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Gregory S Merrick, Ava Tennant, Kent E Wallner, Robert Galbreath, Wayne M Butler, Ryan Fiano, Edward Adamovich
Purpose: To evaluate the impact of supplemental external beam radiation therapy (EBRT) prior to permanent prostate brachytherapy on long term urinary, bowel, and erectile function. Material and methods: Patient administered urinary, bowel, and erectile quality of life (QoL) instrument were obtained prior to treatment and following brachytherapy. The study population was comprised of the 457 patients who were alive as of June 2016, had been randomized to two markedly different supplemental EBRT dose regimens and a third arm without supplemental EBRT, and had completed the June 2016 QoL survey...
October 2017: Journal of Contemporary Brachytherapy
G V Rodoman, L V Kornev, T I Shalaeva, R N Malushenko
AIM: To develop the combined method of treatment of hemorrhoids with arterial ligation under Doppler control and laser destruction of internal and external hemorrhoids. MATERIAL AND METHODS: The study included 100 patients with chronic hemorrhoids stage II and III. Combined method of HAL-laser was used in study group, HAL RAR-technique in control group 1 and closed hemorrhoidectomy with linear stapler in control group 2. Сomparative evaluation of results in both groups was performed...
2017: Khirurgiia
Avneesh Chhabra, Courtney A McKenna, Vibhor Wadhwa, Gaurav K Thawait, John A Carrino, Gary P Lees, A Lee Dellon
AIM: To evaluate the pudendal nerve segments that could be identified on magnetic resonance neurography (MRN) before and after surgical marking of different nerve segments. METHODS: The hypothesis for this study was that pudendal nerve and its branches would be more easily seen after the surgical nerve marking. Institutional board approval was obtained. One male and one female cadaver pelvis were obtained from the anatomy board and were scanned using 3 Tesla MRI scanner using MR neurography sequences...
July 28, 2016: World Journal of Radiology
C Avgoustou, C Belegris, A Papazoglou, G Kotsalis, P Penlidis
AIM: The object of the present study was to assess results and document both the need for reoperations and the long-term outcomes. METHODS: Eight hundred patients with symptomatic grades II-IV hemorroidal disease (HD), mean age 52.3 years, were surgically managed from January 1999 to March 2013. One hundred and eight displayed comorbidity of other anal pathology. All patients underwent stapled hemorrhoidopexy (SH) or double SH, combined with accessory anal procedures in 90 cases...
June 2014: Minerva Chirurgica
É A Dzhavalov, L F Khalilova
The objective of this research is to evaluate specifications of the surgery, its post-operative period and complications in patients with traditional hemorrhoidectomy which is a procedure performed by using a linear stapler along with a circular resection of prolapsed mucosal and sub-mucosal layers of lower rectal ampulla with the utilization of Longo technique. The study was conducted with the participation of 398 patients with the hemorrhoidal disease accompanied by anal prolapsus of which 338 (84%) were composed of males and 65 (16%) of females...
2014: Khirurgiia
R A Goncharuk, K V Stegniĭ, A A Krekoten', S S Grossman, V A Sarychev
The Miligan-Morgan's operation has long been considered to be the "golden standard" of hemorrhoids' stage I-III treatment. The invention of distal branches of the upper rectal artery' suture ligation with mucopexia and lifting of the anal canal mucosa discovered new possibilities for hemorrhoids surgery, though there are still some questions considering long-term results. 151 cases of recurrence within 1-6 months were analyzed. The use of CT-angiography with 3D reconstruction of the upper rectal artery allowed to chose the operative technique more relevant and thus improve the treatment results...
