408 results match your criteria Anal Surgery Hemorrhoidectomy


Bilateral Rotational S Flap Technique for Preventing Restenosis in Patients With Severe Circular Anal Stenosis: A Review of 2 Cases.

Ann Coloproctol 2019 Feb 19. Epub 2019 Feb 19.

Faculty of Medicine, Universitas Gadjah Mada/Dr. Sardjito Hospital, Yogyakarta, Indonesia.

Anal stenosis is a late hemorrhoidectomy complication. Sphincterotomy and various anoplasty techniques are used for treatment severe anal stenosis, such as the C flap, House flap, U flap, and rotational S flap, but no procedure is ideal for every patient. We review 2 cases of severe circular anal stenosis. Read More

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http://dx.doi.org/10.3393/ac.2017.10.16DOI Listing
February 2019

The role of a sequencing-based clinical intestinal screening test in patients at high-risk for Clostridium difficile and other pathogens: a case report.

J Med Case Rep 2019 Jan 15;13(1). Epub 2019 Jan 15.

uBiome, San Francisco, CA, USA.

Background: Hospitalization and antibiotic treatment can put patients at high risk for Clostridium difficile infection, where a disturbance of the gut microbiome allows for Clostridium difficile proliferation and associated symptoms, including mild, moderate, or severe diarrhea. Clostridium difficile infection is challenging to treat, often recurrent, and leads to almost 30,000 annual deaths in the USA alone. Here we present a case where SmartGut™, an at-home, self-administered sequencing-based clinical intestinal screening test, was used to identify the presence of Clostridium difficile in a patient with worsening diarrhea. Read More

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http://dx.doi.org/10.1186/s13256-018-1919-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6332561PMC
January 2019
2 Reads

Rubber Band Ligation of Hemorrhoids is often a Necessary Complement in the Management of Hemorrhagic Radiation Proctitis.

Scand J Surg 2019 Jan 11:1457496918822619. Epub 2019 Jan 11.

1 Department of Colorectal Surgery, Royal Prince Alfred Hospital, Sydney, NSW, Australia.

Background:: Management of radiation proctitis presents a treatment challenge. Limited data exist on the management of symptomatic hemorrhoids in radiated patients. This study aims to present a practical approach to the management of radiation proctitis, particularly in patients with synchronous hemorrhoids. Read More

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http://dx.doi.org/10.1177/1457496918822619DOI Listing
January 2019
1 Read

Prospective Randomized Trial Comparing HAL-RAR Versus Excisional Hemorrhoidectomy: Postoperative Pain, Clinical Outcomes, and Quality of Life.

Surg Innov 2019 Jan 9:1553350618822644. Epub 2019 Jan 9.

1 Hospital Plató, Barcelona, Spain.

Purpose: To compare outcomes of hemorrhoid artery ligation with recto-anal repair (HAL-RAR) and excisional hemorrhoidectomy (EH). The primary objective was to compare postoperative pain, and the secondary objectives were the following: symptom resolution rates, postoperative morbidity, recurrence, and changes in quality of life.

Method: Prospective randomized controlled trial, including 40 patients with grades III-IV hemorrhoids who were allocated 1:1 to HAL-RAR and EH. Read More

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http://dx.doi.org/10.1177/1553350618822644DOI Listing
January 2019
9 Reads

Topical Analgesia with Lidocaine Plus Diclofenac Decreases Pain in Benign Anorectal Surgery: Randomized, Double-blind, and Controlled Clinical Trial.

Clin Transl Gastroenterol 2018 Nov 23;9(11):210. Epub 2018 Nov 23.

Drug Development Services, Pharmacy and Pharmaceutical Technology and Physical Chemistry Department, University of Barcelona, Barcelona, Spain.

Objective: The aim of this study is to evaluate the efficacy and safety of a topical formulation containing lidocaine plus diclofenac (CLIFE1) compared to lidocaine (CLIFE2), to decrease pain in benign anorectal surgery (BARS) to date not evaluated. More than 50% of patients undergoing BARS, especially hemorrhoidectomy, suffer from moderate and severe postoperative pain. This remains an unresolved problem that could be addressed with the new CLIFE1 topical treatment. Read More

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http://dx.doi.org/10.1038/s41424-018-0075-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6250696PMC
November 2018
13 Reads

Long-term results after stapled hemorrhoidopexy: a survey study with mean follow-up of 12 years.

Tech Coloproctol 2018 09 4;22(9):689-696. Epub 2018 Oct 4.

Proctological and Perineal Surgical Unit, Cisanello University Hospital, Via Paradisa 2, Pisa, Italy.

