435 results match your criteria Anal Surgery Hemorrhoidectomy


Comparison of Centella with Flavonoids for Treatment of Symptoms in Hemorrhoidal Disease and After Surgical Intervention: A Randomized Clinical Trial.

Sci Rep 2020 May 14;10(1):8009. Epub 2020 May 14.

Department of General Surgery and Specialties "Paride Stefanini", Sapienza University of Rome, Rome, 00161, Italy.

Phlebotonics' effects were evaluated to reduce time-to-stop bleeding and anal irritation in 130 patients who complained of hemorrhoidal disease (HD); bleeding and pain after hemorrhoidectomy (31 patients) and hemorrhoidal thrombosis (34 patients) in the short time. Sixty patients were randomized to receive the routine treatment (both conservative and surgical) (control Group C). The treated group (both conservative and surgical) was divided into two subgroups: one treated with flavonoids (Group A, n = 73), the other with Centella (Group B, n = 66). Read More

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http://dx.doi.org/10.1038/s41598-020-64772-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7224176PMC

Micronized Purified Flavonoid Fraction in Hemorrhoid Disease: A Systematic Review and Meta-Analysis.

Adv Ther 2020 Jun 12;37(6):2792-2812. Epub 2020 May 12.

State Scientific Center of Coloproctology, Ministry of Health of Russian Federation, Moscow, Russia.

Introduction: Hemorrhoidal disease (HD) is a common and recurrent problem for many adults worldwide. Venoactive drugs, such as micronized purified flavonoid fraction (MPFF; Daflon), have been used to treat HD and their clinical benefits have been demonstrated in previous meta-analyses of clinical trials. The aim of this study was to evaluate the efficacy of MPFF across the broader spectrum of signs and symptoms following treatment of patients with HD. Read More

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http://dx.doi.org/10.1007/s12325-020-01353-7DOI Listing

Conservative treatment of haemorrhoids.

Rev Recent Clin Trials 2020 May 5. Epub 2020 May 5.

S. Rita Clinic, Coloproctology Unit, Vercelli. Italy.

1. INTRODUCTION Hemorrhoids are vascular cushions underlying the distal rectal mucosa and contributing for approximately 15-20% of the resting anal pressure with a complete closure of the anal canal. They can become pathological (hemorrhoidal disease, HD) being the most common cause of painless rectal bleeding during defecation with or without prolapsing anal tissue1 . Read More

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http://dx.doi.org/10.2174/1574887115666200506090507DOI Listing

[Submucosal laser ablation of internal hemorrhoids].

Khirurgiia (Mosk) 2020 (3):89-96

A.N. Ryzhikh State Scientific Center of Coloproctology of the Ministry of Health of Russia, Moscow, Russia.

Objective: To analyze efficacy and safety of submucosal laser ablation of internal hemorrhoids (SLT).

Material And Methods: Systematic review included 10 articles published in electronic databases PubMed, Cochrane Library, Elibrary until January 2019. There were only full-text publications from prospective clinical trials devoted to submucosal laser ablation in the treatment of hemorrhoids. Read More

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http://dx.doi.org/10.17116/hirurgia202003189DOI Listing

Post Hemorrhoidectomy Pain Management: The Latest News.

Rev Recent Clin Trials 2020 Apr 6. Epub 2020 Apr 6.

Department of Colorectal Surgery, Pôle des Maladies de l'Appareil Digestif (PMAD), Beaujon Hospital, Assistance Publique-Hôpitaux de Paris (AP-HP), University Denis Diderot (Paris VII), 100 Boulevard du Général Leclerc, 92110, Clichy. France.

Anal post-operative pain is one of the principal issues of surgical treatment of hemorrhoids and remains a distressing problem, for patients and physicians. Recent studies had concluded that appropriate postoperative pain management lead to higher patient satisfaction, earlier mobilization, fewer drug complications, eliminated adverse events, faster recovery, and decreased health care cost. However, despite advances in pain medicine, postoperative pain control remains problematic and remains an important unresolved issue that causes expense and patient dissatisfaction. Read More

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http://dx.doi.org/10.2174/1574887115666200406122009DOI Listing

Caiman Versus LigaSure Hemorrhoidectomy: Postoperative Pain, Early Complications, Long-Term Follow-up, and Costs.

Surg Innov 2020 Jun 5;27(3):272-278. Epub 2020 Mar 5.

