Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “HEMORRHOIDS”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 1,801 records · Page 100Linked to original sources
PubMedDate not supplied

Open versus semi-open hemorrhoidectomy: a random trial.

Three hundred patients with hemorrhoidal disease were randomly allocated to either a semi-open hemorrhoidectomy (group A) or to an open procedure (group B). The aims of the trial were to investigate the healing time in both groups, to analyse and compare the incidence of post-operative complications and the use of analgesics. A secondary aim was to investigate the period of time required to reestablish the normal bowel habit. All patients had a follow-up of at least three months. The wound was observed daily in the first week and then, twice a week, till complete healing occurred. The dosage, route and amount of analgesic demanded by each patient was noted. Any observed complication and its consequent treatment were written down. As to healing time there was a statistically significant difference between both groups: whereas for group A the average healing time was 12.38 days, for group B it was 25.22 days. The incidence of post-operative complication such as granuloma and pruritus was higher in group B; urinary disturbances were similar in both groups. The patients of group A demanded a small amount of analgesics, statistically significant (p = 0.01), in the early as well as in the late post-operative period. The normal bowel habit was re-established earlier in group A and this was also statistically significant.

Adolescent↗
PubMed2006

Stapled hemorrhoidectomy.

The procedure of stapled hemorrhoidectomy has been established as a safe and effective method for treating symptomatic hemorrhoids not responsive to more conservative measures. This chapter discusses the issues of safety, efficacy, durability, and cost of this procedure. In addition, we outline techniques for performing the procedure safely and effectively.

Digestive System Surgical Procedures↗
PubMed2006

Early experience of stapled hemorrhoidectomy in a community hospital setting.

BACKGROUND: Stapled hemorrhoidectomy was introduced as a new procedure for the surgical management of hemorrhoidal disease in 1993. We present a cohort longitudinal study performed in a community hospital setting where the short-term outcomes of stapled hemorrhoidectomy were compared with those of conventional hemorrhoidectomy. METHODS: We compared 41 consecutive patients who underwent a conventional open diathermy (Ferguson) hemorrhoidectomy between September 1999 and September 2001 with 40 consecutive patients who underwent a stapled hemorrhoidectomy procedure between September 2001 and June 2004. We analyzed perioperative and postoperative complications, length of hospital stay, patient satisfaction and case costing for both groups. RESULTS: The stapled hemorrhoidectomy group comprised 13 men and 27 women. The open hemorrhoidectomy group comprised 9 men and 32 women. There were no intraoperative complications in either group. In the stapled hemorrhoidectomy group, 3 patients presented with postoperative complications and 3 required admission. In the open hemorrhoidectomy group, 14 patients presented with postoperative complications and 11 required admission. At 2-week follow-up, 35 patients (88%) presented no complaints in the stapled hemorrhoidectomy group, versus 27 (66%) in the open hemorrhoidectomy group. The total cost calculated for the stapled hemorrhoidectomy procedure was dollar 716.38, whereas the total cost of the open hemorrhoidectomy procedure was dollar 760.00. CONCLUSIONS: The stapled hemorrhoidectomy technique is a safe alternative to the traditional open hemorrhoidectomy. It can be performed as an outpatient procedure, is well tolerated by patients and is no more expensive than conventional surgical therapy.

Adult↗
PubMed2006

[Complications of the Longo Procedure--rectal occlusion].

Longo Procedures on hemorrhoids are widely used and standard surgical procedures used in many surgical clinics. Extensive studies, describing benefits and possible complications of the method in a detail, are published in Czech and foreign literature. A wide range of complication rates (5-20%) is reported by individual clinics, however, the rates decrease proportionally to the surgeon's growing experience and mastering of the method. The complications reported are mostly non-serious, bleeding from stapled sutures is one of the commonest ones. However, more serious complications including suture dehiscence or rectovaginal fistules, are less common. Our case-review presents an unusual complication after the procedure, a blind closure of the rectum with a circular PPH stapler. No similar complication has been found in the available literature.

Female↗
PubMedDate not supplied

[Hemorrhoidectomy by Arnous and Parnaud's method: its role in the magnitude of postoperative pain].

