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https://www.readbyqxmd.com/read/27845508/may-radiofrequency-be-the-best-choice-for-iii-iv-degree-hemorrhoids-results-of-a-large-series-of-patients
#1
Giovanni Milito, Giorgio Lisi, Elena Aronadio, Michela Campanelli, Dario Venditti, Simona Grande, Michele Grande
BACKGROUND: Haemorrhoidectomy is considered the most efficient method to treat haemorrhoids of III and IV grades. The aim of this study is to compare conventional diathermy haemorrhoidectomy and radiofrequency haemorrhoidectomy based on a large series of patients. METHODS: Between June 2001 and June 2014, 1000 patients have been treated with radiofrequency haemorrhoidectomy (Group A) and 500 patients have been treated with diathermy (Group B) as a day-case procedure...
November 15, 2016: Minerva Gastroenterologica e Dietologica
https://www.readbyqxmd.com/read/27825178/ruscus-genus-a-rich-source-of-bioactive-steroidal-saponins
#2
Milena Masullo, Cosimo Pizza, Sonia Piacente
The genus Ruscus (Asparagaceae family) is native to the Mediterranean, Southern and Western Europe and is represented by perennial, rhizomatous, and evergreen shrubs. Among the approximately seven species spread throughout Europe up to Iran, Ruscus aculeatus L. (butcher's broom) is the most widely distributed and appreciated. This review provides an overview of the traditional use of Ruscus spp., the current knowledge of the chemistry of this genus, and the pharmacological studies carried out on Ruscus spp...
November 8, 2016: Planta Medica
https://www.readbyqxmd.com/read/27813396/stapled-anopexy-versus-transanal-haemorrhoidal-dearterialization-for-haemorrhoidal-disease-a-three-year-follow-up-from-a-randomized-study
#3
Marco Venturi, Giovanni Salamina, Contardo Vergani
BACKGROUND: This randomized study compared the medium-term results of stapled anopexy (SA) and transanal haemorrhoidal dearterialization with anopexy (THD) in 4 homogeneous groups of patients, 2 with third and 2 with fourth-degree hemorrhoids. METHODS: Forty patients with third-degree and 30 with fourth-degree haemorrhoids were randomly submitted to SA (20+15) and THD (20+15), respectively. Clinical controls were done every 6 months from 1 to 42 months after the operation, with incidence of recurrent haemorrhoids as primary outcome measure...
November 4, 2016: Minerva Chirurgica
https://www.readbyqxmd.com/read/27801539/does-a-more-extensive-mucosal-excision-prevent-haemorrhoidal-recurrence-after-stapled-haemorrhoidopexy-long-term-outcome-of-a-randomised-controlled-trial
#4
Donato F Altomare, Giuseppe Pecorella, Guido Tegon, Fabrizio Aquilino, Damiano Pennisi, Michele De Fazio
AIM: The study aimed in a multicentric randomised controlled trial to define the role of a more extensive mucosal resection on recurrence of mucosal prolapse in patients with stage III haemorrhoids undergoing stapled haemorrhoidopexy . METHOD: 135 patients were randomised to treatment with PPH01/03 or an EEA stapler. They were reviewed after a minimum follow-up of four years to determine the rate of recurrent mucosal prolapse, and general condition (Wellness evaluation score)...
November 1, 2016: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/27790516/small-cell-carcinoma-of-anal-canal-a-rare-case-report
#5
Surag, Chandrashekar Neeralagi, Arun Prasath, Puneeth Kumar, Bharath Reddy
Anal canal malignancy is one of the dreadful conditions. Most of the anal canal malignancies are squamous cell carcinomas for which the treatment is well established and the prognosis is usually favourable. Small cell carcinoma of anal canal is a very rare condition and poorly understood, which can present as haemorrhoids in its early stages and has an aggressive course. We present a case of small cell carcinoma of anal canal who underwent Abdomino Perineal Resection (APR) and chemotherapy. He developed liver metastasis during the course of chemotherapy and succumbed to the condition 4 months later...