Sapienza University of Rome, Rome, Italy.

Recently, the use of radiofrequency for hemorrhoidectomy has minimized incidence of postoperative complications. Effectiveness of LigaSure is demonstrated, but it is quite expensive. This study aims to compare LigaSure with Caiman, a cheaper instrument that uses radiofrequency for hemorrhoidectomy. Read More

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http://dx.doi.org/10.1177/1553350620908388DOI Listing

[Choice of optimal treatment strategy for acute perianal thrombosis. Results of online survey].

Khirurgiia (Mosk) 2020 (2):39-47

Sechenov First Moscow State Medical University of the Ministry of Health of Russia, Moscow, Russia.

Objective: To study the factors influencing the physicians' choice of treatment strategy in patients with acute perianal thrombosis.

Material And Methods: A survey was conducted among 124 Russian colorectal surgeons.

Results: This survey showed that the choice of treatment strategy varies between private and state clinics. Read More

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http://dx.doi.org/10.17116/hirurgia202002139DOI Listing

House advancement flap anoplasty for severe post-hemorrhoidectomy anal stenosis.

Tech Coloproctol 2020 Mar 14;24(3):261-262. Epub 2020 Jan 14.

Department of General Surgery, İzmir Katip Çelebi University Atatürk Training and Research Hospital, Izmir, Turkey.

Anal stenosis (AS), which is a very rare but serious complication, usually develops after hemorrhoidectomy. It may be mild, moderate or severe depending on the grade of stenosis. While mild and moderate types can be monitored with conservative treatment, most of the severe type require advancement flap anoplasty. Read More

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http://dx.doi.org/10.1007/s10151-019-02139-yDOI Listing

Network meta-analysis of randomized controlled trials comparing the procedure for prolapse and hemorrhoids, Milligan-Morgan hemorrhoidectomy and tissue-selecting therapy stapler in the treatment of grade III and IV internal hemorrhoids(Meta-analysis).

Int J Surg 2020 Feb 27;74:53-60. Epub 2019 Dec 27.

People's Hospital Affiliated to Fujian University of Traditional Chinese Medicine, Fuzhou, 350003, China. Electronic address:

Background: Hemorrhoids are one of the most common conditions in the world, and grade III and IV internal hemorrhoids are mainly treated with surgery. However, there are many different surgical methods, and many postoperative complications occur. Therefore, we aimed to update and expand our previous work to compare the safety and efficacy of the procedure for prolapse and hemorrhoids (PPH), Milligan-Morgan hemorrhoidectomy (MMH) and tissue-selecting therapy stapler (TST) in the treatment of grade III and IV internal hemorrhoids. Read More

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http://dx.doi.org/10.1016/j.ijsu.2019.12.027DOI Listing
February 2020

Post-operative radiation therapy with or without chemotherapy for anal squamous cell carcinoma incidentally discovered after local excision: a propensity score matched analysis of retrospective multicenter study.

Br J Radiol 2020 Feb 17;93(1106):20190667. Epub 2019 Dec 17.

Department of Radiation Oncology, Konkuk University School of Medicine, Seoul, Republic of Korea.

Objective: To evaluate the results of post-operative radiation therapy (RT) for anal squamous cell carcinoma (ASCC) incidentally detected after excision, and compare these outcomes with those of definitive RT without excision for exploring the possibility of treatment de-intensification.

Methods And Materials: A total of 25 patients with T1-2N0-1 ASCC who underwent RT following incidental tumor resection were selected from multicenter retrospective database. And, we selected one-to-one matched 25 patients receiving definitive RT from the same database using propensity score matching method, and the outcomes were compared. Read More

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http://dx.doi.org/10.1259/bjr.20190667DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7055428PMC
February 2020

[HAL-RAR for the treatment of hemorrhoids - a new, non invasive method].

Magy Seb 2019 Dec;72(4):161-166

Sebészeti Osztály, Toldy Ferenc Kórház-Rendelőintézet 2700 Cegléd, Törteli út 1-3.

HAL-RAR is a new, minimally invasive technique for the treatment of haemorrhoids, whereby Doppler-guided ligation of the haemorrhoidal arteries (HAL) is combined with a mucopexy of the prolapsed haemorrhoidal tissue (RAR = Recto Anal Repair). We did these operations as an alternative to the conventional haemorrhoidectomies in the cases of grade III or - in some cases - grade II haemorrhoids. Between August 2017 and April 2019 a total of 45 patients were operated on with the HAL-RAR procedure. Read More

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http://dx.doi.org/10.1556/1046.72.2019.4.2DOI Listing
December 2019

Hemorrhoidectomy and Excision of Skin Tags in IBD: Harbinger of Doom or Simply a Disease Running Its Course?

