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hemorrhoidectomy

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https://www.readbyqxmd.com/read/27902953/rectal-free-perforation-after-stapled-hemorrhoidopexy-a-case-report-of-laparoscopic-peritoneal-lavage-and-repair-without-stoma
#1
Seokyong Ryu, Byung-Noe Bae
INTRODUCTION: Stapled hemorrhoidopexy is widely performed for treatment of prolapsed hemorrhoids because of advantages, including shorter hospital stay and less discomfort, compared with conventional hemorrhoidectomy. However, it can have severe adverse effects, such as rectal bleeding, perforation, and sepsis. PRESENTATION OF CASE: We report the case of a healthy 28-year-old man who presented to the emergency department with sudden-onset diffuse abdominal pain and hematochezia...
November 21, 2016: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/27895851/evaluating-the-safety-efficacy-and-complications-of-electrotherapy-and-its-comparison-with-conventional-method-of-hemorrhoidectomy
#2
Payam Nikooiyan, Hamzeh Mohammadi Sardo, Bahram Poursaeidi, Motahareh Zaherara, Bijan Ahmadi
AIM: This study was performed to evaluate the efficacy, safety and complications of electrotherapy compared with conventional hemorrhoidectomy (Ferguson technique). BACKGROUND: Ferguson hemorrhoidectomy is always associated with considerable pain and postoperative complications. Still, the electrotherapy method in which the hemorrhoidal tissue is not removed may not improve critical complications. PATIENTS AND METHODS: This randomized clinical trial was performed on patients with hemorrhoids referring to hospitals affiliated to the Kerman University of Medical Sciences during 2014-2015...
2016: Gastroenterology and Hepatology From Bed to Bench
https://www.readbyqxmd.com/read/27888438/transanal-hemorrhoidal-dearterialization-with-mucopexy-versus-open-hemorrhoidectomy-in-the-treatment-of-hemorrhoids-a-meta-analysis-of-randomized-control-trials
#3
L Xu, H Chen, G Lin, Q Ge, H Qi, X He
BACKGROUND: The aim of this study was to analyse the outcomes of transanal hemorrhoidal dearterialization with mucopexy (THDm) versus open hemorrhoidectomy (OH) in the management of hemorrhoids. METHODS: Randomized controlled trials in English were found by searching PubMed, Web of science, EMBASE, and the Cochrane Library database. Trials that compared THDm with OH were identified. Data were extracted independently for each study, and a meta-analysis was performed using fixed and random effects models...
November 25, 2016: Techniques in Coloproctology
https://www.readbyqxmd.com/read/27806213/a-randomized-controlled-trial-comparing-laser-intra-hemorrhoidal-coagulation-and-milligan-morgan-hemorrhoidectomy
#4
Mohammad Naderan, Saeed Shoar, Mohammad Nazari, Ahmed Elsayed, Habibollah Mahmoodzadeh, Zhamak Khorgami
PURPOSE: To compare laser intra-hemorrhoidal coagulation with Milligan-Morgan (MM) hemorrhoidectomy. METHOD: Patients with symptomatic grade II or III internal hemorrhoids according to the Goligher's classification (refractory to medical treatment) were enrolled in this double-blinded randomized controlled trial study. In the laser group, hemorrhoidal columns were coagulated using a 980-nanometer (nm) radial laser emitting fiber (three, 15-W pulses of 1.2 s each, with 0...
November 2, 2016: Journal of Investigative Surgery: the Official Journal of the Academy of Surgical Research
https://www.readbyqxmd.com/read/27796581/treatment-of-accidental-perianal-injection-of-topical-thrombin-with-intravenous-antithrombin
#5
Vance G Nielsen, Samata R Paidy, Whitney McLeod, Alexandra Fox, Valentine N Nfonsam
While topical thrombin application can markedly improve surgical hemostasis, rapid absorption of thrombin can result in pulmonary embolism and death. We report a case of accidental interstitial infiltration of topical thrombin after hemorrhoidectomy that was treated with administration of human antithrombin and heparin anticoagulation. Except for a marked decrease in antithrombin activity from super normal to normal values, the patient exhibited no laboratory or clinical signs of pulmonary embolism, thrombin mediated consumptive loss of procoagulants, or regional thrombosis...
