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https://www.readbyqxmd.com/read/27806213/a-randomized-controlled-trial-comparing-laser-intra-hemorrhoidal-coagulation-and-milligan-morgan-hemorrhoidectomy
#1
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/27437393/comparison-of-a-hemorrhoidectomy-with-ultrasonic-scalpel-versus-a-conventional-hemorrhoidectomy
#2
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/27189441/intestinal-obstruction-requiring-fecal-diversion-due-to-rectal-hematoma-following-a-hemorrhoid-laser-procedure-help
#3
G Gallo, V Podzemny, M Pescatori
No abstract text is available yet for this article.
July 2016: Techniques in Coloproctology
https://www.readbyqxmd.com/read/27164931/hemorrhoid-laser-procedure-for-second-and-third-degree-hemorrhoids-results-from-a-multicenter-prospective-study
#4
P De Nardi, A M Tamburini, P G Gazzetta, M Lemma, A Pascariello, C R Asteria
BACKGROUND: The aim of our study was to assess the outcome of hemorrhoidal dearterialization, achieved by a dedicated laser energy device. METHODS: From November 2012 to December 2014, 51 patients with second- or third-degree hemorrhoids were studied. The primary end point was a reduction in the bleeding rate; secondary end points were: postoperative complications, reduction in pain and prolapse, resolution of symptoms, and degree of patient's perception of improvement...
July 2016: Techniques in Coloproctology
https://www.readbyqxmd.com/read/26843909/advantages-and-limits-of-hemorrhoidal-dearterialization-in-the-treatment-of-symptomatic-hemorrhoids
#5
Paolo Giamundo
In the last two decades, hemorrhoidal dearterialization has become universally accepted as a treatment option for symptomatic hemorrhoids. The rationale for this procedure is based on the assumption that arterial blood overflow is mainly responsible for dilatation of the hemorrhoidal plexus due to the absence of capillary interposition between the arterial and venous systems within the anal canal. Dearterialization, with either suture ligation (Doppler-guided hemorrhoid artery ligation/transanal hemorrhoidal dearterialization) or laser (hemorrhoidal laser procedure), may be successfully performed alone or with mucopexy...
January 27, 2016: World Journal of Gastrointestinal Surgery
https://www.readbyqxmd.com/read/26506639/hemorrhoidal-disease-contemporary-aspects-of-the-pathogenesis-clinical-course-diagnosis-and-treatment
#6
REVIEW
N Kandilarov, V Dimitrova
The hemorrhoidal disease affects mainly individuals in their active age, as the reported incidence is much lower than the actual number, due to the nature of the complaints and the "subjective feeling of discomfort" when contacting a healthcare professional. Although in a large part of the cases the disease is successfully treated by non-surgical methods, the persisting symptoms greatly lower patients' quality of life, and the development of complications is related to a high morbidity rate. The defining, diagnosis and determining of the stages of the disease do not pose any difficulties to the modern medical practice, which - however - is not the case with the selection of the optimal and most efficient treatment method...
2015: Khirurgiia
https://www.readbyqxmd.com/read/25684841/laser-hemorrhoidoplasty-procedure-vs-open-surgical-hemorrhoidectomy-a-trial-comparing-2-treatments-for-hemorrhoids-of-third-and-fourth-degree
#7
Halit Maloku, Zaim Gashi, Ranko Lazovic, Hilmi Islami, Argjira Juniku-Shkololli
OBJECTIVE: According to the ''vascular'' theory, arterial overflow in the superior hemorrhoidal arteries would lead to dilatation of the hemorrhoidal venous plexus. Hemorrhoid laser procedure (LHP) is a new laser procedure for outpatient treatment of hemorrhoids in which hemorrhoidal arterial flow feeding the hemorrhoidal plexus is stopped by laser coagulation. AIM: Our aim was to compare the hemorrhoid laser procedure with open surgical procedure for outpatient treatment of symptomatic hemorrhoids...
December 2014: Acta Informatica Medica: AIM
https://www.readbyqxmd.com/read/24507943/hemorrhoidal-laser-procedure-short-and-long-term-results-from-a-prospective-study
#8
Nicola Crea, Giacomo Pata, Mauro Lippa, Deborah Chiesa, Maria Elena Gregorini, Paolo Gandolfi
BACKGROUND: We report the results of 2-year regular use of the hemorrhoidal laser procedure (HeLP) in 97 patients with symptomatic second- to third-grade hemorrhoids with minimal or moderate internal mucosal prolapse. METHODS: Data on duration of the procedure, perioperative complications, postoperative pain, downgrading of hemorrhoids, resolution or persistency, and recurrence of hemorrhoidal disease (HD) were prospectively collected. RESULTS: No significant intraoperative complications occurred...
