the tone of the venous vessels. With the inflammation joined, nonsteroidal anti-inflammatory drugs and antibiotics are prescribed. For bleeding, vasoconstrictor agents are used.

Surgical treatment 

 

The main goal of surgical treatment is pain relief. Other objectives include the prevention of complications such as bleeding or purulent inflammation in the anus.

The operations for perianal thrombosis are non-traumatic. They are quickly performed and immediately relieve the patient's condition. The main types of interventions are:

Blood clot evacuation. The doctor removes the clot from the blood vessel, and thus restores blood circulation in the tissues. Hemorrhoidal nodes are not removed. In the future, patients are recommended to have surgical treatment of hemorrhoids on a scheduled basis.

"Economical" hemorrhoidectomy. The operation to remove only the external thrombosed hemorrhoidal node. This surgery is more traumatic, but it has a lower risk of recurrence compared to blood clot evacuation. 

Bleeding control. With heavy bleeding, doctors use various methods to stop it. These can be: 

  • Retroclusion. 
  • Sclerotherapy, which involves the introduction of a substance into the vessels that "glues" it and stops the blood flow. 
  • Ligation (bandaging) of the bleeding node. 

Where to undergo treatment 

 

To receive the highest level of medical care, you can undergo treatment of perianal thrombosis abroad. The specialists of the Booking Health company will select the best clinics for the treatment of perianal thrombosis for you. We will take care of the arrangement of your urgent treatment and emergency surgery in one of the developed countries.

There are several reasons for you to undergo treatment of perianal venous thrombosis abroad: 

  • High-precision diagnostics. 
  • Individual choice of treatment method, depending on the timing of treatment, the number of thrombosed nodes, the severity of pain, the presence of complications.
  • Sparing minimally invasive methods of surgical debridement of thrombosis.
  • The use of reliable surgical interventions with minimal risk of recurrent thrombosis.
  • Additional minimally invasive procedures and surgical interventions to eliminate hemorrhoids.
  • Sparing methods of stopping bleeding from hemorrhoidal nodes.
  • Successful surgical interventions even in the most severe cases, with the development of infectious complications (paraproctitis, phlegmon).
  • Low risk of complications. 
  • Quality postoperative care and recovery.

Please leave your request on the Booking Health website. Our specialist will contact you within just a few hours. If you book a medical care program via our service, the cost of the operation will be lower due to the lack of additional coefficients for foreign patients. You can compare prices in different hospitals in order to book your treatment at the best price.

Authors: Dr. Nadezhda Ivanisova, Dr. Sergey Pashchenko




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