October 28, 2016: Journal of Thrombosis and Thrombolysis
https://www.readbyqxmd.com/read/27768009/ligasuretm-hemorrhoidectomy-how-we-do
#6
Giovanni Milito, Giorgio Lisi, Elena Aronadio, Michela Campanelli, Dario Venditti, Simona Grande, Michele Grande
BACKGROUNDS: Hemorrhoidectomy is considered the gold standard and the most effective and definitive treatment for grades 3 or 4 haemorrhoids, and Milligan-Morgan's and Ferguson's procedures are the most widely used techniques throughout the world. The aim of the study is to present our surgical technique using LigasureTM vessel sealing, focus on technical aspects and surgical tricks showing our results with a huge number of patients and a long-term follow-up. METHODS: Between June 2001 and June 2014 at the University Hospital of Tor Vergata, Rome, Italy, 1000 patients were selected to underwent LigaSureTM hemorrhoidectomy for III and IV degree haemorrhoids...
October 21, 2016: Minerva Gastroenterologica e Dietologica
https://www.readbyqxmd.com/read/27759778/long-term-results-after-stapled-hemorrhoidopexy-alone-and-complemented-by-excisional-hemorrhoidectomy-a-retrospective-cohort-study
#7
Sergio Eduardo Alonso Araujo, Lucas de Araujo Horcel, Victor Edmond Seid, Alexandre Bruno Bertoncini, Sidney Klajner
Background: Stapled hemorrhoidopexy is associated with less postoperative pain and faster recovery. However, it may be associated with a greater risk of symptomatic recurrence. We hypothesized that undertaking a limited surgical excision of hemorrhoid disease after stapling may be a valid approach for selected patients. Aim: To compare long-term results after stapled hemorrhoidopexy with and without complementation with closed excisional technique. Method: In a retrospective uni-institutional cohort study, sixty-five (29 men) patients underwent stapled hemorrhoidopexy and 21 (13 men) underwent stapled hemorrhoidopexy with excision...
July 2016: Arquivos Brasileiros de Cirurgia Digestiva: ABCD, Brazilian Archives of Digestive Surgery
https://www.readbyqxmd.com/read/27738832/effects-of-topical-atorvastatin-2%C3%A2-on-posthemorrhoidectomy-pain-and-wound-healing-a-randomized-double-blind-placebo-controlled-clinical-trial
#8
Shahram Ala, Mina Alvandipour, Majid Saeedi, Maliheh Hamidian, Afshin Shiva, Nasrin Rahmani, Fatemeh Faramarzi
BACKGROUND: Atorvastatin is a 3-hydroxy-3-methylglutaryl coenzyme A (HMG CoA) reductase inhibitor widely used in treatment of hypercholesterolemia and prevention of coronary heart disease and has various pleiotropic effects. In this study, the efficacy of atorvastatin emulgel (2 %) in reducing postoperative pain at rest, pain during defecation and analgesic requirement after open hemorrhoidectomy was investigated. METHODS: A total of 66 patients with third- and fourth-degree hemorrhoids undergoing open hemorrhoidectomy were included in this prospective, double-blind, randomized controlled trial...
October 13, 2016: World Journal of Surgery
https://www.readbyqxmd.com/read/27518486/sebacoyl-dinalbuphine-ester-extended-release-injection-for-long-acting-analgesia-a-multicenter-randomized-double-blind-and-placebo-controlled-study-in-hemorrhoidectomy-patients
#9
Chien-Yuh Yeh, Shu-Wen Jao, Jinn-Shiun Chen, Chung-Wei Fan, Hong-Hwa Chen, Pao-Shiu Hsieh, Chang-Chieh Wu, Chia-Cheng Lee, Yi-Hung Kuo, Meng-Chiao Hsieh, Wen-Shih Huang, Yuan-Chiang Chung, Tian-Yuh Liou, Hsi-Hsiung Chiu, Wen-Ko Tseng, Ko-Chao Lee, Jeng-Yi Wang
OBJECTIVES: This study was conducted to evaluate the safety and efficacy of single Sebacoyl Dinalbuphine Ester (SDE) injection (150 mg/2 mL) when administered intramuscularly to patients underwent hemorrhoidectomy for postoperative long-acting analgesia. METHODS: Two hundred and twenty one subjects scheduled for hemorrhoidectomy from six centers in Taiwan were randomly divided into SDE group and Placebo group; and received the treatment, vehicle or SDE, one day prior to the surgery...
