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At least 271 records · Page 15Linked to original sources
PubMed2005

[Modified procedure for prolapse and hemorrhoids to prevent and treat postoperative complications].

OBJECTIVE: To investigate the complications of procedure for prolapse and hemorrhoids (PPH) and their management. METHOD: The clinical data of 147 cases of severe hemorrhoids treated by modified PPH were analyzed in view of the operation method and postoperative complications. RESULT: All the prolapsed hemorrhoids recovered immediately after the operation. The main complications on the first postoperative day were abdominal distention caused by dysuria, pain, and constant sense of defecation urgency, which lasted for 1 to 16 days. Thirty-six cases had intermittent hemafecia 1 to 12 days after operation, improved with expectant treatment. No stoma stenosis, copracrasia or relapse of prolapse occurred during the follow-up for 1 to 37 months. CONCLUSION: All postoperative complications can be prevented, alleviated and cured with modified PPH.

Digestive System Surgical Procedures↗
PubMed2005

[Comparison of the efficacy and safety of compound carraghenates cream and compound carraghenates suppository in the treatment of mixed hemorrhoids].

OBJECTIVE: To evaluate and compare the efficacy and safety of titanoreine cream with compound carraghenates suppository in the treatment of mixed hemorrhoids. METHODS: Two hundred and fifty-two patients with mixed hemorrhoids were enrolled in this randomized,open, multicentral trial. Patients applied titanoreine cream (study group, n=133) or compound carraghenates suppository (control group, n=119). The symptomatic relief including pain,bleeding and edema was evaluated by scoring system at 30 minutes, 3 hours, 6 hours, 1 day, 2 days, 3 days, 4 days, 6 days after administration. RESULTS: Symptoms were significantly improved in both groups (87.3%, 94.8%, respectively) excepting symptom of pain relief, but there was no significant difference between two groups (P > 0.05). The pain scores were lower at every observing point in the study group than those in the control group (P< 0.05). The proportions of the patients with pain relief and all symptoms relief were both higher in the study group than that in the control group at 30 min, 3 h after drug used (both P< 0.01). No side effect was found during the triad. CONCLUSION: Titanoreine cream has predominance of relieving pain and response time compared with compound carraghenates suppository, but other effects on mixed hemorrhoid are similar between the two groups.

Adult↗
PubMed2005

[Effect of diode laser coagulation treatment on grade III internal hemorrhoids].

OBJECTIVE: To evaluate the curative effects of diode laser coagulation on grade III internal hemorrhoids. METHODS: From March 2004 to December 2004, 86 patients with grade III internal hemorrhoids were divided into two groups, received laser coagulation (laser group, n=46) or received hemorrhoidectomy (control group, n=40). Complications, symptom relief, pain scores and satisfaction scores were compared between the two groups six months after operation. RESULTS: Pain scores were lower in laser group than that of the control group on the first day and seventh day after operation. Small amount of bleeding occurred in the laser group (12 cases) and control group (35 cases), however, non of them required special hemostasis. Laser coagulation and closed hemorrhoidectomy were equally effective in controlling symptomatic prolapse. There was no difference in terms of continence scores and patients satisfaction between the two groups (P> 0.05). CONCLUSIONS: Diode laser coagulation can be considered as a safe and effective procedure for the treatment of grade III hemorrhoids.

Adult↗
PubMed2006

[Optimization of modern tactics of operative treatment for hemorrhoids of stages III-IV].

The literature review and results of observations of their own, concerning treatment of patients with hemorrhoids, are adduced. Separation of circular and segmental forms of coexistent prolapsus recti permits to choose pathogenetically substantiated method of operative intervention for the hemorrhoidal nodes enlargement. Performance of the sun-like circular anorectal vasomucosectomy in the treatment of circular prolapsus recti, coexistent with enlargement of hemorrhoidal nodes, secures the pathological blood flow disconnection, the pain intensity and sphincteric spasm reduction, permits to escape postoperative inflammation, which is characteristic for procedure of the apparatus circular anorectal vasomucosectomy.