Background: Hemorrhoidal prolapse is a common benign disease. The introduction of circular-stapled hemorrhoidopexy as an alternative to the conventional hemorrhoidectomy led to a new spectrum of postoperative outcomes and complications. The aim of the present study was to evaluate long-term results after stapled hemorrhoidopexy. Read More

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http://link.springer.com/10.1007/s10151-018-1860-8
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http://dx.doi.org/10.1007/s10151-018-1860-8DOI Listing
September 2018
13 Reads

Effect of lateral internal sphincterotomy in patients undergoing excisional hemorrhoidectomy.

Medicine (Baltimore) 2018 Aug;97(32):e11820

Department of Integrated Traditional Chinese and Western Medicine, West China Hospital, Sichuan University.

Background: Excisional hemorrhoidectomy (EH) is the major surgical option for high-grade symptomatic hemorrhoids, but it has some shortcomings, especially postoperative pain. This study was performed to assess the effect of lateral internal sphincterotomy (LIS) in patients undergoing excisional hemorrhoidectomy.

Methods: A systematic literature search (Medline, Embase, Cochrane Library, Science Citation Index, Science Direct, Springer Link, Ovid Journals, and EBSCO) was performed to identify all eligible articles. Read More

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http://dx.doi.org/10.1097/MD.0000000000011820DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6133531PMC
August 2018
2 Reads

Transanal hemorrhoidal dearterialization versus stapled hemorrhoidectomy in the treatment of hemorrhoids: A PRISMA-compliant updated meta-analysis of randomized control trials.

Medicine (Baltimore) 2018 Jul;97(29):e11502

Hunan Provincial Key Laboratory for Diagnostic and Therapeutic Research in Chinese Medicine, Hunan University of Chinese Medical, Changsha, Hunan Province, P.R. China.

Background And Objective: The aim of this study was to compare the outcomes of transanal hemorrhoidal dearterialization (THD) and stapled hemorrhoidectomy (SH) in the treatment of hemorrhoids by a meta-analysis.

Methods: Randomized control trials (RCTs) comparing SH with THD were searched for in databases, including MEDLINE, PubMed, Web of science, Embase, and the Cochrane Library database. Data were independently extracted from each study, and a meta-analysis was performed using RevMan5. Read More

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http://dx.doi.org/10.1097/MD.0000000000011502DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6086545PMC
July 2018
4 Reads

Patterns of opioid use and prescribing for outpatient anorectal operations.

J Surg Res 2018 Sep 9;229:283-287. Epub 2018 May 9.

Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire; Geisel School of Medicine, Lebanon, New Hampshire. Electronic address:

Background: Surgery for anorectal diseases is thought to cause significant pain postoperatively. There is little known regarding standardized opioid-prescribing trends and patient use following surgery for anorectal diseases. We aimed to evaluate and analyze opioid-prescribing trends and patient use for outpatient anorectal operations. Read More

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http://dx.doi.org/10.1016/j.jss.2018.04.005DOI Listing
September 2018
3 Reads

Rectal mucocele in the anterior wall of the rectum.

BMJ Case Rep 2018 May 18;2018. Epub 2018 May 18.

Department of Surgery, Hokkaido P.W.F.A.C Engaru-Kosei General Hospital, Engaru-cho Mombetsu-gun, Japan.

An 84-year-old man presented in 2009 with a sensation of discomfort in his anus, combined with difficulty in urination. He had previously undergone a haemorrhoidectomy in 1964. After examination, he was diagnosed with a rectal mucosal cyst and followed up for observation. Read More

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http://dx.doi.org/10.1136/bcr-2018-225097DOI Listing
May 2018
2 Reads

Preemptive Analgesia Decreases Pain Following Anorectal Surgery: A Prospective, Randomized, Double-Blinded, Placebo-Controlled Trial.

Dis Colon Rectum 2018 Jul;61(7):824-829

Department of Surgery, University of Vermont Medical Center, Burlington, Vermont.

Background: Postoperative pain is a frequent cause for delayed discharge following outpatient procedures, including anorectal surgery. Both central and peripheral pain receptor sensitization are thought to contribute to postoperative pain. Blocking these receptors and preempting sensitization prevents hyperalgesia leading to lower pain medication requirements. Read More

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http://dx.doi.org/10.1097/DCR.0000000000001069DOI Listing
July 2018
13 Reads

A prospective randomized double-blind study of pain control by topical calcium channel blockers versus placebo after Milligan-Morgan hemorrhoidectomy.

Int J Colorectal Dis 2018 Jul 2;33(7):895-899. Epub 2018 May 2.

Department of General Surgery, SMS Medical College, Jaipur, Rajasthan, India.

Introduction: Post-hemorrhoidectomy pain is significantly associated with a hypertonicity of the internal anal sphincter. We evaluated the effects of topical diltiazem, a calcium channel blocker, in reducing pain after hemorrhoidectomy. Purpose of our study was to determine difference in extent of pain control by application of topical calcium channel blocker (diltiazem 2%) versus placebo ointment. Read More

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http://link.springer.com/10.1007/s00384-018-3067-x
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http://dx.doi.org/10.1007/s00384-018-3067-xDOI Listing
July 2018
1 Read

Mucopexy-recto anal lifting: a standardized minimally invasive method of managing symptomatic hemorrhoids, with an innovative suturing technique and the HemorPex System®.