August 11, 2016: Clinical Journal of Pain
https://www.readbyqxmd.com/read/27452758/-detection-and-analysis-of-the-characteristic-expression-of-micrornas-of-anal-fistula-patients
#10
Jianming Qiu, Jiping Yu, Guangen Yang, Kan Xu, Yong Tao, Ali Lin, Dong Wang
OBJECTIVE: To detect and analyze the characteristic miRNAs profile of anal fistula and explore their possible target genes and potential clinical significance. METHODS: The anal mucosa close to the hemorrhoids were collected from three patients undergoing fistulectomy and hemorrhoidectomy (fistula group) as well as three patients receiving only hemorroidectomy(hemorrhoids group), matching with fistula group in age, gender and body weight. miRNA microarray was used to compare the expression of 1 285 human miRNAs of the anal mucosa between two groups...
July 2016: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
https://www.readbyqxmd.com/read/27437393/comparison-of-a-hemorrhoidectomy-with-ultrasonic-scalpel-versus-a-conventional-hemorrhoidectomy
#11
Dae Ro Lim, Dae Hyun Cho, Joo Hyun Lee, Jae Hwan Moon
PURPOSE: A variety of instruments, including circular staplers, ultrasonic scalpels, lasers, and bipolar electrothermal devices, are currently used when performing a hemorrhoidectomy. This study compared outcomes between hemorrhoidectomies performed with an ultrasonic scalpel and conventional methods. METHODS: The study was a randomized prospective review of data available between May 2013 and December 2013, involving 50 patients who had undergone a hemorrhoidectomy for grade III or IV internal hemorrhoids...
June 2016: Annals of Coloproctology
https://www.readbyqxmd.com/read/27437389/have-any-changes-in-pain-been-noted-after-a-hemorrhoidectomy-since-the-establishment-of-the-milligan-morgan-hemorrhoidectomy
#12
Do Sun Kim
No abstract text is available yet for this article.
June 2016: Annals of Coloproctology
https://www.readbyqxmd.com/read/27375709/comparison-of-hemorrhoidectomy-by-ligasure-with-conventional-milligan-morgan-s-hemorrhoidectomy
#13
Nighat Bakhtiar, Foad Ali Moosa, Farhat Jaleel, Naeem Akhtar Qureshi, Masood Jawaid
OBJECTIVE: To compare the efficacy of haemorrhoidectomy done by using LigaSure with conventional Milligan Morgan haemorrhoidectomy. METHODS: This randomized controlled trial was done at Department of Surgery Dow University Hospital Karachi during January 2013 to September 2015. A total of 55 patients were included in the study. Patients were randomly allocated to group A (Haemorrhoidectomy by Ligasure) and group B (Milligan Morgan Haemorrhoiectomy). Efficacies of both procedures were compared by operative time, Blood loss, wound healing, and pain score on immediate, 1st and 7(th) post operative day...
May 2016: Pakistan Journal of Medical Sciences Quarterly
https://www.readbyqxmd.com/read/27234042/literature-review-of-the-role-of-lateral-internal-sphincterotomy-lis-when-combined-with-excisional-hemorrhoidectomy
#14
REVIEW
Sameh Hany Emile, Mohamed Youssef, Hossam Elfeki, Waleed Thabet, Tito M Abd El-Hamed, Mohamed Farid
BACKGROUND AND AIM: Pain following hemorrhoidectomy is a distressing sequel to the procedure. Various methods have been used to alleviate post-hemorrhoidectomy pain; among these methods is the lateral internal sphincterotomy (LIS). This review aimed to analyze all studies that evaluated the impact of LIS on the outcome of excisional hemorrhoidectomy. PATIENTS AND METHODS: Seventeen studies were included after organized search of the literature using electronic databases including PubMed/Medline and EMBASE...
July 2016: International Journal of Colorectal Disease
https://www.readbyqxmd.com/read/27051362/efficacy-of-two-doses-of-tramadol-versus-bupivacaine-in-perioperative-caudal-analgesia-in-adult-hemorrhoidectomy
#15
Hanan M Farag, Ibrahim M Esmat
BACKGROUND: The study was conducted to evaluate the perioperative analgesic efficacy of the two doses of caudally administered tramadol versus bupivacaine in adult hemorrhoidectomy. PATIENTS AND METHODS: A total of 90 patients, aged 20-50 years, undergoing hemorrhoidectomy were randomly scheduled to receive bupivacaine 0.25% in 20 ml (Group B; n = 30), tramadol 1 mg/kg in 20 ml (Group T1; n = 30), tramadol 2 mg/kg in 20 ml (Group T2; n = 30) through caudal route after induction of general anesthesia...
