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hemorrhoidectomy

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https://www.readbyqxmd.com/read/28267013/systemic-metronidazole-may-not-reduce-posthemorrhoidectomy-pain-a-meta-analysis-of-randomized-controlled-trials
#1
Kerollos Nashat Wanis, Heather M Emmerton-Coughlin, Shaun Coughlin, Norine Foley, Christopher Vinden
BACKGROUND: Hemorrhoidectomy is associated with significant postoperative pain. Oral metronidazole has been recommended as an adjunct to improve posthemorrhoidectomy analgesia. OBJECTIVE: This study aimed to evaluate the impact of oral metronidazole on patient-reported pain following hemorrhoidectomy. DATA SOURCES: We conducted a systematic search in the MEDLINE, EMBASE, ISI Web of Science, and Cochrane Central Register of Controlled Trials databases...
April 2017: Diseases of the Colon and Rectum
https://www.readbyqxmd.com/read/28256813/intraspinal-administration-of-morphine-hydrochloride-combined-with-low-doses-of-bupivacaine-in-hemorrhoidectomy-a-clinical-randomised-trial
#2
Manuel Ruiz-Castro, Marta San José Santos, Antonio Rodríguez-Miguel, Francisco J de Abajo Iglesias
BACKGROUND: Intrathecal local anesthetics, associated or not to opioids, is commonplace in anorectal surgery, but it is unknown which is the option with the best risk-benefit ratio. The main aim was to assess whether the combination of morphine (50 mcg) with low-dose bupivacaine (3 mg) in an intradural solution has a better analgesic short-term effect than bupivacaine alone at standard doses (5 mg) in hemorrhoidectomy. METHODS: 66 patients of any sex were randomly assigned to two alternative treatments and 63 patients were considered valid for analysis...
March 3, 2017: Minerva Anestesiologica
https://www.readbyqxmd.com/read/28176917/xiaozhi-decoction-reduced-posthemorrhoidectomy-pain-and-analgesic-medication-consumption-a-prospective-study
#3
Jianbin Shen, Xiagang Luo, Xiao Zhou, Chengwu Tang, Huanyu Ju, Yongqiang Xu, Lianjin Qin
OBJECTIVE: The aim of this study was to investigate the effect of Xiaozhi decoction (XZD) on posthemorrhoidectomy pain and analgesic medication consumption. METHODS: From May 2013 to March 2015, 315 patients who underwent open hemorrhoidectomy in our hospital were enrolled in this study, of whom, 160 patients were randomly assigned to accept sitz bath with warm water after hemorrhoidectomy (control group) and 155 patients were randomly assigned to accept sitz bath with XZD (XZD group) after hemorrhoidectomy...
2017: Journal of Pain Research
https://www.readbyqxmd.com/read/28098569/human-papillomavirus-genotyping-of-incidental-malignant-and-premalignant-lesions-on-hemorrhoidectomy-specimens
#4
Yiang Hui, M Ruhul Quddus, Jayasimha N Murthy, Dongfang Yang, C James Sung, Shaolei Lu, Murray B Resnick, Li Juan Wang
Routine histopathologic examination of hemorrhoidectomy specimens is controversial having been described as not useful and expensive with few of these common cases demonstrating incidental lesions. However, unexpected premalignant and malignant lesions have been detected on excised hemorrhoids. The high-risk human papillomavirus (HR-HPV) types associated with these incidentally identified high-grade lesions are presently unknown. We aimed to identify cases of incidental high-grade anal intraepithelial neoplasia (HG-AIN) and anal squamous cell carcinoma incidentally discovered on hemorrhoidectomy specimens, genotype HR-HPVs from these lesions, and assess p53 and p16 expression by immunohistochemistry to identify risk factors for their development...
March 2017: American Journal of Surgical Pathology
https://www.readbyqxmd.com/read/28071133/effect-of-transcutaneous-acupoint-electrical-stimulation-on-post-hemorrhoidectomy-associated-pain-anxiety-and-heart-rate-variability
#5
Mei-Ling Yeh, Yu-Chu Chung, Lun-Chia Hsu, Shuo-Hui Hung
Hemorrhoidectomy is the current best treatment for severe hemorrhoids, but it causes significant postoperative pain and anxiety, which is associated with heart rate variability (HRV). Transcutaneous acupoint electrical stimulation (TAES) was assumed to alleviate pain and anxiety, and modify the autonomic nervous system. This study aimed to examine the effects of TAES intervention on postoperative pain, anxiety, and HRV in patients who received a hemorrhoidectomy. A randomized-controlled trial with five repeated measures was conducted...
January 1, 2017: Clinical Nursing Research
https://www.readbyqxmd.com/read/27960130/is-the-severe-pain-after-milligan-morgan-hemorrhoidectomy-still-currently-remaining-a-major-postoperative-problem-despite-being-one-of-the-oldest-surgical-techniques-described-a-case-series-of-117-consecutive-patients
#6
Adrian Medina-Gallardo, Yuhamy Curbelo-Peña, Xavier De Castro, Pere Roura-Poch, Josep Roca-Closa, Enric De Caralt-Mestres
INTRODUCTION: Surgery is the only curative method of hemorrhoidal disease. Currently the Milligan-Morgan hemorrhoidectomy is still considered the "gold standard", since it is the best performing technique. However, postoperative pain remains a major problem. We analize the postoperative analgesic requirements for this procedure in 117 patients. PRESENTATION OF CASES: Between 2012 and 2013, 117 consecutive patients undergoing Milligan-Morgan hemorroidectomy, with an analysis of sex, age, total vascular anal cushions removed, hospital stay, complications, and relation with postoperative analgesic requirements...
2017: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/27902953/rectal-free-perforation-after-stapled-hemorrhoidopexy-a-case-report-of-laparoscopic-peritoneal-lavage-and-repair-without-stoma
#7
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...
2017: 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
#8
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
#9
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...
December 2016: Techniques in Coloproctology
https://www.readbyqxmd.com/read/27806213/a-randomized-controlled-trial-comparing-laser-intra-hemorrhoidal-coagulation-and-milligan-morgan-hemorrhoidectomy
#10
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
#11
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...
April 2017: Journal of Thrombosis and Thrombolysis
https://www.readbyqxmd.com/read/27768009/ligasuretm-hemorrhoidectomy-how-we-do
#12
Giovanni Milito, Giorgio Lisi, Elena Aronadio, Michela Campanelli, Dario Venditti, Simona Grande, Michele Grande
BACKGROUND: Hemorrhoidectomy is considered the gold standard and the most effective and definitive treatment for grades 3 or 4 hemorrhoids, and Milligan-Morgan's and Ferguson's procedures are the most widely used techniques throughout the world. The aim of the study was 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 hemorrhoids...
March 2017: 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
#13
COMPARATIVE STUDY
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
#14
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
#15
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
#16
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
#17
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
#18
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
#19
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
#20
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
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