Adult↗
PubMed2006

[Rectal stenosis following procedure for prolapse and hemorrhoids].

OBJECTIVE: To evaluate stenosis of the lower rectum following PPH with special respect to potential predictive factors or stenotic events. METHODS: A retrospective analysis of 554 consecutive patients, which underwent PPH from July 2000 to December 2004 was performed. RESULTS: Only patients with follow-up check were evaluated, thus the analysis includes 489 patients (489/554, 88.3%) with a mean follow-up of (324 +/- 18) days. Rectal stenosis was observed in 12 patients (12/489, 2.5%), the median time to stenosis was 89 - 134 (125 +/- 5) days. All the patients complained of obstructive defecation and underwent strictureplasty with electrocautery or balloon dilation through colonoscopy. A statistical analysis revealed that patients with stenosis had significantly more often prior sclerosis therapy for hemorrhoids (58.3% vs. 20.0%, P = 0.02) and severe postoperative pain (25.0% vs. 6.7%, P = 0.003). Other factors, such as gender (P = 0.32), prior surgery for hemorrhoids (P = 0.11), histological evidence of squamous skin (P = 0.77) or revision (P = 0.53) showed no significance. CONCLUSION: Rectal stenosis is an uncommon event after PPH. Early stenosis will occur within the first four months after surgery. The majority of the stenosis can be cured through colonoscopy surgery. The predictive factors for stenosis are previous sclerosis therapy for hemorrhoids and severe postoperative pain.

Adult↗
PubMed1990

[The symptomatic therapy of hemorrhoids and anal eczema--a report of experiences from proctology practice].

Besides the various operative procedures, which nowadays have come into use in hemorrhoidal disorders, drug therapy as well continues to keep an important place. Its main conditions of application are inflammatory processes before, between and after hemorrhoidal sclerosis or proctological operations. In a clinical study suppositories with the corticoid fluocortolone-21-pivalate and the local anesthetic lidocaine hydrochloride as well as a cream with the same substances and in addition, chlorquinaldol were tested in 92 patients with hemorrhoidal diseases and their concomitant conditions. In 92% of the cases efficacy of the preparations proved to be good or very good, and in all cases they were well tolerated.

Administration, Topical↗
PubMed1989

[Surgical techniques and long-term results for hemorrhoids from the clinical viewpoint].

The decongestion of the hemorrhoidal cushion is the main principle in treating piles. This is achieved with a diet high in roughage. Although severe hemorrhoids are not cured by buld-forming agents, they are of central importance to prevent recurrences. Hemorrhoidectomy should be performed mainly in cases of hemorrhoidal prolapse. Results of the three most often used techniques (Milligan-Morgan, Parks, Ferguson) are more or less comparable, although the presentation of the details in the literature is contradictionary. Each surgeon should use the technique that suits him best. We prefer the closed operation described by Ferguson.

Follow-Up Studies↗
PubMedDate not supplied

Cryosurgical treatment of hemorrhoids in Japan.

Hemorrhoid treatment in Japan consists mainly of conservative therapy and conventional surgery. Cryosurgical hemorrhoidectomy, though still not widely used, has attained a reputation for low profile surgery and relatively painless recovery compared to conventional surgery, in spite of some inevitable problems. Our series includes external hemorrhoids and prolapse, which have been ruled out from the indications for cryosurgery, yet obtained satisfactory results. A threatening drawback is lower digestive tract hemorrhage, which occurred in 19 of 372 prolapse patients (5.1%) after cryosurgery. As for its pathogenesis, an autoimmune reaction at the site of the terminal ileum is postulated. Characteristics of the hemorrhage are: onset around the 14th postoperative day at night or early in the morning, and seen particularly in nervous patients. Prophylactic administration orally of covering materials may reduce incidence. Cryosurgery is certainly an effective measure for the treatment of hemorrhoids, including prolapse.

Adolescent↗
PubMedDate not supplied

Ligation and cryosurgery of all hemorrhoids. An office procedure.