Minerva Chir 2018 Oct 12;73(5):469-474. Epub 2018 Apr 12.

Maggiore Policlinic Hospital, IRCCS Ca' Granda Foundation, UOSD Day/Week Surgery, Milan, Italy.

Background: Conservative surgery of hemorrhoidal disease is less painful than traditional hemorrhoidectomy, and mucopexy has less risk of serious postoperative complications than stapled hemorrhoidopexy. The aim of this study was to evaluate the safety and effectiveness of a standardized, modified hemorrhoidopexy, named Mucopexy-Recto Anal Lifting (MuRAL) with the HemorPex System (HPS) in patients with symptomatic III and IV degree hemorrhoids.

Methods: Patients were enrolled from May 2013 to Dec 2015 and operated on with the MuRAL technique, based on arterial ligation and mucopexy at 6 locations, using a standardized clockwise/anti-clockwise rotation sequence of the HPS anoscope. Read More

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http://dx.doi.org/10.23736/S0026-4733.18.07425-4DOI Listing
October 2018
47 Reads

Comparison of Effects of Vessel-Sealing Devices and Conventional Hemorrhoidectomy on Postoperative Pain and Quality of Life.

Med Sci Monit 2018 Apr 12;24:2173-2179. Epub 2018 Apr 12.

Department of Pathology, Hitit University School of Medicine, Çorum, Turkey.

BACKGROUND The aim of this study was to investigate the early and late results of use of LigaSure, Harmonic Scalpel, and conventional hemorrhoidectomy in hemorrhoidectomy, to determine the least painful method, and to investigate the relationship between pain perception and personal differences in hemorrhoid bundles. MATERIAL AND METHODS Ninety patients undergoing hemorrhoidectomy between 2014 and 2017 were retrospectively evaluated. We investigated the duration of hospitalization and the presence of bleeding, incontinence, perianal wetness, urinary retention, stenosis, and recurrence during follow-up after surgery. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5914273PMC
April 2018
9 Reads

Stapled Hemorrhoidopexy: Results at 10-Year Follow-up.

Dis Colon Rectum 2018 Apr;61(4):491-498

Colorectal and Pelvic Floor Diseases Center, Department of General Surgery, S. Maria dei Battuti Hospital, Conegliano Veneto, Italy.

Background: Despite the advantages of stapled hemorrhoidopexy reported in the literature in terms of postoperative pain, hospital stay, and duration of convalescence, it was described to have a higher recurrence rate compared with conventional hemorrhoidectomy.

Objective: The aim of this study was to evaluate clinical outcomes and patient satisfaction after stapled hemorrhoidopexy at 10-year follow-up.

Design: This was a retrospective cohort analysis conducted on prospectively collected data. Read More

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http://Insights.ovid.com/crossref?an=00003453-201804000-0001
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http://dx.doi.org/10.1097/DCR.0000000000001025DOI Listing
April 2018
9 Reads

Anoplasty for Post-hemorrhoidectomy Low Anal Stenosis: A New Technique.

Authors:
Sami Asfar

World J Surg 2018 09;42(9):3015-3020

Department of Surgery, Faculty of Medicine, Kuwait University, P.O. Box 24923, 13110, Safat, Kuwait.

Background: Post-hemorrhoidectomy anal stenosis though rare is very disturbing and devastating complication. Many surgical procedures have been described, but despite good results, many complications can ensue like flap necrosis, mucosal ectropion, and restenosis.

Objective: We report a new simple technique for repair of severe/moderate anal stenosis which requires no extensive flap mobilization or many sutures. Read More

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http://dx.doi.org/10.1007/s00268-018-4561-6DOI Listing
September 2018
4 Reads

[Mechanism of acupoint transcutaneous electric stimulation on analgesic anesthesia in the patients undergoing general anesthesia anorectal operation].

Zhongguo Zhen Jiu 2017 Jul;37(7):747-752

Department of Acupuncture and Moxibustion.

Objective: To observe the regulatory effects of acupoint electric stimulation on the analgesic substances and the relevant indices of nerve-immunity-endocrine system in the patients undergoing general anesthesia anorectal operation.

Methods: One hundred and fifty-six patients undergoing hemorrhoids and anal fistula operation were randomized into three groups, 146 cases were included in the analysis. In the No. Read More

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http://dx.doi.org/10.13703/j.0255-2930.2017.07.017DOI Listing
July 2017
15 Reads

Implementation of a New High-Volume Circular Stapler in Stapled Anopexy for Hemorrhoidal Disease: Is Patient's Short-Term Outcome Affected by a Higher Volume of Resected Tissue?

