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PubMedDate not supplied

[Non-surgical treatment of hemorrhoids].

The treatment of hemorrhoids includes a vast array of medical and instrumental means. If there is no true medical treatment, there are numerous products in order to act on the symptoms or one of the factors of the hemorrhoidal complex. Thus, phlebotonics, local topical agents, anti-infectious and anti-inflammatory agents, myorelaxants, transit regulators. Instrumental means are essentially represented by sclerosing injections, infra-red photocoagulation, cryotherapy, and mainly elastic rubber bands. All these treatments, some of which were offered as a substitute to surgery, often give interesting results, but are not devoid of danger. The attitude of the medico-surgical proctologist is then to find a happy medium between a procedure which is insufficient and one which may become unnecessarily aggressive.

Cryosurgery↗
PubMed1985

Colonoscopic findings in patients with hemorrhoids, rectal bleeding and normal rectoscopy.

Within a period of 18 months, 387 patients were referred to the Proctologic Service at the Chaim Sheba Medical Center because of recurrent rectal bleeding. Hemorrhoids were found in 194 of these patients and further investigation showed that 45 of the 194 patients (23.2%) had other coexisting colonic pathology (12 cancers, 28 polyps, 4 inflammatory bowel diseases and 1 angiodysplasia). Sixteen of 40 patients with diverticulosis and 13 of 30 patients with hemoglobin less than 11 g/dl had additional colonic pathology. Single-contrast barium enema, which was used in this survey for screening of the colon, proved to be inaccurate. In view of the issue of cost-effectiveness, this study suggests that patients with recurrent rectal bleeding and hemorrhoids (Grades II and III) who had normal rectoscopy should be further investigated by double-contrast barium enema if they are greater than 40 years of age. All patients with anemia, diverticulosis or abnormal findings in barium enema should undergo total colonoscopy.

Adult↗
PubMed1985

Treatment of bleeding hemorrhoids by injection sclerotherapy and rubber band ligation.

Between March 1981 and September 1982, 178 patients with first- to third-degree bleeding hemorrhoids were treated by injection sclerotherapy and rubber band ligation, as outpatients. Of the treated patients 85 to 90% were asymptomatic during 1 year of follow-up. Complications, ranging from mild to moderate, occurred in only 5.6% of the patients. We conclude that injection sclerotherapy and rubber band ligation, when properly used, are efficient, inexpensive and safe methods for the treatment of bleeding hemorrhoids.

Hemorrhage↗
PubMed1979

[Electroexcision method of treating hemorrhoids in the acute period].

Electroexcision of hemorrhoidal nodes was performed in 71 patients with hemorrhoids in the acute phase complicated with anorectal thrombosis, ulceration and hemorrhage. The stages of surgery are described. Data of coagulograms, expediency of the local durant analgesia in the postoperation period are presented. The method is radical, bloodless. It allows shortening the time of stationary treatment and the duration of disability. All the operated patients showed good near and late results.

Acute Disease↗
PubMed1977

[Phleboarchitectonics of hemorrhoids].

Complex histological and injection methods, including roentgenovasography and morphometry, in different age group persons in intraoperative and autopsy materials, total of 333 observations (225 cases with hemorroid and 108 control cases) have demonstrated direct relations of rectal arteries and veins with cavernous bodies of the rectum at sites of the selected localization of internal hemorrhoidal nodes (predominantly at the 2d--4th and 8--10th hour divisions on a clock-face). It was shown that insufficiency of locking mechanisms of portacaval and arteriolar-venular anastomoses of rectal cavernous bodies resulting from impeded blood outflow and hypervolemia underlie the structural basis of hemorrhoid pathogenesis.

Adolescent↗
PubMed1984

[Internal hemorrhoids--roentgen symptoms and differential diagnostic demarcation from rectal and anal cancer].

The main indication for colon barium enema examination is occult bleeding or bleeding noticed by the patient himself. The radiologist has to take into account all clinical details that could lead to bleeding and to document them. The most frequent causes of rectal bleeding are hemorrhoids and diverticulosis/itis which in marked cases may have a tumor-like appearance. A good double-contrast examination of the colon must not only exclude tumors, polyps or inflammatory diseases but also demonstrate other causes of bleeding. The presented paper describes typical roentgen signs and gives criteria to differentiate hemorrhoids from deeply situated cancer of the rectum or anus.

Anus Neoplasms↗
PubMed1983

Three year follow-up study on the treatment of first and second degree hemorrhoids by sclerosant injection or rubber band ligation.

Two groups of 18 patients undergoing sclerosant injection or rubber band ligation for first or mild, second degree hemorrhoids have been followed-up at three years after the initial treatment. Following sclerosant injections, four of 18 patients initially presenting with bleeding per rectum did not have further episodes of bleeding within the three year follow-up period compared with 13 of 17 treated with rubber band ligation. The other symptoms of pain or discomfort, pruritus ani and soiling were not present with sufficient frequency to allow specific evaluation. Results of this study demonstrate that rubber band ligation produces better long term results than does sclerosant injection in treating bleeding, the principal symptom, of first and mild, second degree hemorrhoids.

Adult↗
PubMed1984

Rubber band ligation of hemorrhoids.

Hemorrhoids are frequently seen by family physicians. Prolapse and painless bleeding are the symptoms most commonly experienced by patients with internal hemorrhoids. These areas of chronically enlarged rectal tissue arise above the dentate line and are amenable to treatment by rubber band ligation. The procedure is safe and effective, and can be performed in the physician's office. Contraindications include infection, chronic liver or bowel disease, clotting disorders and significant thrombosis.