To evaluate the role of internal sphincterotomy with hemorrhoidectomy on postoperative pain, 50 patients with III and IV degree hemorrhoids were subdivided in two groups. Patients of Ist group underwent classic Milligan-Morgan operation; in the IId group, Arnous-Parnaud's hemorrhoidectomy was performed. Ist group's patients needed analgesic in the immediate postoperative period and during hospital stay until clinic healing. IId group's patients needed analgesic only in the first postoperative hour. No significative differences were seen between two groups about mean hospital stay and both clinic and anatomic healing. Two patients of Ist group developed postoperative stenosis and underwent reoperation. Long-term results were good in the two groups of patients. The effectiveness of sphincterotomy on both postoperative pain and prevention of postoperative stenosis is confirmed.

Adolescent↗
PubMed1991

Rectosigmoid varices and other mucosal changes in patients with portal hypertension.

A prospective study was performed to evaluate the prevalence of anorectal varices and their clinical significance as well as to study other proctosigmoidoscopic changes in 75 patients with portal hypertension of diverse etiology. Sixty-seven patients (89.3%) had lower gastrointestinal varices with no significant difference (p greater than 0.05) in prevalence between cirrhosis (92.1%), noncirrhotic portal fibrosis (87%), and extrahepatic portal venous obstruction (85.7%). The rectum was the most common site of lower gastrointestinal varices. External anal and sigmoid colonic varices almost always occurred in the presence of rectal and/or internal anal varices. There was no correlation between the presence of rectosigmoid varices and the severity of esophagogastric mucosal changes or portal hypertension. There was no suggestion that esophageal variceal sclerotherapy influenced the presence of anorectal varices. Seven patients (9.3%) had recent hematochezia, including three patients in whom it occurred in the absence of any upper gastrointestinal hemorrhage. Varices were the cause of bleeding in at least five patients. An abnormal mucosal vascular pattern in the form of telangiectasias or spiders was seen, irrespective of etiology of portal hypertension, in nine patients (12%). Hemorrhoids were present in 31 patients (41.3%) with an age-related difference (p less than 0.05) between patients with cirrhosis (55.3%) and extrahepatic portal venous obstruction (21.4%).

Adolescent↗
PubMedDate not supplied

[A study on the use of ginkor in proctology (author's transl)].

A total of 37 ambulatory patients with proctological conditions were treated with Ginkor as preparatory therapy before instrumental treatment (sclerosants or elastic ligatures). Greater importance was attached to its hemostatic activity; always objective though sometimes transitory, than to the improvement in various painful functional syndromes. Changes in hemorrhoidal morphology were not included in the assessment, as they demonstrate very little in the course of general treatment, except in bouts of acute inflammation and more particularly when oedema and thrombis occur. After treatment, the functional syndrome (heaviness, tenesmus) which was present in 29 patients was absent in 9 cases, reduced in 13, and unchanged in 7. Pruritus ani, which was present in 14 patients, was absent in 4 cases, reduced in 5, unchanged in 4, and impossible to evaluate in 1 case. Rectorrhagia disappeared in 12 out of 20 cases, was reduced in 4 cases, and persisted in 4 others. Overall, there were 12 very satisfactory results, 13 incomplete results, 3 moderate results, and 9 cases where no effect was noted.

Adult↗
PubMed1990

[Bleeding and pain following anal surgery].

Bleeding and pain are frequent complications, following proctological procedures. Their intensity however, can be influenced by the therapist. Through careful hemostasis and wound closure the risk of bleeding is greatly reduced so that most procedures can be done on an outpatient basis. The intensity of pain experienced by the patient is very much personality dependent and is in general unpredictable. Pain can be reduced by using an improved technique (high position of rubber-band ligation, manual anal dilation). This paper deals mainly with bleeding and pain following treatment of external hemorrhoids, inner piles, fissure-in-ano, abscesses and fistulae.

Abscess↗
PubMedDate not supplied

Hemorrhoidectomy according to Milligan-Morgan: ligature and excision technique.