Dig Surg 2018 2;35(5):406-410. Epub 2017 Nov 2.

Background: Stapled anopexy is a safe technique for the treatment of hemorrhoids but carries a higher risk of recurrence, which might be caused due to the limited volume of resected tissue. In this study, we investigated the introduction of a high-volume circular stapling device; in particular whether an increased amount of resected tissue could affect patients' short-term postoperative outcome.

Methods: Between 2011 and 2015, stapled anopexy was performed for hemorrhoids and/or anal prolapse in 141 patients (n = 25 conventional PPH-3©-stapler versus n = 116 high-volume CHEX©-stapler). Read More

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http://dx.doi.org/10.1159/000480355DOI Listing
December 2018
5 Reads

The ligament of Parks as a key anatomical structure for safer hemorrhoidectomy: Anatomic study and a simple surgical note.

Ann Med Surg (Lond) 2017 Dec 16;24:31-33. Epub 2017 Oct 16.

University Department of Surgery, General and Oncologic Hospital of Kifissia ''Agii Anargiri'', Athens, Greece.

Hemorrhoids are a common anal disorder which affects both men and women of all ages. One out of ten patients with hemorrhoidal disease, requires surgical treatment. Unfortunately though, hemorrhoidectomy is closely related to complications that can be present early or late postoperatively. Read More

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http://dx.doi.org/10.1016/j.amsu.2017.10.004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5651486PMC
December 2017
3 Reads

V-Y advancement flap reconstruction for anal stricture - a video vignette.

Colorectal Dis 2018 01;20(1):78-79

Department of Surgery, Acibadem University School of Medicine, Maslak Hospital, Istanbul, Turkey.

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http://dx.doi.org/10.1111/codi.13931DOI Listing
January 2018
3 Reads

Are Prophylactic Antibiotic Agents Indicated in Anorectal Surgery for Patients with Human Immunodeficiency Virus?

Surg Infect (Larchmt) 2017 Nov/Dec;18(8):924-928. Epub 2017 Oct 13.

2 Division of Colorectal Surgery, Drexel University College of Medicine , Philadelphia, Pennsylvania.

Background: With increased survival among patients with human immunodeficiency virus (HIV), surgeons have been seeing more cases of anal dysplasia and cancer. There is, however, no data on the incidence of surgical site infections (SSIs) in HIV-positive patients undergoing elective anorectal procedures, nor on the administration of prophylactic antibiotic agents. We reviewed a HIV-positive population that has undergone elective anorectal biopsy of areas of dysplasia observed on office anoscopy to assess the need for antibiotic prophylaxis. Read More

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http://dx.doi.org/10.1089/sur.2017.092DOI Listing
June 2018
13 Reads

The Whitehead operation procedure: Is it a useful technique?

Turk J Surg 2017 1;33(3):190-194. Epub 2017 Sep 1.

Department of General Surgery, Ondokuz Mayıs University School of Medicine, Samsun, Turkey.

Objective: Hemorrhoidal disease is a very common entity in the general population; however, the therapeutic approaches to hemorrhoids remain controversial. The choice of treatment method depends on the grade of the hemorrhoid as well as the experience of the surgeon. The Whitehead hemorrhoidectomy procedure is often applied for grade IV hemorrhoids. Read More

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http://dx.doi.org/10.5152/turkjsurg.2017.3483DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5602311PMC
September 2017
18 Reads

A prospective randomized controlled trial evaluating the short-term outcomes of transanal hemorrhoidal dearterialization versus tissue-selecting technique.

Tech Coloproctol 2017 Sep 20;21(9):737-743. Epub 2017 Sep 20.

Department of Surgery, Pamela Youde Nethersole Eastern Hospital, Chai Wan, Hong Kong, People's Republic of China.

Background: Tissue-selecting technique (TST) is a novel stapled hemorrhoidectomy technique which targets the hemorrhoids, leaving uninvolved mucosal bridges intact and avoiding circumferential circular stapling. The aim of this study was to compare the short-term outcomes of TST and transanal hemorrhoidal dearterialization (THD).

Methods: Patients presenting with symptomatic hemorrhoids were recruited. Read More

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http://dx.doi.org/10.1007/s10151-017-1669-xDOI Listing
September 2017
1 Read

A Randomized Multicenter Clinical Trial of RPH With the Simplified Milligan-Morgan Hemorrhoidectomy in the Treatment of Mixed Hemorrhoids.

Surg Innov 2017 Dec 16;24(6):574-581. Epub 2017 Sep 16.

9 Yueyang Hospital of Hunan University of Traditional Chinese Medicine, Hunan, China.

Purpose: To explore the safety and efficacy of Ruiyun procedure for hemorrhoids (RPH) or RPH with the simplified Milligan-Morgan hemorrhoidectomy (sMMH) in the treatment of mixed hemorrhoids.