September 2016: Journal of Clinical and Diagnostic Research: JCDR
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/27766395/evidence-based-management-of-pain-after-excisional-haemorrhoidectomy-surgery-a-prospect-review-update
#7
Tarik Sammour, Ahmed W H Barazanchi, Andrew G Hill
BACKGROUND: The aim of this systematic review was to update previous PROSPECT ( http://www.postoppain.org ) review recommendations for the management of pain after excisional haemorrhoidectomy. METHODS: Randomized studies and reviews published in the English language from July 2006 (end date of last review) to March 2016, assessing analgesic, anaesthetic, and operative interventions pertaining to excisional haemorrhoidectomy in adults, and reporting pain scores, were retrieved from the EMBASE and MEDLINE databases...
October 20, 2016: World Journal of Surgery
https://www.readbyqxmd.com/read/27726951/comparison-of-stapled-haemorrhoidopexy-with-traditional-excisional-surgery-for-haemorrhoidal-disease-ethos-a-pragmatic-multicentre-randomised-controlled-trial
#8
Angus J M Watson, Jemma Hudson, Jessica Wood, Mary Kilonzo, Steven R Brown, Alison McDonald, John Norrie, Hanne Bruhn, Jonathan A Cook
BACKGROUND: Two commonly performed surgical interventions are available for severe (grade II-IV) haemorrhoids; traditional excisional surgery and stapled haemorrhoidopexy. Uncertainty exists as to which is most effective. The eTHoS trial was designed to establish the clinical effectiveness and cost-effectiveness of stapled haemorrhoidopexy compared with traditional excisional surgery. METHODS: The eTHoS trial was a large, open-label, multicentre, parallel-group, pragmatic randomised controlled trial done in adult participants (aged 18 years or older) referred to hospital for surgical treatment for grade II-IV haemorrhoids...
November 12, 2016: Lancet
https://www.readbyqxmd.com/read/27699495/hubble-trial-time-to-stick-to-basics-for-treatment-of-haemorrhoids
#9
S R Brown
The results of the Hubble trial, a randomised controlled trial comparing haemorrhoidal artery ligation with rubber band ligation for early-grade prolapsing haemorrhoids, are discussed. The difficulties in defining treatment success are debated along with the trial design highlighting the pitfalls of previous research. A finding that haemorrhoidal artery ligation is not necessarily superior to cheap alternatives has implications for current practice and future commissioning of surgeons.
October 3, 2016: Techniques in Coloproctology
https://www.readbyqxmd.com/read/27676782/bladder-sphincter-disorders-and-quality-of-life-of-traumatic-brain-injury-tunisian-experience
#10
Mariem Rekik, Khaoula Achour, Anouer Abdallah, Sonia Lebib, Imen Miri, Fatima Zahra Ben Salah, Catherine Dziri
OBJECTIVE: The aim of our study was to assess the bladder and sphincter function after brain injury (BI) and to review their association with quality of life (QOL). MATERIAL/PATIENTS AND METHODS: We conducted a cross-sectional study, including patients referred to physical and rehabilitation medicine department at the Med Kassab Institute of Orthopedics. The initial gravity data were collected. The bladder-sphincter assessment included evaluation of the urine drain mode, the irritative disorders, obstructive disorders, disorders of transit and the existence of secondary anal lesions...
September 2016: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/27669689/metamizole-versus-ibuprofen-at-home-after-day-surgery-study-protocol-for-a-randomised-controlled-trial
#11
Björn Stessel, Michiel Boon, Elbert A Joosten, Jean-Paul Ory, Stefan Evers, Sander M J van Kuijk, Jasperina Dubois, Daisy Hoofwijk, Luc Jamaer, Wolfgang F F A Buhre
BACKGROUND: Postoperative pain and, in a more extended perspective, quality of recovery (QOR) should be considered the principal endpoints after day surgery. Non-steroidal anti-inflammatory drugs (NSAIDs) and paracetamol are a cornerstone of pain treatment after painful day surgery. Nevertheless, NSAIDs are not always sufficiently effective, have numerous contraindications, and consequently are not suitable in up to 25 % of all patients. Metamizole is a non-opioid compound with a favourable gastrointestinal, cardiovascular and cerebrovascular profile compared to NSAIDs...