The author notes of the fundamental principles and particularly the techniques of hemorrhoidectomy according to Milligan-Morgan, adopted with full satisfaction in more than 1,000 cases of third and fourth degree hemorrhoids. Correct indication and a precise, accurate technique based upon the high ligature of the vascular peduncle and on the preservation of the muco-skin bridges, are the essential conditions for the radicality of the intervention in 97% of the cases and for a minimum incidence of morbility. The modifications by Arnous based upon a posterior sphincterectomy with anoplasty in those cases with sphincteric hypertone, and upon the revision of the muco-skin bridges make this technique feasible even in the most complicated cases.

Hemorrhoids↗
PubMed1989

[Prospective study of the function of the anal sphincter before and after hemorrhoidectomy].

A prospective study was carried out on the anorectal function in patients with hemorrhoids (group H, n = 25) versus normal controls (group T, n = 22) and on the effect at three months of hemorrhoidectomy on sphincter function and anal continence. Hemorrhoidectomy was performed by the same surgeon using the standard Milligan Morgan procedure in all cases. All patients and controls underwent an anal manometry, a measure of the length of the anal sphincter and a saline continence test. Anal resting pressure was higher in group H as compared to group T before hemorrhoidectomy (136 +/- 32 cm H2O vs 98 +/- 19 p less than 0.001). After hemorrhoidectomy, and resting pressure was significantly lower (141 +/- 21 cm H2O vs 106 +/- 25 p less than 0.01). Anal length was similar in group H and in group T (50.2 +/- 6.6 mm vs 45 +/- 5.5 NS) but decreased significantly after hemorrhoidectomy (41.9 +/- 7.6 vs 50.3 +/- 7.3 p less than 0.01). Ultraslow waves were more often observed in patients with piles (60 p. 100 vs 9 p. 100 of normal controls). After hemorrhoidectomy ultraslow waves were less commonly encountered (25 p. 100 p less than 0.05). Anal leakage during the saline continence test was observed in 12 and 82 p. 100 of patients before and after hemorrhoidectomy, respectively (p less than 0.001). No anal leakage was observed in the control groups. After hemorrhoidectomy the mean volume of anal leakage was of 190 ml. In 35 p. 100 of the patients, anal leakage occurred before the anal infusion of 500 ml.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗
PubMed1989

Endogenous endophthalmitis with lenticular abscess caused by Enterobacter agglomerans (Erwinia species).

We report for the first time a case of metastatic endophthalmitis caused by the gram-negative organism Enterobacter agglomerans (Erwinia species). One day following internal hemorrhoidal ligation, the patient developed anterior uveitis that progressed to panophthalmitis with a lenticular abscess and a necrotic retina. Despite aggressive surgery and appropriate antibiotic therapy, the affected eye lost useful vision.

Abscess↗
PubMed1988

[Evaluation of the mechanism determining the painful symptomatology after proctological interventions].

In order to evaluate the importance of the contraction of the perineal muscular system in causing the symptomatology following a hemorrhoidal prolapse operation, a drug, dantrolene sodium which has a known myorelaxant action due to a partial inhibition of the release of calcium ions from the sarcoplasmic reticulum in the muscular cell was used. The double-blind study involved 40 patients, of whom 20 were treated with sodium dantrolene in doses of 25 mg, twice a day, for seven days; the remaining 20 with a placebo. Symptoms, consumption of pain-killers and need for catheters, were monitored daily, while hemochemical parameters were checked before the start, and at the end of the study. The results obtained showed a similar post-operative trend in the patients receiving dantrolene and in the controls. This is interpreted as an indirect demonstration that the mechanism of pain is primarily due to the inflammatory factors rather than due to contraction of the perineal muscles.

Adult↗
PubMed1986

Classification and management of postsurgical anal stenosis.