Methods: This is a randomized, controlled, balanced, multicenter study of 3000 patients with mixed hemorrhoids. The outcomes and postoperative complications were compared between 5 types of surgeries. Read More

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http://dx.doi.org/10.1177/1553350617731205DOI Listing
December 2017
47 Reads

A prospective randomized trial of transanal hemorrhoidal dearterialization with mucopexy versus ultrasonic scalpel hemorrhoidectomy for grade III hemorrhoids.

Tech Coloproctol 2017 Aug 4;21(8):657-665. Epub 2017 Sep 4.

Department of Gastroenterological Surgery, Kameda Medical Center, Kamogawa City, Japan.

Background: The aim of the present study was to compare short- and medium-term results of transanal Doppler-guided hemorrhoidal dearterialization with mucopexy (DM) versus hemorrhoidectomy using an ultrasonic scalpel (US) for third-degree hemorrhoids.

Methods: Forty-four patients were randomly assigned to undergo either DM or US. The patients were followed up at 1, 2, 3 months at our clinic, and by telephone interview when the study was completed in May 2017. Read More

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http://dx.doi.org/10.1007/s10151-017-1673-1DOI Listing
August 2017
2 Reads

Partial stapled hemorrhoidopexy: clinical aspects and impact on anorectal physiology.

Rev Col Bras Cir 2017 May-Jun;44(3):278-283

Universidade do Estado do Rio de Janeiro (UERJ), Rio de Janeiro, RJ, Brasil.

Objective:: to evaluate the impact of partial stapled hemorrhoidopexy on anorectal physiology, the complications related to this surgical technique, pain, postoperative bleeding and recurrence of hemorrhoidal disease one year after surgery.

Methods:: this is a prospective, descriptive study in consecutive patients with mixed or internal hemorrhoidal disease, the internal component being classified as grade III or IV, undergoing partial stapled hemorrhoidopexy.

Results:: we studied 17 patients, 82% of them with internal hemorrhoids grade III and 18% grade IV. Read More

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http://dx.doi.org/10.1590/0100-69912017003010DOI Listing
June 2018
3 Reads

Topical diltiazem ointment in post-hemorrhoidectomy pain relief: A meta-analysis of randomized controlled trials.

Asian J Surg 2018 Sep 8;41(5):431-437. Epub 2017 Jul 8.

Division of Colorectal Surgery, Department of Surgery, Taipei Medical University Hospital, Taipei, Taiwan; Graduate Institute of Cancer Biology and Drug Discovery, Taipei Medical University, Taipei, Taiwan; Department of Surgery, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan; Division of General Surgery, Department of Surgery, Taipei Medical University Hospital, Taipei, Taiwan; Cancer Research Center, Taipei Medical University Hospital, Taipei Medical University, Taipei, Taiwan; Translational Laboratory, Department of Medical Research, Taipei Medical University Hospital, Taipei Medical University, Taipei, Taiwan. Electronic address:

Background: Hemorrhoidectomy is commonly associated with postoperative pain. Calcium channel blockers are known to cause relaxation of gastrointestinal smooth muscle and oral diltiazem has also been shown to reduce the resting anal pressure.

Objective: We attempted to analyze efficacy and side effects of topical diltiazem oint. Read More

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http://dx.doi.org/10.1016/j.asjsur.2017.06.002DOI Listing
September 2018
71 Reads

Laparoscopic low anterior resection for rectal cancer after Whitehead's hemorrhoidectomy: A case report.

Asian J Endosc Surg 2018 Feb 6;11(1):60-63. Epub 2017 Jul 6.

Department of Surgery and Clinical Science, Yamaguchi University Graduate School of Medicine, Ube, Yamaguchi, Japan.

A 65-year-old man presented with bloody stool. Colonoscopy revealed a raised tumor in the rectum, above the peritoneal reflection. He underwent endoscopic mucosal resection, but the pathological findings suggested the possibility of residual cancer. Read More

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http://dx.doi.org/10.1111/ases.12409DOI Listing
February 2018
12 Reads

A novel technique for the treatment of stages III to IV hemorrhoids: Homemade anal cushion suspension clamp combined with harmonic scalpel.

Medicine (Baltimore) 2017 Jun;96(26):e7309

Department of Anorectal Surgery, The First Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, China.

To compare the efficacy of homemade anal cushion suspension clamp combined with harmonic scalpel (ACS) and Milligan-Morgan hemorrhoidectomy combined with electric knife (MMH) in the treatment of stages III to IV hemorrhoids. We conducted a retrospective study of 99 patients with stages III to IV hemorrhoids hospitalized from January to December in 2013. Among them, 51 patients were treated with ACS, while 48 patients received MMH. Read More

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http://Insights.ovid.com/crossref?an=00005792-201706300-0004
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http://dx.doi.org/10.1097/MD.0000000000007309DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5500060PMC
June 2017
3 Reads

Randomized clinical study on the analgesic effect of local infiltration versus spinal block for hemorrhoidectomy.