July 2014: American Journal of Surgery
https://www.readbyqxmd.com/read/24239254/devices-for-the-endoscopic-treatment-of-hemorrhoids
#9
REVIEW
Uzma D Siddiqui, Bradley A Barth, Subhas Banerjee, Yasser M Bhat, Shailendra S Chauhan, Klaus T Gottlieb, Vani Konda, John T Maple, Faris M Murad, Patrick Pfau, Douglas Pleskow, Jeffrey L Tokar, Amy Wang, Sarah A Rodriguez
Multiple endoscopic methods are available to treat symptomatic internal hemorrhoids. Because of its low cost, ease of use, low rate of adverse events, and relative effectiveness, RBL is currently the most widely used technique.
January 2014: Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/23841953/pph-vs-milligan-morgan-early-and-late-complications-in-the-treatment-of-haemorrhoidal-disease-with-circumferential-prolapse
#10
COMPARATIVE STUDY
Giuseppe Sammarco, Francesco Ferrari, Antonio Carpino, Emilio Russo, Giuseppina Vescio, Michele Ammendola, Rosario Sacco
BACKGROUND: The aim of this study was to assess the early and late complications of haemorrhoidectomy according to Milligan-Morgan (Milligan-Morgan laser optical fibers variant) vs haemorrhoidopexy with PPH-stapler and to assess the long-term results in terms of recurrences in circumferential prolapse patients classified P4-E4 (PATE 2000). METHODS: Onehundredsixty patients, with haemorrhoidal disease classified P4-E4, who underwent surgery between 2001 and 2007, were included in an retrospective observational study...
2013: Annali Italiani di Chirurgia
https://www.readbyqxmd.com/read/23333220/the-evaluation-and-treatment-of-hemorrhoids-a-guide-for-the-gastroenterologist
#11
REVIEW
Robert A Ganz
No abstract text is available yet for this article.
June 2013: Clinical Gastroenterology and Hepatology
https://www.readbyqxmd.com/read/22935453/diode-laser-for-treatment-of-symptomatic-hemorrhoid-a-short-term-clinical-result-of-a-mini-invasive-treatment-and-one-year-follow-up
#12
Abdolhadi Jahanshahi, Esmail Mashhadizadeh, Mohammad-Hossein Sarmast
UNLABELLED: Hemorrhoid is protrusion of plexus or blood vessels in the anal canal. The hemorrhoid may cause symptoms that are: bleeding, pain, prolaps, itching, soilage of feces, and psychologic discomfort. There are many methods for treatment of hemorrhoid like, medical therapy, cryo-therapy, rubber band ligation, sclerotherapy, laser, and surgery. All methods have some complication in postoperative period and recurrence. THE AIM OF THE STUDY: Was to evaluate Diode laser for treatment of hemorrhoid...
July 2012: Polski Przeglad Chirurgiczny
https://www.readbyqxmd.com/read/22714783/hemorrhoid-management-in-patients-with-radiation-proctitis
#13
Melinda Hawkins, Richard Billingham, Amir Bastawrous
PURPOSE: Management of rectal bleeding in patients with radiation proctitis presents a conundrum for practitioners. Surgeons are appropriately concerned about using conventional methods of treatment in these patients, such as cautery for bleeding areas in the rectum, rubber band ligation, or excision of internal and/or external hemorrhoids, for fear of poor healing and possible exacerbation of the original problem. Few randomized controlled trials are available on the treatment of radiation proctitis alone, and no literature exists pertaining to the management of symptomatic hemorrhoids in the radiated patient...
December 2012: International Journal of Colorectal Disease
https://www.readbyqxmd.com/read/22534276/evaluation-and-management-of-common-anorectal-conditions
#14
Matthew V Fargo, Kelly M Latimer
The prevalence of benign anorectal conditions in the primary care setting is high, although evidence of effective therapy is often lacking. In addition to recognizing common benign anorectal disorders, physicians must maintain a high index of suspicion for inflammatory and malignant disorders. Patients with red flags such as increased age, family history, persistent anorectal bleeding despite treatment, weight loss, or iron deficiency anemia should undergo colonoscopy. Pruritus ani, or perianal itching, is managed by treating the underlying cause, ensuring proper hygiene, and providing symptomatic relief with oral antihistamines, topical steroids, or topical capsaicin...