Hemorrhoids↗
PubMed1980

Lord procedure for treatment of postpartum hemorrhoids and fissures.

Postpartum anorectal disease often complicates an otherwise normal and pleasant delivery. The obstetrician must relieve severe symptoms in patients who otherwise could leave the hospital. One hundred nineteen patients with severe hemorrhoidal symptoms or painful anal fissures were treated by anal dilatation. This therapy relieved the symptoms in all patients without extended hospitalization and did not expose nursing mothers to anesthesia or narcotic medication. The long-term effects were excellent; there was only 1 recurrence of hemorrhoidal symptoms after 3 years of follow-up.

Anal Canal↗
PubMed1980

[Ambulatory therapy of hemorrhoids using cryosurgery].

The treatment of hemorrhoids by cryosurgery is fairly new. Cryogenic hemorrhoidectomy, a painless technique, can be performed on an ambulatory basis without anesthesia or hospitalisation. Using a nitrous oxide cryoprobe operating at -90 degrees C 65 cases (34 women and 31 men) are subjected to the minor treatment of hemorrhoids by cryotherapy. Although the maximum follow-up is only 14 months, so far the first results have been encouraging. Of the 10 bad results (15%), 4 have been cured by a repeated cryosurgery.

Cryosurgery↗
PubMedDate not supplied

[Physiopathology of the venous circulation of the anal canal. Pitfalls in the diagnosis of hemorrhoids].

Many theories attempt to explain the development of hemorrhoids, but none of them is entirely satisfactory. It seems, however, that venoarterial anastomosis plays an important part in the regulation of anal circulation. The diagnosis of hemorrhoids is usually straight-forward in the case of any patient seeking medical help for pain, hemorrhage, or procidentia. The consultant must, however, be careful not to mistake any of the symptoms, and must be able to recognize a developing abscess, a fissure and, in particular, anal cancer. In any case, the diagnosis will not be confirmed until a double routine check has been carried out using a rectoscope, coloscope and baryteal rinse.

Anal Canal↗
PubMedDate not supplied

[Sclerotherapy of hemorrhoids].

The ambulatory treatment of hemorrhoids using sclerosants such as quinine, phenol and polidocanol, is called for in certain cases of hemorrhagic internal hemorrhoids. An endoscopic examination is carried out before the sclerosant treatment is begun. This form of treatment rarely induces either local problems, such as scarring, or more general ones, and it drastically reduces rectal bleeding. However, it should be limited to only one or two series of injections.

Hemorrhoids↗
PubMedDate not supplied

[Importance of Aetoxisclerol in sclerotherapy of hemorrhoids].

The author used Aetoxisclerol in the treatment of 35 patients suffering from hemorrhoids. The indications were: hemorrhages, intermittent prolapses, pains. These symptoms were diversely gathered in the same patient. Nineteen times, the results were good, twelve times average, four times bad. Tolerance was excellent. Thus Aetoxisclerol must be used in the sclerosis of hemorrhoids with the same indications and the same technique as other sclerosing drugs.

Adult↗
PubMedDate not supplied

[Removal of hemorrhoids by cryosurgery].

The removal of hemorrhoids by cryosurgery may be carried out in a radical way even in the case of patients suffering serious concomitant illnesses. It is also possible to treat large hemorrhoids by this technique. The after-effects are proportionate to the surface treated. A thorough knowledge of surgical techniques and cryosurgical apparatus is vital if serious complications and recurrences are to be avoided.

Adult↗
PubMedDate not supplied

[Crenotherapy of hemorrhoids].

The authors emphasize the therapeutic importance of crenotherapy. They discuss the supposedly secondary indications and underline the importance of this method in paving the way for hemorrhoidal cures. And its value in the treatment of hemorrhoids in cases of anatomical difficulty. They bring to mind the practical course of the cure.

Aged↗
PubMed1994

[Outpatient surgical treatment of hemorrhoids].

The article analyses the treatment of hemorrhoids in our country and abroad, where outpatient treatment with latex rings is applied most frequently. The authors conducted 238 hemorrhoidectomies under conditions of outpatient clinics. They developed an operative method consisting in preventive compression of the base of the hemorrhoids with designs of alloy with "memory" of the shape. This method was used in 118 hemorrhoidectomies. No life-threatening complications occurred. Late-term recurrences were recorded in 1.6% of cases. It is claimed that hemorrhoidectomy can be performed in outpatient clinics if certain rules are observed. The is convenient for the patients and economically profitable for the State.

Ambulatory Surgical Procedures↗
PubMed1994

[Surgical treatment of 4th-stage hemorrhoids: the role of anatomical techniques].

Surgical options for fourth-degree hemorrhoids are still matter of debate. The high incidence of the disease encouraged research and brought to technical improvements able to achieve a painless, reliable, harmless and well tolerated surgical treatment. The Authors report a retrospective study of 193 patients who underwent surgery for fourth-degree hemorrhoids. In these cases the Authors advise anatomic techniques using local anaesthesia with i.v. administration of sedatives, thus allowing a 24-hour hospitalization.

Follow-Up Studies↗
PubMed1994

Diagnosis and current treatment of hemorrhoidal disease.

Many new surgical and nonsurgical approaches to the treatment of hemorrhoids have been described: sclerotherapy, rubber band ligation, cryosurgery, anal dilatation, infrared photocoagulation, bipolar diathermy, and electrocoagulation. Which one is most effective depends on the size and degree of hemorrhoids, but surely depends as well on the experience of each proctologist. In the modern treatment, fast and painless procedures that can be carried out in the office practice under local anesthesia will be more and more indicated.

Hemorrhoids↗