April 2016: Saudi Journal of Anaesthesia
https://www.readbyqxmd.com/read/27022450/doppler-guided-hemorrhoidal-dearterialization-transanal-hemorrhoidal-dearterialization-technical-evolution-and-outcomes-after-20-years
#16
REVIEW
Marleny Novaes Figueiredo, Fábio Guilherme Campos
In the setting of Hemorrhoidal Disease treatment, the option of conventional hemorrhoidectomy is highly effective, but it is still associated with postoperative pain and discomfort. For this reason, technical alternatives have been developed in order to reduce complications and to provide better postoperative recovery. To accomplish this aim, non-excisional techniques such as stapled hemorrhoidectomy and Doppler-guided hemorrhoidal ligation have been introduced into clinical practice with high expectations...
March 27, 2016: World Journal of Gastrointestinal Surgery
https://www.readbyqxmd.com/read/27011555/clinical-outcome-following-hemorrhoid-surgery-a-narrative-review
#17
REVIEW
Marcello Picchio, Ettore Greco, Annalisa Di Filippo, Giuseppe Marino, Francesco Stipa, Erasmo Spaziani
Surgical therapy guaranties satisfactory results, which are significantly better than those obtained with conservative therapies, especially for Grade III and IV hemorrhoids. In this review, we present and discuss the results of the most diffuse surgical techniques for hemorrhoids. Traditional surgery for hemorrhoids aims to remove the hemorrhoids, with closure (Fergusson's technique) or without closure (Milligan-Morgan procedure) of the ensuing defect. This traditional approach is effective, but causes a significant postoperative pain because of wide external wounds in the innervated perianal skin...
December 2015: Indian Journal of Surgery
https://www.readbyqxmd.com/read/27011510/is-stapled-hemorrhoidectomy-a-safe-procedure-for-third-and-fourth-grade-hemorrhoids-an-experience-at-civil-hospital-karachi
#18
Rafaqat Bota, Mushtaq Ahmed, Adnan Aziz
Hemorrhoids are amongst the most frequent anorectal conditions affecting approximately 4-36 % of the general population. The study was carried out to assess the clinical consequences of stapled hemorrhoidectomy comparing results with other published literature regarding postoperative pain, bleeding, incontinence, and other complications. A total of 120 patients were included in this study with symptomatic grade 3 or 4 prolapsed hemorrhoids, who underwent stapled hemorrhoidectomy from January 2006 to January 2012 at the Civil Hospital Karachi, Pakistan...
December 2015: Indian Journal of Surgery
https://www.readbyqxmd.com/read/26980264/topical-diltiazem-for-pain-after-closed-hemorrhoidectomy
#19
U Rodríguez-Wong, M E Ocharán-Hernández, J Toscano-Garibay
BACKGROUND: Anal sphincter spasm contributes to the appearance of postoperative pain following hemorrhoidectomy. AIM: To determine the efficacy of topical diltiazem in the control of post-hemorrhoidectomy pain. MATERIAL AND METHODS: A randomized, prospective, experimental, double-blind study was conducted on 2 groups of patients in the postoperative period of closed hemorrhoidectomy. Each group consisted of 17 patients. Group A received topical diltiazem in the anal region 3 times a day and group B received a placebo...
April 2016: Revista de Gastroenterología de México
https://www.readbyqxmd.com/read/26977864/-comparison-of-doppler-assisted-dearterialization-with-mucopexy-and-hemorrhoidectomy
#20
RANDOMIZED CONTROLLED TRIAL
A Yu Titov, M V Abritsova, A A Mudrov
AIM: To compare two methods of hemorrhoid treatment. MATERIAL AND METHODS: This prospective study included 240 patients with hemorrhoids stage III-IVA. Stages III and IVA were diagnosed in 156 (65%) and 84 (35%) patients respectively. Randomization was performed using envelopes method in one to one distribution. In group 1 (n=120) Doppler-assisted dearterialization of internal hemorrhoids with mucopexy was performed (DDM), in group 2 (n=120) - hemorrhoidectomy using harmonic scalpel (HE)...
2016: Khirurgiia
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