Sao Paulo Med J 2017 May-Jun;135(3):247-252. Epub 2017 May 29.

MD, PhD. Professor, Department of Anesthesia, Universidade Federal de São Paulo (Unifesp), São Paulo (SP), Brazil.

Background And Objectives:: Postoperative analgesia and early recovery are important for hospital discharge. The primary objective of this study was to compare the analgesic effectiveness of perianal infiltration and subarachnoid anesthesia for hemorrhoidectomy. The secondary objective was to compare time to discharge, adverse effects and complications. Read More

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http://dx.doi.org/10.1590/1516-3180.2017.0001260117DOI Listing
September 2017
7 Reads

Decreased blood flow to the posterior anal canal shown during Doppler-guided hemorrhoidal artery ligation explains anodermal ischemia in anal fissure.

Tech Coloproctol 2017 05 20;21(5):411-412. Epub 2017 May 20.

Colorectal Unit, Department of Surgery, Michallon University Hospital, CS 10217, 38043, Grenoble Cedex, France.

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http://dx.doi.org/10.1007/s10151-017-1636-6DOI Listing
May 2017
7 Reads

Distal Doppler-guided transanal hemorrhoidal dearterialization with mucopexy versus conventional hemorrhoidectomy for grade III and IV hemorrhoids: postoperative morbidity and long-term outcomes.

Tech Coloproctol 2017 May 27;21(5):337-344. Epub 2017 Apr 27.

Colorectal Unit, Department of General and Digestive Surgery, Bellvitge University Hospital, University of Barcelona, C/Feixa Llarga s/n, L'Hospitalet de Llobregat, 08907, Barcelona, Spain.

Background: Distal Doppler-guided transanal hemorrhoidal dearterialization with mucopexy (Doppler-guided THD) seems to be associated with better short-term outcomes than conventional hemorrhoidectomy, but there are little data about long-term recurrence. The aim of this study was to compare Doppler-guided THD for grade III-IV hemorrhoids with conventional hemorrhoidectomy with regard to long-term postoperative morbidity and recurrence.

Methods: This was a single-center longitudinal and comparative study of a cohort of patients who underwent either distal Doppler-guided THD with low ligation of the hemorrhoidal artery and mucopexy or conventional excisional hemorrhoidectomy (Milligan and Morgan or Ferguson) for grade III and IV hemorrhoids. Read More

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http://dx.doi.org/10.1007/s10151-017-1620-1DOI Listing
May 2017
19 Reads

Anal metastasis of rectal cancer-adenocarcinoma of squamous cells: a case report and literature review.

Surg Case Rep 2017 Dec 21;3(1):55. Epub 2017 Apr 21.

Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan.

Anal metastasis of colorectal cancer is very rare and is usually associated with a history of anal disease, including anal fistula, fissure, hemorrhoidectomy, and anastomotic injury. We report a case of rectal cancer with a synchronous anal metastasis consisting of adenocarcinoma of squamous cells without a history of anal disease. A 60-year-old woman had a chief complaint of melena. Read More

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http://dx.doi.org/10.1186/s40792-017-0319-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5400771PMC
December 2017
17 Reads

Comparison of two procedures for symptomatic hemorrhoidal disease: Ligation under Vision and Ferguson Hemorrhoidectomy - a retrospective cohort study.

Pak J Med Sci 2017 Jan-Feb;33(1):90-95

Prof. Fehmi Celebi, Department of General Surgery, Sakarya University Teaching and Research Hospital, Sakarya, Turkey.

Objective: To compare Ligation under Vision (LUV) with Ferguson Hemorrhoidectomy (FH) in patients with Grade II, III and IV hemorrhoidal diseases according to their postoperative outcomes.

Methods: Between July 2008 and August 2014, 155 patients underwent FH and 120 patients LUV, in Sakarya University Teaching and Research Hospital. Our retrospective analysis focuses on postoperative complications, postoperative pain and rate of recurrence. Read More

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http://dx.doi.org/10.12669/pjms.331.11266DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5368337PMC
April 2017
10 Reads

[Treatment of Mixed Hemorrhoids by RPH with the Simplified Milligan-Morgan Surgery: a Multi-center, Randomized, Controlled Clinical Trial].

Zhongguo Zhong Xi Yi Jie He Za Zhi 2017 04;37(4):422-425

Objective To observe the safety and efficacy of RPH with the simplified. Milligan-Mor- gan(M-M) surgery on mixed hemorrhoids. Methods Totally 1 200 patients with mixed hemorrhoid were assigned to the control group(600 cases) and the treatment group(600 cases) according to randomized, parallel controlled,multi-center trial design. Read More

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April 2017
8 Reads

Reasons for rarity of anal melanocytic naevi.

Australas J Dermatol 2017 Nov 17;58(4):308-311. Epub 2017 Feb 17.

