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REVIEW ARTICLE
Year : 2021  |  Volume : 4  |  Issue : 3  |  Page : 68-72

PNR-bleed classification and the prospects of future research for the management of hemorrhoids


1 Department of General Surgery, GMC, Rajouri, Jammu and Kashmir, India
2 Department of General Surgery, SKIMS, Srinagar, Jammu and Kashmir, India
3 Department of Paediatric Surgery, Maternal and Child Hospital, Bisha, Saudi Arabia
4 Directorate of Health Services, Jammu and Kashmir, India

Correspondence Address:
Mudassir Ahmad Khan
Department of General Surgery, GMC, Rajouri, Jammu and Kashmir
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijcs.ijcs_1_21

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The classification and diagnostic and therapeutic protocols are yet to reach to an unequivocal and shared vision level. There is a dire need of some decisive guidelines for the management of hemorrhoids, but these new guidelines could not have any significant clinical impact unless they are based on a sound classification system. To overcome the drawbacks of previous classifications and to set the stage for further research for devising some robust guidelines for the management of hemorrhoids, our recently published classification system for hemorrhoids, viz., “PNR-Bleed Classification for hemorrhoids,” describes the hemorrhoidal disease more vividly. In the present article, we have discussed the possible directions for future research for the management of hemorrhoids based on this classification. The future studies may redefine the treatment options for hemorrhoids more clearly based on this classification. Initial theoretical and intuitive assessment of the “PNR-Bleed Classification” suggests that future studies on this project may have profound clinical and research consequences. Moreover, these future studies may help in revising and rediscovering the protocols for the management of hemorrhoidal disease. For regular follow-up of the hemorrhoidal patients, the “PNR-Bleed Classification”-based hemorrhoid severity score may prove a useful outpatient department-based assessment tool to the general surgeons and coloproctologist.


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