Dis Colon Rectum 2019 12;62(12):1505-1511

Division of Colon and Rectal Surgery, Mayo Clinic, Rochester, Minnesota.

Background: Controversy in performing hemorrhoidectomy and anal skin tag excision in patients with IBD stems from dated reports of nonhealing wounds resulting in proctectomy.

Objective: This study aimed to determine the safety of interventional management of hemorrhoids or anal skin tags in patients with Crohn's disease or ulcerative colitis.

Design: This study is a retrospective review of patient records from 2000 to 2017. Read More

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http://dx.doi.org/10.1097/DCR.0000000000001524DOI Listing
December 2019
3 Reads

[Whether results of treatment of hemorrhoids depend on the anatomy of the anal sinus?]

Khirurgiia (Mosk) 2019 (8. Vyp. 2):48-53

Closed Joint-Stock Company Medical Research and Production Association 'Clinic Movement', Volgograd, Russia; Federal State Educational Institution of Higher Education 'Volgograd State Medical University' of the Russian Federation Ministry of Health, Volgograd, Russia; Volgograd Research Medical Center, Volgograd, Ruissia.

Treatment of hemorrhoids remains a current problem of modern coloproctology. In the provided research the dependence of results of treatment of hemorrhoids on features of the anatomy of a anal sinus, in particular results of treatment of chronic hemorrhoids in all stages of a current at patients with patholologically the anal sinus changed atypical is revealed it is worse, than in at patients with the typical anatomy of a anal sinus. For identification of pathological features of anal sinus the original way of diagnostics is offered. Read More

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http://www.mediasphera.ru/issues/khirurgiya-zhurnal-im-n-i-p
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http://dx.doi.org/10.17116/hirurgia201908248DOI Listing
October 2019
4 Reads

Outpatient management of proctologic disease. Which techniques for local anesthesia? The experience of a single center.

G Chir 2019 May-Jun;40(3):182-187

Introduction: Since 1899 outpatient management of surgical patients had been increasing, becoming the best option when possible. In 1988 was described the first experience of outpatient management of proctologic disease. Advances in local anesthesia techniques have improved the outpatient approach to surgical disease, particularly in patients with proctological diseases. Read More

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February 2020
1 Read

Transanal hemorrhoidal dearterialization versus Milligan-Morgan hemorrhoidectomy in grade III/IV hemorrhoids.

Ann Ital Chir 2019 ;90:145-151

Background: Grade III-IV hemorrhoids require surgical treatment. The Milligan Morgan hemorrhoidectomy (MM) - still considered the gold standard - is now flanked by less invasive surgical methods such as Procedure for Prolapse and Hemorroids (PPH) and Transanal Hemorroidal Dearterialization (THD). The authors wanted to compare in a prospective, randomized trial the MM hemorrhoidectomy and the THD in the treatment of grade III-IV hemorrhoids. Read More

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January 2020
13 Reads

Segmental resection combined with anoplasty for the treatment of circumferential mixed hemorrhoids.

Braz J Med Biol Res 2019 16;52(5):e8102. Epub 2019 May 16.

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

Circumferential mixed hemorrhoids are very difficult to treat non-surgically. Therefore, it is important to explore the surgical methods for its complete resolution as well as maintenance of normal anal anatomy and function. The present study was designed to evaluate the effect of segmented and plastic hemorrhoidectomy (SPH) on patients with circumferential mixed hemorrhoids. Read More

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http://www.scielo.br/scielo.php?script=sci_arttext&pid=S
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http://dx.doi.org/10.1590/1414-431X20198102DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6526753PMC
July 2019
22 Reads
1.034 Impact Factor

Tailored anal block (TAB): a new anesthesia procedure for surgical treatment of hemorrhoids in an outpatient setting.

Tech Coloproctol 2019 May 17;23(5):497-500. Epub 2019 May 17.

SOSD Proctologia USL Toscana Centro, Prato, Italy.

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http://dx.doi.org/10.1007/s10151-019-01998-9DOI Listing
May 2019
8 Reads

[Effect of electroacupuncture preconditioning with different frequencies on anal pain after milligan-morgan hemorrhoidectomy].