Over 21,000 patients with symptomatic hemorrhoids were treated either at the Rudd Clinic in Toronto, or at Proctology International in the Cayman Islands, with the ligation or the ligation and cryosurgical technique. The procedures as described are simple, very effective and should be done in the office and not in the hospital. It is better for both patient and doctor and the cost saving is in the tens of millions of dollars in our series alone. Other problems such as anusitis and para-anal lesions should be differentiated from hemorrhoids and treated as described to improve your success rate. All surgeons are encouraged to adopt new techniques which will improve the treatment of their patients and their own reputation. It is a changing world--especially in medicine and we must keep up and be willing to adapt. I recommend the ligation and cryosurgical technique to all surgeons for the treatment of all symptomatic patients with hemorrhoids.

Ambulatory Surgical Procedures↗
PubMed1989

Acute thrombosed external hemorrhoids.

From 1981 to 1985, 159 patients with acute thrombosed external hemorrhoids were treated by the author. This condition is relatively common in young persons; the mean age of the 159 patients in the series was 36 years. The condition was often preceded by a bout of constipation. The incidence was higher in male than in female patients, the ratio being 2:1. These hemorrhoids were slightly more prevalent on the left side (51%), whereas ordinary internal hemorrhoids tend to develop more on the right side (61%). I have postulated that the stagnation of blood and trauma to the anal vessels due to strain is the common denominator in the development of thrombosis. Therefore a rational approach to the condition is to eliminate stasis, trauma, and excess strain. Since the excess strain during defecation is usually caused by constipation, softening the stool is the key to preventing excessive strain. The condition is usually self-limiting and subsides in a few days to a week. If the condition fails to respond to conservative treatment, complete surgical excision of the thrombus is necessary.

Acute Disease↗
PubMedDate not supplied

[Portal hypertension and hemorrhoids. Cause effect relationship?].

The aim of this study was to compare the prevalence and the size of hemorrhoids with the degree of portal hypertension; 101 patients with intrahepatic portal hypertension documented by measuring wedged and free hepatic venous pressures before performing transjugular liver biopsy and 67 patients free of liver disease were investigated by proctoscopy. Portal hypertension was associated with a higher prevalence of hemorrhoids (93 p. 100 vs 76 p. 100); there was no relation between portal pressure and the size of haemorrhoids; no relation was found between the size of hemorrhoids and the grade of esophageal varices.

Cross-Sectional Studies↗
PubMed1978

[Hemorrhoids: recognition and current therapeutic possibilities].

Up to 5% of the patients of a general practitioner have terminal bowel disease, most frequently hemorrhoids. Any patient who presents with ano-rectal discomfort or anal blood losses should undergo thorough proctologic examination including rectoscopy. Digital palpation is insufficient as only 10% of rectal carcinomas can be reached. The treatment of hemorrhoids should be started by instructing the patient on anal hygiene, to be followed only then by symptomatic application of creams or suppositories. If these symptomatic measures fail, treatment by injections is indicated. This method may be complicated by localized or extensive necrosis of the rectal mucosa, the cause of which is assumed to be an immunologic event resembling the Arthus phenomenon in which bacterial or possibly pharmacologic substances may act as antigens. Therefore, a method of provoking coagulation without using foreign substances was sought. Thermocoagulation by the infrared coagulator appears to be a suitable method: first experience tends show equal efficacy with coagulation by injection treatment. Prolapsing hemorrhoids are still treated by barron ligation. The precise management of each therapeutic approach is described.

Electrocoagulation↗
PubMed1987

Single session treatment for bleeding hemorrhoids.