September 26, 2016: Trials
https://www.readbyqxmd.com/read/27623720/evaluation-of-two-injection-sclerosants-in-the-treatment-of-symptomatic-haemorrhoids-in-nigerians
#12
Cathlyn Akindiose, Olusegun Isaac Alatise, Olukayode Adeolu Arowolo, Augustine E Agbakwuru
OBJECTIVES: The objective of this study was to compare the efficacy and safety of 5% phenol in almond oil with 50% dextrose water as sclerosants in the treatment of first- to third-degree haemorrhoids. PATIENTS AND METHODS: This was a prospective, comparative study conducted on eighty patients with first-, second- and third-degree haemorrhoids who consented to treatment by injection sclerotherapy with either 5% phenol in almond oil or 50% dextrose water. They were randomised equally into two groups...
July 2016: Nigerian Postgraduate Medical Journal
https://www.readbyqxmd.com/read/27436515/working-up-rectal-bleeding-in-adult-primary-care-practices
#13
Saul N Weingart, Elena M Stoffel, Daniel C Chung, Thomas D Sequist, Ruth I Lederman, Stephen R Pelletier, Helen M Shields
RATIONALE, AIMS AND OBJECTIVES: Variation in the workup of rectal bleeding may result in guideline-discordant care and delayed diagnosis of colorectal cancer. Accordingly, we undertook this study to characterize primary care clinicians' initial rectal bleeding evaluation. METHODS: We studied 438 patients at 10 adult primary care practices affiliated with three Boston, Massachusetts, academic medical centres and a multispecialty group practice, performing medical record reviews of subjects with visit codes for rectal bleeding, haemorrhoids or bloody stool...
July 20, 2016: Journal of Evaluation in Clinical Practice
https://www.readbyqxmd.com/read/27426957/evaluation-of-iron-deficiency-anaemia-for-gastrointestinal-causes-in-patients-without-gi-symptoms-in-high-prevalent-gi-malignancy-zones
#14
Showkat A Kadla, Nisar A Shah, Muzafar A Bindroo, Bilal A Khan, Adil Farooq, Wajeed Yousf, Bilal A Wani
BACKGROUND AND STUDY AIMS: Gastric cancer is highly prevalent in Kashmir, as are lower gastrointestinal (LGI) malignancies. Colonic cancer, gastric cancer, and coeliac disease are the most important gastrointestinal (GI) causes of iron deficiency anaemia (IDA) worldwide. Approximately 9% of patients with IDA present with a suspicious lesion in the GI tract upon examination. However, the absence of GI symptoms and a possible lesion accounting for blood loss in IDA have not been studied in this zone with a high prevalence of GI malignancy...
June 2016: Arab Journal of Gastroenterology: the Official Publication of the Pan-Arab Association of Gastroenterology
https://www.readbyqxmd.com/read/27350838/surgical-treatment-of-haemorrhoidal-disease-the-current-situation-in-poland
#15
Lukasz Dziki, Michal Mik, Radzislaw Trzcinski, Jaroslaw Buczynski, Anna Kreisel, Mariusz Skoneczny, Adam Dziki
INTRODUCTION: In cases of haemorrhoidal disease resistant to conservative treatment, surgical treatment is necessary to relieve the symptoms. AIM: To investigate the current methods used by Polish surgeons. MATERIAL AND METHODS: Surveys were distributed to members of the Association of Polish Surgeons (APS), in which participants were asked a number of closed-ended questions regarding haemorrhoidal disease and the way they treated suffering patients...