Zhongguo Zhen Jiu 2019 May;39(5):477-81

Department of TCM, Hospital Affiliated to Southwest Medical University, Luzhou 646000, Sichuan Province, China.

Objective: To compare the effect of electroacupuncture preconditioning with different frequencies on anal pain after milligan-morgan hemorrhoidectomy.

Methods: A total of 120 patients with mixed hemorrhoids were randomly divided into an electroacupuncture group A (dilatational wave, 2 Hz/100 Hz in frequency), an electroacupuncture group B (continuous wave, 2 Hz in frequency) and an electroacupuncture group C (continuous wave, 100 Hz in frequency), 40 cases in each group. Electroacupuncture at Xialiao (BL 34) and Chengshan (BL 57) was applied with tolerant intensity for 30 min before operation in all groups. Read More

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http://dx.doi.org/10.13703/j.0255-2930.2019.05.005DOI Listing
May 2019
12 Reads

Tamponade dressings versus no tamponade after hemorrhoidectomy: study protocol for a randomized controlled trial.

Trials 2019 Apr 2;20(1):188. Epub 2019 Apr 2.

Institut für Forschung in der Operativen Medizin (IFOM), Universität Witten/Herdecke, Ostmerheimerstraße 200 Haus 38, 51109, Köln, Germany.

Background: Symptomatic hemorrhoids are one of the most common anorectal disorders. Many surgeons use tamponades after open hemorrhoidectomy to manage postoperative bleeding. The question of whether a tamponade is necessary and beneficial after hemorrhoidectomy has not yet been conclusively answered. Read More

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http://dx.doi.org/10.1186/s13063-019-3280-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6444871PMC
April 2019
13 Reads

Comparison of surgical procedures implemented in recent years for patients with grade III and IV hemorrhoids: a network meta-analysis.

Int J Colorectal Dis 2019 Jun 30;34(6):1001-1012. Epub 2019 Mar 30.

Department of Anorectal Surgery, The First Hospital of China Medical University, Shenyang, 110000, China.

Purpose: This study aimed to investigate the complications and recurrence rates of the different surgical procedures implemented in recent years for the treatment of grade III and IV hemorrhoids using a network meta-analysis approach.

Methods: A systematic literature search was conducted for randomized clinical trials (RCTs) published from January 2013 to August 2018, via PubMed, Embase, the Cochrane Library, and Web of Science. Data related to anal stenosis, fecal incontinence, hemorrhoids thrombosis, and recurrence rates were extracted from the included studies, which were selected based on associations with surgical procedures for grade III and IV hemorrhoids. Read More

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http://link.springer.com/10.1007/s00384-019-03288-0
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http://dx.doi.org/10.1007/s00384-019-03288-0DOI Listing
June 2019
35 Reads

Short-term Outcomes of Transanal Hemorrhoidal Dearterialization With Mucopexy Versus Vessel-Sealing Device Hemorrhoidectomy for Grade III to IV Hemorrhoids: A Prospective Randomized Multicenter Trial.

Dis Colon Rectum 2019 08;62(8):988-996

Department of Surgery, Rey Juan Carlos University Hospital, Móstoles, Madrid, Spain.

Background: Transanal hemorrhoidal dearterialization with mucopexy and vessel-sealing device hemorrhoidectomy seem to reduce postoperative pain compared with classic excisional hemorrhoidectomy, but whether one of them is superior remains unclear.

Objective: We compared transanal hemorrhoidal dearterialization with mucopexy and vessel-sealing device hemorrhoidectomy.

Design: This was a multicenter, randomized controlled trial. Read More

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http://dx.doi.org/10.1097/DCR.0000000000001362DOI Listing
August 2019
17 Reads
3.749 Impact Factor

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

Ann Coloproctol 2019 Feb 19:221-224. 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
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6732331PMC
February 2019
3 Reads

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
16 Reads

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

Scand J Surg 2020 Jun 11;109(2):108-114. Epub 2019 Jan 11.

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
June 2020
7 Reads

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

Surg Innov 2019 Jun 9;26(3):328-336. 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
June 2019
34 Reads

Randomized clinical trial with topical diltiazem for post-hemorrhoidectomy wound healing.

Rev Gastroenterol Mex 2019 Jan - Mar;84(1):119-122. Epub 2018 Dec 24.