Central Medical Laboratory, Manama, Kingdom of Bahrain.

In the last 16 years only seven definite cases of anal melanocytic naevi have been reported in the literature. We describe three new cases, none of which were suspected clinically and were incidentally diagnosed on histological examination of haemorrhoidectomy specimens. The infrequency of these special site flexural melanocytic lesions may be related to changes in the involutionary mechanisms of the anal melanocyte proliferation. Read More

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http://dx.doi.org/10.1111/ajd.12573DOI Listing
November 2017

Human Papillomavirus Genotyping of Incidental Malignant and Premalignant Lesions on Hemorrhoidectomy Specimens.

Am J Surg Pathol 2017 Mar;41(3):382-388

Departments of *Pathology and Laboratory Medicine, Rhode Island Hospital †Pathology and Laboratory Medicine, Women and Infants Hospital of Rhode Island ‡Pathology and Laboratory Medicine §Pathology and Laboratory Medicine, The Miriam Hospital, Alpert Medical School of Brown University, Providence, RI.

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. Read More

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http://Insights.ovid.com/crossref?an=00000478-201703000-0001
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http://dx.doi.org/10.1097/PAS.0000000000000809DOI Listing
March 2017
11 Reads

[ОPTIMIZATION OF SURGICAL TREATMENT OF HEMORRHOIDAL DISEASE STAGES III-IV].

Klin Khir 2017(2):10-12

The treatment results in patients, suffering chronic hemorrhoidal disease stages III- IV, in accordance to the elaborated method of hemorrhoidectomy, using radio-wave scalpel «Surgitron TM» with further welding of vascular pedicle, applying high-frequency electrocoagulator ЕК-301М1, are presented. In the patients, оperated on in accordance to the method proposed, the intraoperative complications rate and the blood loss severity were essentially lesser than in a comparison group. Owing an adequate level of surgical skills, the operative treatment method elaborated guarantees the reduction of early and late postoperative morbidity, rapid coming back to routine way of living postoperatively. Read More

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October 2018

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.

Int J Surg Case Rep 2017 15;30:73-75. Epub 2016 Nov 15.

Department of General Surgery, Vic University Hospital, Barcelona, Vic, Spain. Electronic address:

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. Read More

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http://dx.doi.org/10.1016/j.ijscr.2016.11.018DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5153430PMC
November 2016
12 Reads

Transanal hemorrhoidal dearterialization with mucopexy versus open hemorrhoidectomy in the treatment of hemorrhoids: a meta-analysis of randomized control trials.

Tech Coloproctol 2016 Dec 25;20(12):825-833. Epub 2016 Nov 25.

Department of Coloproctology, First Affiliated Hospital of Zhejiang, Chinese Medical University, No. 54 Youdian Rd, Shangcheng District, Hangzhou, 310006, Zhejiang Province, People's Republic of China.

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. Read More

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http://link.springer.com/10.1007/s10151-016-1551-2
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http://dx.doi.org/10.1007/s10151-016-1551-2DOI Listing
December 2016
10 Reads

Stapled anopexy versus transanal hemorrhoidal dearterialization for hemorrhoidal disease: a three-year follow-up from a randomized study.

Minerva Chir 2016 Dec 4;71(6):365-371. Epub 2016 Nov 4.

Department of General and Emergency Surgery, Maggiore Polyclinic Hospital, Ca' Granda Foundation and Institute for Research and Care, Milan, Italy -

Background: This randomized study compared the medium-term results of stapled anopexy (SA) and transanal hemorrhoidal 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 hemorrhoids were randomly submitted to SA (N.=20+15) and THD (N. Read More

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December 2016
4 Reads

Does a more extensive mucosal excision prevent haemorrhoidal recurrence after stapled haemorrhoidopexy? Long-term outcome of a randomized controlled trial.

Colorectal Dis 2017 Jun;19(6):559-562

Department of Emergency and Organ Transplantation, University Aldo Moro of Bari, Bari, Italy.

Aim: The study aimed in a multicentric randomized 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: In all, 135 patients were randomized to treatment with a PPH-01/03 (Ethicon EndoSurgery) or an EEA (Covidien) stapler. They were reviewed after a minimum follow-up of 4 years to determine the rate of recurrent mucosal prolapse and general condition (wellness evaluation score). Read More

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http://dx.doi.org/10.1111/codi.13549DOI Listing
June 2017
5 Reads

Treatment of accidental perianal injection of topical thrombin with intravenous antithrombin.

J Thromb Thrombolysis 2017 Apr;43(3):423-425

Department of Surgery, The University of Arizona College of Medicine, Tucson, USA.

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. Read More

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http://dx.doi.org/10.1007/s11239-016-1447-zDOI Listing
April 2017
3 Reads

Doppler-Guided Transanal Hemorrhoidal Dearterialization (DG-THD) Versus Stapled Hemorrhoidopexy (SH) in the Treatment of Third-Degree Hemorrhoids: Clinical Results at Short and Long-Term Follow-Up.