2016: Przegla̜d Gastroenterologiczny
https://www.readbyqxmd.com/read/27338153/embolization-of-the-superior-rectal-arteries-for-chronic-bleeding-due-to-hemorrhoidal-disease
#16
N Moussa, I Sielezneff, M Sapoval, F Tradi, C Del Giuidice, N Fathalla, O Pellerin, G Amouyal, Pereira, V De Parades, V Vidal
AIM: The aim of this study was to assess the safety and efficacy of the emborrhoid technique (embolization of the superior hemorrhoidal arteries) in patients ineligible for surgery. MATERIALS AND METHODS: Between January 2014 and April 2015, 30 consecutive patients (average age 58 years) suffering from disabling chronic bleeding due to haemorrhoidal disease and with a contraindication for surgery (n= 23) or with a failure of instrumental or surgical treatment (n=7) underwent embolization...
June 24, 2016: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/27319139/hplc-dpph-screening-method-for-evaluation-of-antioxidant-compounds-in-corylus-species
#17
Eszter Riethmüller, Arpad Könczöl, Dorottya Szakál, Krisztina Végh, György T Balogh, Ágnes Kéry
Corylus avellana L., C. colurna L. and C. maxima Mill. have been used in traditional medicine for a long time for the treatment of various diseases, such as phlebitis, varicose veins, haemorrhoidal symptoms and eczema. Our previous studies indicated the presence of flavonol-3-O-glycosides, diarylheptanoids and caffeic acid derivatives in the bark and leaf extracts of the three species mentioned above. Comparison of in vitro DPPH scavenging activity of the Corylus extracts prepared with ethyl acetate and methanol to those of well-known antioxidant phenolics was performed...
May 2016: Natural Product Communications
https://www.readbyqxmd.com/read/27236344/haemorrhoidal-artery-ligation-versus-rubber-band-ligation-for-the-management-of-symptomatic-second-degree-and-third-degree-haemorrhoids-hubble-a-multicentre-open-label-randomised-controlled-trial
#18
RANDOMIZED CONTROLLED TRIAL
Steven R Brown, James P Tiernan, Angus J M Watson, Katie Biggs, Neil Shephard, Allan J Wailoo, Mike Bradburn, Abualbishr Alshreef, Daniel Hind
BACKGROUND: Optimum surgical intervention for low-grade haemorrhoids is unknown. Haemorrhoidal artery ligation (HAL) has been proposed as an efficacious, safe therapy while rubber band ligation (RBL) is a commonly used outpatient treatment. We compared recurrence after HAL versus RBL in patients with grade II-III haemorrhoids. METHODS: This multicentre, open-label, parallel group, randomised controlled trial included patients from 17 acute UK NHS trusts. We screened patients aged 18 years or older presenting with grade II-III haemorrhoids...
July 23, 2016: Lancet
https://www.readbyqxmd.com/read/27212575/manual-reduction-in-acute-haemorrhoids
#19
F Gaj, L Candeloro, I Biviano
AIM: In prolapsed internal hemorrhoids exposed outside the anus, manually reducing the prolapse with 48 hours of commencement of anal pain, decreased the progression of thrombosis. The aim of our study was to evaluate the effects of manual reduction of the inflamed piles hemorrhoids. MATERIALS OF STUDY: Eleven patients, 7 males and 4 pregnant females (in early post partum) with an average age of 34 years ± 8 (range 23- 52) were enrolled with anal pain cause by haemorrhoidal congestion, but prior to full blown thrombosis...
March 2016: La Clinica Terapeutica
https://www.readbyqxmd.com/read/27179281/symptoms-of-obstructive-defecation-syndrome-functional-outcome-after-stapled-haemorrhoidectomy
#20
Aldo Bove, Vincenzo D'Addetta, Gino Palone, Tarcisio Paniccia, Stella Chiarini, Alfonso Lapergola, Giuseppe Bongarzoni
BACKGROUND: Patients with haemorrhoids often present obstructive defecation symptoms. Preoperative they can be classified in three groups: slight, severe and mild symptoms. Aim of this study was to postoperatively evaluate functional outcome in patients who underwent stapled haemorrhoidectomy in mild obstructive defecation syndrome. METHODS: We enrolled 98 patients with mild obstructive defecation symptoms using Wexner score preoperatively (range 8-16) from the 332 consecutive patients treated with stapled haemorrhoidectomy between January 2009 and December 2011...
2016: Annali Italiani di Chirurgia
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