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Hemorroidal disease

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
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
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
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
L Abramowitz, A Batallan
Thrombosed external hemorrhoids (TEH) and anal fissure (AF) are 2 frequent sources of anal pains during childbirth. We are going to define their incidences as available in publications and in our experience in Bichat hospital. Then we will define their risk factors. According to Martin's and Corby's studies, AF was observed in 10% of the delivered women. In Bichat hospital we performed a proctological assessment to 165 pregnant women during the last third of pregnancy and within the 2 months following delivery...
June 2003: Gynécologie, Obstétrique & Fertilité
E Gervaz, M D Dauge-Geffroy, I Sobhani, C Vissuzaine, M Mignon, G Benhamou, F Potet
The prevalence of anoperineal diseases, i.e. sexual transmitted infections, is increasing particularly in AIDS, a fact which is likely due to the alteration of mucosal immunity. However, no data were available on normal anal status. In order to study anal immunity in man, we characterized lymphocytes subtypes and Langerhans' cells (LC) using quantitative morphometric analysis and immunohistochemistry. Anal normal mucosal samples obtained from surgical specimens of 45 patients (30 suffering from hemorrhoids and 15 from fissurations) were analyzed...
November 1995: Pathology, Research and Practice
A N Geller
No abstract text is available yet for this article.
February 1969: Klinicheskaia Khirurgiia
K Borki, J M Saissy, S Benomar, H Okheira, M Dimou, J P Ducourau
The authors report on a case of anorectal tuberculosis. Revealed by an hemorroïdal thrombosis with febrile symptoma and purulent discharge, its macroscopic aspect was the one of anal mucous membrane ulceration, irregular with elevated border. The diagnosis was confirmed by anatomopathologic exam. The course was favourable under specific treatment. Etiologic investigation did not show any other localisation. Then, present aspects of anorectal tuberculosis are discussed, as well as possible relationships with hemorroïdal disease and its complications, particularly the fissural ones...
January 1986: Médecine Tropicale: Revue du Corps de Santé Colonial
A N Diallo, B M Kone, E Pichard, B Coulibaly, A H Traoré, B Duflo
Analysing the results of 1,000 procto-sigmoidoscopies done in Bamako (Mali), the authors asses the major indications of this examination in Africa: rectal biopsy is quite efficient for the diagnosis of schistosomiasis; hemorroides and proctitis are frequent while tumors seem rare.
1986: Bulletin de la Société de Pathologie Exotique et de Ses Filiales
G Costalat, J M Garrigues, Y Alquier, P Lopez, M Veyrac, J Baldet, A Yousfi, J Vernhet
Rectopexy associated with anterior prolepsectomy was performed for 22 patients (19 females, 3 males), with solitary rectal ulcer syndrome (SRUS) surrounding internal rectal prolapse. The different lesions of SRUS were distributed among 3 main groups (G) according to the macroscopic appearance: G1: solitary ulcer (n = 7); G2: ulcerated proctitis (n = 7); G3: muco-hemorroidal prolapse (n = 3). A significant difference (P less than 0.05) was observed between each group, concerning mean age (G1: 34 years, G2 = 49, G3: 65) and the degree of perineal descent, which was more important in G3 and G2...
1990: Annales de Chirurgie
R L Foust, P J Dean, M H Stoler, S M Moinuddin
The investigators report the clinical and pathologic features of 19 cases of intraepithelial neoplasia occurring in the anal canal mucosa of routinely excised hemorrhoidal tissue, a condition that has been infrequently described. The patients were 12 women and seven men having an age range of 21 to 74 years (mean, 48 years). Two patients had coexistent anogenital condylomata acuminata. Leukoplakia of the hemorrhoidal surface was noted in two patients. Intraepithelial neoplasia arose in the transition zone of the anal canal of 11 cases, in the squamous zone of three cases, and in both sites of five cases...
June 1991: Human Pathology
J Denis
No abstract text is available yet for this article.
October 1976: Archives Françaises des Maladies de L'appareil Digestif
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