J Gastrointest Surg 2016 11 6;20(11):1886-1890. Epub 2016 Sep 6.

Department of Life, Health and Environmental Sciences MeSVA, University of L'Aquila, L'Aquila, Italy.

Introduction: The stapled hemorrhoidopexy (SH) and the Doppler-guided transanal hemorrhoidal dearterialization (DG-THD) are minimally invasive procedures for the surgical treatment of hemorrhoids. This study aims to verify the efficacy of the DG-THD versus the SH in the treatment of third-degree hemorrhoids.

Method: One hundred consecutive patients were causally allocated to either procedure, obtaining two groups of 50 pts. Read More

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http://dx.doi.org/10.1007/s11605-016-3220-1DOI Listing
November 2016
2 Reads

Transanal hemorrhoid dearterialization is a safe and effective outpatient procedure for the treatment of hemorrhoidal disease.

Cir Esp 2016 Dec 20;94(10):588-594. Epub 2016 Oct 20.

Clinic for Anesthesiology and Intensive Care, Military Medical Academy, Belgrado, Serbia.

Introduction: This prospective, observational study evaluated transanal dearterialization (THD) efficacy and safety in grade 2-4 hemorrhoids (HD).

Methods: THD was performed under sedation-locoregional anesthesia in 402 outpatients. Patients had follow-up evaluation 3 days, 2 weeks, 1, 6 and 12 months postoperatively. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S0009739X163011
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http://dx.doi.org/10.1016/j.ciresp.2016.07.002DOI Listing
December 2016
21 Reads

LigasureTM hemorrhoidectomy: how we do.

Minerva Gastroenterol Dietol 2017 Mar 21;63(1):44-49. Epub 2016 Oct 21.

Department of Surgery, University Hospital of Tor Vergata, Rome, Italy.

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. Read More

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http://dx.doi.org/10.23736/S1121-421X.16.02343-6DOI Listing
March 2017
5 Reads

Early complications after stapled hemorrhoidopexy: a retrospective study comparing three different circular staplers.

Acta Chir Belg 2016 Aug 18;116(4):213-216. Epub 2016 Aug 18.

a Department of General and Abdominal Surgery , AZ Turnhout , Turnhout , Belgium.

Background: A retrospective analysis was performed to assess differences between three devices used for stapled hemorrhoidopexy (SH) in terms of early complications and complaints and the volume of excised tissue.

Materials And Methods: All patients who underwent an elective SH from January 2008 to December 2014 were included. Three different devices were used: the PPH03 stapler (Ethicon EndoSurgery, Diegem, Belgium) and the Chex CPH32 and CPH34 staplers (Frankenman International Ltd, Hong Kong, China). Read More

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https://www.tandfonline.com/doi/full/10.1080/00015458.2016.1
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http://dx.doi.org/10.1080/00015458.2016.1147247DOI Listing
August 2016
5 Reads

Literature review of the role of lateral internal sphincterotomy (LIS) when combined with excisional hemorrhoidectomy.

Int J Colorectal Dis 2016 Jul 27;31(7):1261-72. Epub 2016 May 27.

General Surgery Department, Mansoura Faculty of Medicine, Mansoura University, Elgomhuoria Street, Mansoura city, Dakahlia providence, Egypt.

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. Read More

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http://dx.doi.org/10.1007/s00384-016-2603-9DOI Listing
July 2016
8 Reads
1 Citation
2.450 Impact Factor

Tailored therapy for different presentations of chronic pain after stapled hemorrhoidopexy.

Tech Coloproctol 2016 May 1;20(5):299-307. Epub 2016 Apr 1.

Proctology Unit, Department of Visceral Surgery, University Hospital, Geneva, Switzerland.

Background: As stapled hemorrhoidopexy (SH) becomes more widely used, we see more patients with chronic postoperative anal pain after this surgery. Its presentation is variable and difficult to treat. The aim of our study was to investigate the impact of chronic anal pain after SH and whether tailored therapy was likely to achieve a favorable outcome. Read More

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http://dx.doi.org/10.1007/s10151-016-1458-yDOI Listing
May 2016
3 Reads

COMPARISON OF OPEN AND CLOSED TECHNIQUES OF HAEMORRHOIDECTOMY IN TERMS OF POST-OPERATIVE COMPLICATIONS.

J Ayub Med Coll Abbottabad 2015 Oct-Dec;27(4):791-3

Background: Haemorrhoids have been diagnosed and treated since the dawn of civilization, yet their cause, nature, symptomatology and especially their treatment options, remain hotly debated. The general principle however is that treatment should be directed by symptoms and the degree of haemorrhoids. The objective of the study is to compare early and late complications and wound healing time in open versus closed methods of haemorrhoidectomy. Read More

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April 2016
29 Reads