Today’s issue offers two review papers on the treatment of atypical patients with haemorrhoidal disease.

The first of the articles describes surgical management of a patient on regular anticoagulant therapy. The strategy of perioperative management in proctological patients treated for haemorrhoids who are on anticoagulants is not precisely defined, and literature reports on this subject are sparse. In this practical article, the author discusses specific anticoagulants and management in selected cases. A growing number of our patients take anticoagulants on a regular basis (1/4 of the adult population regularly use blood thinners), and the management of these patients must be particularly cautious (we are concerned about embolism on the one hand intra- and postoperative bleeding on the other hand).