2013: Khirurgiia
Francesco Di Pierro, Giovanni Spinelli, Giovanni Monsù, Giorgio Alvisi, Giuseppe Bacci, Carla Baiocchi, Massimo Buratta, Angelo Martinoli, Franco Vitali, Carlo Agrifoglio, Fabrizio Gennaioli, Maurizio Lucarelli
BACKGROUND AND AIM OF THE WORK: Patients with acute haemorrhoidal crisis often need of an immediate and effective pharmacological approach to alleviate their pain, bleeding and swelling or have to be referred by the general practitioner to the surgeon for a definitive treatment. Effective and not invasive treatment control of the acute crisis could be of practical use in order to avoid or to delay invasive procedures to a time more convenient for the patient and/or for the surgeon. METHODS: After enrolling, according to the group treatment, every patient starts taking 1 tablet every 8 hours for 7 days of Emospid or 2 tablets every 8 hours for 7 days of MMDH tablets...
April 2011: Acta Bio-medica: Atenei Parmensis
A Caviglia, M Mongardini, M Malerba, M Giofrè, A Maturo, A Del Grammastro, A Straniero, M Scarnò, F Custureri
Procedure for Prolapse and Hemorrhoids (PPH or Longo procedure), a stapled circumferential anal mucosectomy, has proven to be very popular as it is considered safe and successful. However, a high haemorrhoid recurrence rate is reported, specially due to insufficient mucosal resection. The authors have come up with a technical modification to the mucoprolapsectomy, notably the Single Stapler Parachute Technique (SSPT), in order to obtain more abundant mucosal resection. In this study they will present the results obtained in 80 patients treated for muco-haemorrhoidal prolapse, 40 of whom underwent traditional PPH, while the remaining 40 patients underwent SSPT, both performed in two different specialised centres located in Rome, Italy...
October 2011: Il Giornale di Chirurgia
E Cudazzo, C De Cesare, R Faraci, M Bianchi, L Mariani
The search of innovative procedures, able to associate the possibility of treating the hemorrhoidal disease with of "mini-invasiveness", is of growing interest. This paper reports the results obtained during our experience in threating the hemorrhoidal disease with Doppler-guided THD (Transanal Hemorroidal Dearterialisation), which is a technique improved in the last 4 years (February 2004 - November 2009) on a sample of 408 patients. The aim of this study is to evaluate, in a short-term follow-up period, the level of satisfaction and post-operative pain, normal working routine recovery time and the incidence of early and late post-operative complications in our patients...
January 2011: Il Giornale di Chirurgia
T R Peyton
No abstract text is available yet for this article.
November 1939: Journal of the National Medical Association
Robert A Pol, Wil C van der Zwet, Daniel Hoornenborg, Babbeth Makkinga, Miriam Kaijser, M Eeftinck Schattenkerk, Eric-Hans Eddes
AIM: This study was designed to determine the effect of treating hemorrhoids with the Doppler-guided hemorrhoidal artery ligation (DG-HAL) procedure. METHODS: From June 2005 to March 2008, 244 consecutive hemorrhoidal patients underwent hemorroidal artery ligation performed with the DG-HAL system from AMI. All patients were evaluated postoperatively with a proctologic examination and interview. Further follow-up was performed by telephone with a standardized questionnaire...
2010: Digestive Surgery
A M Djibril, K B M'ba, A Bagny, L Kaaga, D Redah
PURPOSE: To count the aetiology of proctorrhagia in Lomé. METHODS: It is a retrospective study, over 12 years (1st January 1995-31 December 2006), realised from the reports of the coloscopy . It included the patients of the two sexes, old of more than 15 years, having presented a proctorrhagia explored by ano-rectoscopy and coloscopy. RESULTS: The proctorrhagia represent 38.72% of the indications of the coloscopy. The patients from 24 to 45 years were reached (52...
2009: Le Mali Médical
J Duben, L Hnátek, B Dudesek, T Musil, J Gatek
AIM OF THE STUDY: The aim is to verify a new methodology of radiofrequency bipolar coagulation for treatment of hemorrhoids in practice. USED METHODS: The method of bipolar radiofrequency-induced thermotherapy of internal and external hemorrhoids using the Olympus Celon apparatus. Radiofrequency bipolar electrode was applied to perform coagulation of internal and external hemorrhoids under visual control and feedback. RF energy was applied, on average, at 12 sites above the dentate line to treat internal, stage III hemorroids...