March 15, 2012: American Family Physician
https://www.readbyqxmd.com/read/22165145/-combined-treatment-of-the-patients-presenting-with-bacterial-vesiculitis
#15
COMPARATIVE STUDY
I V Karpukhin, V A Kiiatkin, A D Bobkov, S N Kazantsev
Ultrasound treatment in combination with laser irradiation of the blood and antibacterial therapy is known to exert strong anti-inflammatory, antibacterial, and analgesic effects, stimulate metabolism of sex hormones, and improve spermatogenesis in the patients presenting with chronic bacterial vesiculitis (CBV). This treatment is indicated to the patients with CBV at the stage of latent inflammation, to those recovering after acute vesiculities, and to the patients with chronic prostatovesiculitis at the stage of latent inflammation...
September 2011: Voprosy Kurortologii, Fizioterapii, i Lechebnoĭ Fizicheskoĭ Kultury
https://www.readbyqxmd.com/read/21552053/the-hemorrhoid-laser-procedure-technique-vs-rubber-band-ligation-a-randomized-trial-comparing-2-mini-invasive-treatments-for-second-and-third-degree-hemorrhoids
#16
RANDOMIZED CONTROLLED TRIAL
Paolo Giamundo, Raffaele Salfi, Maria Geraci, Livio Tibaldi, Luisa Murru, Marco Valente
BACKGROUND: Hemorrhoid laser procedure is a new laser procedure for outpatient treatment of hemorrhoids in which hemorrhoidal arterial flow feeding the hemorrhoidal plexus is stopped by means of Doppler-guided laser coagulation. OBJECTIVE: Our aim was to compare the hemorrhoid laser procedure with rubber band ligation for outpatient treatment of symptomatic hemorrhoids with moderate mucosal prolapse. DESIGN: This was a randomized controlled trial with balanced allocation to hemorrhoid laser procedure or rubber band ligation, with stratification by study center...
June 2011: Diseases of the Colon and Rectum
https://www.readbyqxmd.com/read/21103250/extramammary-perianal-paget-s-disease
#17
M N Al Hallak, N Zouain
Perianal Paget's disease is a rare malignancy. It is rarely isolated and often associated with an underlying adenocarcinoma. It usually presents with anal itchiness and discomfort and can be misdiagnosed as hemorrhoids. Once the diagnosis of perianal Paget's disease is granted, extensive work-up to find an underlying primary malignancy is crucial. Surgery is the standard modality of treatment of extramammary Paget's disease (EMPD) with recurrence rates of 44-60%. Other different treatment modalities including radiotherapy, laser therapy, topical and systemic chemotherapy and the new emerging, promising photodynamic therapy are in the field of study...
2009: Case Reports in Gastroenterology
https://www.readbyqxmd.com/read/20976499/doppler-guided-hemorrhoidal-laser-procedure-for-the-treatment-of-symptomatic-hemorrhoids-experimental-background-and-short-term-clinical-results-of-a-new-mini-invasive-treatment
#18
Paolo Giamundo, Walter Cecchetti, Luigi Esercizio, Giovanni Fantino, Maria Geraci, Roberto Lombezzi, Michele Pittaluga, Livio Tibaldi, Giovanni Torre, Marco Valente
BACKGROUND: According to the "vascular" theory, arterial overflow in the superior hemorrhoidal arteries would lead to dilatation of the hemorrhoidal venous plexus. A 980-nm diode laser-pulsed shot causes shrinkage of tissue. The depth of shrinkage can be regulated by the power and duration of the laser beam. Through a 1000-micron conic fiber, five laser shots generated at a power of 13 W with duration of 1.2 s each and a pause of 0.6 s caused shrinkage of tissues to the depth of approximately 5 mm...
May 2011: Surgical Endoscopy
https://www.readbyqxmd.com/read/20701028/-the-role-of-laser-co2-in-proctology
#19
Aleksander Sowula
There is presented our experience in surgical hemorrhoids and condylomata acuminata treatment using CO2 laser. There were 289 operations on 198 patients in outpatient clinic. There were 4 cases of anal fissure and no postoperative bleeding during postoperative period. This work is demostrating that adaptation of the laser CO2 makes many advantages to the classic operation of Milligan ad Morgan: simplification of the surgical technique easy post-operative course, no hospitalisation and quicker return to work...
2010: Wiadomości Lekarskie: Organ Polskiego Towarzystwa Lekarskiego
https://www.readbyqxmd.com/read/20614743/-endoscopic-therapy-of-hemorrhoids-sclerosing-ligating-electrocoagulation
#20
COMPARATIVE STUDY
Peter Stiefelhagen
No abstract text is available yet for this article.
April 8, 2010: MMW Fortschritte der Medizin
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