Postoperative anal stenosis is a serious complication of anal operations. To date, ideal management of this problem has not been well defined. We reviewed the experience with this entity in 212 patients admitted over a five year period to a hospital specializing in colonic and rectal diseases. Etiology of the stenosis was secondary to hemorrhoid operations in 186 patients (87.7 per cent), anorectal surgical procedures associated with Crohn's disease in seven (3.3 per cent) and multiple other causes in the remaining 19 (9.0 per cent). A treatment plan based upon the cause, severity and level of stenosis of the anal canal (lower, middle and upper part of the canal) is proposed. Anal stenosis associated with Crohn's disease was treated with dilation with the patient under anesthesia with good results in six of seven patients. Severe lower anal canal stenosis was best treated by V-Y anoplasty (18 of 20 patients [90 per cent] with good results), although a simple sphincterotomy or multiple anal sphincterotomies achieved a good result in 75 of 111 patients (67 per cent). The middle, upper and entire anal canal stenoses were treated effectively by single or multiple internal anal sphincterotomies (34 of 42 patients [83 per cent] with good results), although advancement flap anoplasty procedures (simple advancement flap and V-Y anoplasty) worked well when indicated (nine of ten patients with good results). We advocate simple or multiple internal anal sphincterotomies for mild to moderate low anal stenoses, V-Y anoplasty for severe low anal stenoses and initial simple or multiple anal sphincterotomies through the stenotic area for middle, high or entire anal canal stenoses. Surgical judgement will dictate when lack of anoderm mandates advancement flap anoplasty with the sphincterotomy for the higher stenoses.

Adult↗
PubMed1979

Epidemiology of noninfective intestinal diseases in various ethnic groups in South Africa.

The prevalences of bowel diseases (hemorrhoids, appendicitis, polyps, ulcerative colitis, irritable bowel syndrome, diverticular disease, and colon cancer) are similar in South African whites and in populations of prosperous western countries. Among rural South African blacks with a traditional life style, these diseases are very uncommon or almost unknown. Among the urban South African blacks with a partially westernized life style, the diseases remain uncommon. Frequencies of appendectomies and colon cancer in urban blacks have increased little during the last three decades, although an increase undoubtedly has occurred in the frequency of diverticular disease. Frequencies of bowel diseases in South African Indian and colored (Eurafrican, Malay) populations are intermediate. Because the diseases are almost entirely of environmental causation (due to principally to changes in diet), prevalences almost certainly will increase in blacks, Indians and coloreds, as their way of life becomes further westernized.

Adolescent↗
PubMed1979

[Criteria for choice of cryosurgical hemorrhoidectomy].

In the light of their own experience the authors assess the cryosurgical method in the treatment of hemorrhoids; they point out that this method is especially suitable for patients that cannot be treated by conventional hemorrhoidectomy because of associated pathology. With cryosurgery the authors have obtained radical surgical cures without any major complication and with a definitely lower incidence of discomfort than with the conventional surgical technic.

Adult↗
PubMed1980

[Use of the laser scalpel in removing hemorroidal nodes].

The properties of laser scalpel (perfect homeostasis, aseptic coagulation surface, formation of dense coagulation crust) make it useful for proctological operations, and for ablation of hemorrhoids in particular. Operations were performed on 11 patients aged 33 to 62. No complications were noted. All the patients were followed in the postoperative period from 8 to 12 months. Recurrences, development of strictures or weakness of the anal constrictor were not noted.

Adult↗
PubMed1978

[Clinical aspects of pelvic stenosis syndrome (Schneider-Fischer)].

Six cases with posthrombotic obstruction of the pelvic veins are reported. These case reports demonstrate the variability of the clinical symptomatology. In addition relationships between the postthrombotic obstruction of the pelvic veins and hemorrhoids and varicocele are discussed. Therapeutical aspects are reviewed.

Adult↗
PubMed1978

[Surgical procedure in combined proctologic diseases].

In 301 (23%) out of 1264 surgical cases with various pathologies of the rectum, pararectal and sacrococcygeal regions some combined diseases were observed. Such combinations as chronic paraproctitis (rectal fistulae) with hemorrhoids and with anal fissure are the most common ones. 176 one-stage operations and 63 double-stage operations were carried out. The average period of hospitalization was 16 days after one-stage operation and 24 days after double-stage operation. The authors believe that timely diagnosing of combined pathology allows to prevent the development of possible complications and to choose the most helpful surgical tactics in every specific case.

Fissure in Ano↗

Refine your search to explore more results.