November 2008: Rozhledy V Chirurgii: Měsíčník Československé Chirurgické Společnosti
Eduardo Villanueva Sáenz, Juan Pablo Peña Ruiz Esparza, Paulino Martínez Hernández Magro, Javier Pérez Aguirre, Fernando Alvarez Tostado Fernández, Juan Manuel Carranza Rosales, Luis Rocha Ramírez
BACKGROUND DATA: Haemorrhoids and the symptoms they produce have been recorded throughout history. This disease affects 4-10% of the population. The treatment is based on the degree of haemorrhoidal prolapse and the severity of symptoms. OBJECTIVES: The aim of this study is to show our experience in the treatment of haemorrhoidal disease in the colorectal surgery department from the Centro Médico Nacional Siglo XXI, (IMSS, México, D.F). METHODS: Clinical files were reviewed of patients treated by surgical procedures in a period from March 1996 to March 2004...
October 2006: Revista de Gastroenterología de México
José Manuel Correa-Rovelo, Oscar Tellez, Segundo Moran, Jesús Alberto Bahena-Aponte, Cruz Antonio Moreno
OBJECTIVE: To analyze the results of Longo stapled mucosectomy for hemorrhoidal disease in a 1 to 3 years follow up. PATIENTS AND METHODS: Clinical response and complications where analyzed in patients treated for grade II to IV non-complicated hemorrhoidal disease with Longo stapled hemorrhoidectomy. RESULTS: In a 27 months period, 160 patients were treated (105 men and 55 women), mean age was 44.1 years (range: 24 to 72 years), and 110 patients had grade III hemorrhoid disease...
October 2006: Revista de Gastroenterología de México
Dubravko Smud, Tihomir Kekez, Mate Majerović, Sanda Smud
Hemorrhoids are a common condition in adult population with prevalence of about 4%. Only a third of patients with symptomatic hemorrhoids seek medical help. The annual rate of office visits for hemorrhoids is 12 for every 1000 patients in the United States. Hemorrhoids consist of connective tissue cushions surrounding direct arteriovenous communication. They can cause bleeding, pain and itching but other anorectal diseases should be ruled out. Current guidelines recommend a minimum of anoscopy and flexible sigmoidoscopy for bright-red rectal bleeding...
May 2005: Lijec̆nic̆ki Vjesnik
G Conzo, R Buffardi, U Brancaccio, G Astarita, A Palazzo, M G Esposito, S Celsi
In the treatment of hemorroidal prolapse, stapled hemorrhoidopexy, according to the Longo's technique, represents an innovative and interesting procedure. The Authors consider own experience in the years 2001-2002, estimating preliminary results in the treatment of 50 patients affected by hemorrhoidal disease classified as III-IV grade, associated with mucosal prolapse, rectocystocele in 5 cases, anal fissures in 6 and hyperplastic polyp in 1. The patients were submitted to mucosal prolapsectomy with mechanical stapler (PPH 01-33 Ethicon), applying haemostatic stitch on suture line, apart from intraoperative bleeding, associated to closed anal sphincterotomy in 6 cases, and resection of anal hyperplasic polyp in 1...
November 2004: Annali Italiani di Chirurgia
B Fall, M Mbengue, M L Diouf, A Ndiaye, O Diarra, M Ba
Second reason for consultations in proctology in our department after hemorroïds-linked illnesses, fistulas in ano constitute a chronic disease which causes therapeutic difficulties linked mainly to the futur functionning of the sphincter, especially in its most complex types. In our group of 43 patients in whom surgical exploration with stylet was the key of the diagnosis, the anorectoscopy and even less chirurgical examination were not often contributive, the fear of post-operative incontinence forced us to prefer ligation-section with rubber every time that the sphincter was involved...
2001: Dakar Médical
No abstract text is available yet for this article.
July 26, 1956: Praxis
No abstract text is available yet for this article.
March 14, 1953: Concours Médical
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