Fifty consecutive outpatients with bleeding internal hemorrhoids were prospectively treated with a single application of rubber band ligation or infrared coagulation. Complete follow-up observation was obtained in 48 patients (23 underwent rubber band ligation and 25 underwent infrared coagulation). At one month after treatment, 22 patients who underwent rubber band ligation and 16 who underwent infrared coagulation, were symptomatically improved (p less than 0.05). At six months, 15 patients who had undergone rubber band ligation and ten who had infrared coagulation treatment, remained improved (p less than 0.05). There was no statistical difference in the discomfort experienced by either group during or after the procedure as determined by a self-assessment scale. Two patients who underwent rubber band ligation experienced complications--a thrombosed external hemorrhoid developed in one patient and another had delayed rectal bleeding. Although associated with occasional complications after treatment, rubber band ligation is more effective than in infrared coagulation for single session treatment of bleeding internal hemorrhoids.

Ambulatory Surgical Procedures↗
PubMed1986

[Rubber-band ligation of hemorrhoids].

In the last few years there has been a considerable reduction in surgical treatment of piles; on the other hand a series of therapeutic outpatient treatments has developed aiming at a conservative management of piles. This new approach is mainly due to high costs in surgical treatment. In accordance also with the experience of the most important proctologic centres, nowadays only 26% of our patients suffering from piles undergo operation, since we regard rubber band ligation as a more rational and economical method for the treatment of hemorrhoids. The instruments and the technique related to band ligation have been described together with some modifications suggested by our personal experience. Indications and contraindications for rubber band ligation have been analyzed pointing out that, in our opinion, such an approach is advised also in the management of stage 3 and 4 hemorrhoids; on the other hand the surgical treatment has its role when band ligation is contraindicated. We have then reported about the good results obtained with 162 patients suffering from stage 2, 3 and 4 hemorrhoids, by using band ligation. Our experience, in accordance with international literature, enables us to emphasize the almost complete absence of complications and the satisfactory results of band ligation, even if compared to other methods.

Hemorrhoids↗
PubMed1979

[Elastic ligature in the treatment of hemorrhoids (author's transl)].

The authors report their experience with 57 patients suffering from first, second, and third-degree hemorrhoids. Elastic ligature of internal hemorrhoid nodules was done ambulatorily with good results and no important complications. From these results, and considering the ease of the procedure, the authors agree with other experts that this method of treating hemorrhoids may become more and more popular.

Follow-Up Studies↗
PubMedDate not supplied

[Elastic ligation of hemorrhoids].

Elastic ligation, a simple therapeutic treatment of hemorrhoids, consists of placing a small rubber ring at the base of the hemorrhoid. This breaks it down anatomically, by ischemic necrosis. It is most called for in cases of hemorrhoidal dropsical swelling, involving separate, often prolapsed, cluster. This treatment may be carried out in conjunction with sclerosant injections. Painful incidence cannot always be avoided, but cases of severe hemorrhage are rare. The results of this treatment are often spectacular, especially if it is used discriminately, and it often supplants surgery.

Gastrointestinal Hemorrhage↗
PubMed1981

[New method of dissection of hemorrhoids].

The technique of a new method of dissection of hemorrhoids is described. The nearest and remote results of the treatment of patients operated for hemorrhoids by the new method (82 patients) are compared with the results of the ligature method used in 212 patients. After hemorrhoidectomy by the new method good results were noted in 73.7% of cases, satisfactory results - in 21,0% and recidivations were observed in 5,3% of cases. The results of the comparison show the advantages of the new method of dissection of hemorrhoids.

Anal Canal↗
PubMedDate not supplied

[Surgical treatment of hemorrhoids].

Patients suffering from hemorrhoids consult surgeons either for acute cases of hemorrhage or thrombosis which dot not really call for surgical operation, or for chronic cases with complications in which hemorrhoidal treatment is of secondary importance. Or else for intermediate cases treated equally well by ambulatory or surgical treatment. The drawback to surgery is that it necessitates hospitalisation and, usually, an anaesthetic. The advantage of surgery is that it generally provides a definitive cure after only one operation. Today's surgical techniques are all derived from the methods put forward by Morgan, effecting a systematic dissection of the hemorrhoidal clusters. Minimal pre- and post-operative treatment together with the anatomical nature of the operation ensure simple and fairly painless sequels.

Hemorrhoids↗