Servicio de Dermatología, Hospital Ángeles Lindavista, Ciudad de México, México.

Anal sphincter spasm contributes to the delay in surgical wound healing after hemorrhoidectomy. A prospective, experimental, randomized, double-blind trial was conducted on two groups of patients that underwent closed hemorrhoidectomy. There were 26 patients in each group. Read More

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http://dx.doi.org/10.1016/j.rgmx.2018.10.001DOI Listing
June 2019
2 Reads

Stapled Hemorrhoidectomy Versus Transanal Hemorrhoidal Dearterialization in the Treatment of Hemorrhoids: An Updated Meta-Analysis.

Surg Laparosc Endosc Percutan Tech 2019 Apr;29(2):75-81

Department of Anorectal Surgery, First Affiliated Hospital of Nanjing University of Traditional Chinese Medicine (TCM), Qinhuai District, Nanjing, Jiangsu Province.

This meta-analysis aimed to compare the clinical outcomes of stapled hemorrhoidectomy (SH) and transanal hemorrhoidal dearterialization (THD) for treating hemorrhoidal disease. Randomized control trials (RCTs) comparing SH with THD were searched in databases, including MEDLINE, PubMed, Web of Science, EMBASE, and the Cochrane Library database. Nine RCTs, with 1077 patients, were included in this meta-analysis. Read More

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http://dx.doi.org/10.1097/SLE.0000000000000612DOI Listing
April 2019
5 Reads

[The first experience of har-rar and radiofrequency ablation for hemorrhoidal disease treatment in hospitalization replacement environment].

Khirurgiia (Mosk) 2018(11):53-59

Clinical Diagnostic Center of PAO 'Gazprom', Moscow, Russia.

Aim: To analyze advisability of HAL-RAR combined with radiofrequency ablation for hemorrhoidal disease under stationary substitution conditions.

Material And Methods: There were 152 patients. Technical features of this procedure are presented. Read More

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http://www.mediasphera.ru/issues/khirurgiya-zhurnal-im-n-i-p
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http://dx.doi.org/10.17116/hirurgia201811153DOI Listing
May 2019
5 Reads

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

Clin Transl Gastroenterol 2018 11 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
37 Reads

Transanal hemorrhoidal dearterialization (THD) versus stapled hemorrhoidopexy (SH) in treatment of internal hemorrhoids: a systematic review and meta-analysis of randomized clinical trials.

Int J Colorectal Dis 2019 Jan 12;34(1):1-11. Epub 2018 Nov 12.

Department of General surgery, colorectal surgery unit, Mansoura Faculty of medicine, Mansoura University Hospitals, Elgomhuoria Street, Mansoura, Egypt.

Background: Although conventional hemorrhoidectomy proved effective in treatment of hemorrhoidal disease, postoperative pain remains a vexing problem. Alternatives to conventional hemorrhoidectomy as transanal hemorrhoidal dearterialization (THD) and stapled hemorrhoidopexy (SH) were described. The present meta-analysis aimed to review the randomized trials that compared THD and SH to determine which technique is superior in terms of recurrence of hemorrhoids, complications, and postoperative pain. Read More

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http://link.springer.com/10.1007/s00384-018-3187-3
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http://dx.doi.org/10.1007/s00384-018-3187-3DOI Listing
January 2019
46 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
38 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
4 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
10 Reads

Patterns of opioid use and prescribing for outpatient anorectal operations.

J Surg Res 2018 09 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
11 Reads

Japanese Practice Guidelines for Anal Disorders I. Hemorrhoids.

Authors:
Tetsuo Yamana

J Anus Rectum Colon 2017 25;1(3):89-99. Epub 2018 May 25.

Department of Coloproctology, Tokyo Yamate Medical Center.

The pathogenesis of hemorrhoids is a weakening of the anal cushion and spasm of the internal sphincter. Bowel habits and lifestyles can be risk factors for hemorrhoids. The prevalence of hemorrhoids can encompass 4 to 55% of the population. Read More

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http://dx.doi.org/10.23922/jarc.2017-018DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6768674PMC
May 2018
2 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
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5965800PMC
May 2018
5 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
37 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
4 Reads

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
83 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
http://dx.doi.org/10.12659/msm.909750DOI Listing
April 2018
13 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
13 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
8 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
22 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
8 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
9 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
5 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
19 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
47 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
3 Reads