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At least 451 records · Page 25Linked to original sources
PubMed1980

[Pathogenesis, clinical aspects and conservative therapy of hemorrhoids].

Hemorrhoids are readily diagnosed by proctoscopy. They should not be treated without thorough examination, as carcinoma of the rectum or sigmoid may cause similar symptoms. The examination should include careful inspection of the anal region, digital palpation, proctoscopy and sigmoidoscopy. Once the diagnosis is established, instruction in anal hygiene should first be given. Local use of ointment and suppositories follows. If this symptomatic treatment fails, sclerosing injections are recommended. For this purpose various irritant solutions are used which may on occasion lead to complications such as local and, in rare cases, extensive necrosis of the rectal mucosa. In the search for a method which avoids any type of irritant substance, coagulation by infrared radiation using a special probe has been developed and found to be at least as successful as injection treatment. For prolapsing piles, however, rubber band ligature appears to be the most effective method.

Cold Temperature↗
PubMedDate not supplied

Hemorrhoids: a plea for nonsurgical treatment.

There are numerous different forms of treatment for hemorrhoids. Conservative therapy with suppositories and stool softeners is usually effective. However, many patients still come to surgery and it is u nuclear which of the many methods of active treatment should be used. Surgery is still widely performed, but other possible methods include injection therapy, elastic band ligation, cryosurgery, anal dilatation and lateral subcutaneous sphincterotomy. The scanty literature on comparative controlled trials of these methods is reviewed. These studies indicate that formal hemorrhoidectomy should rarely be necessary, as results of elastic band ligation and anal dilatation compare very favorably with surgery. It is suggested that elastic band ligation and anal dilatation are very effective forms of treatment in patients not responding to conservative therapy.

Adult↗
PubMed1995

Rubber band ligation of hemorrhoids.

A retrospective review of 384 patients who had undergone rubber band ligation for hemorrhoidal disease by one surgeon from 1988 to 1993 is presented. The primary indications for treatment were rectal bleeding and prolapse. Eighty-nine percent of the patients were improved following treatment. In selected patients, rubber band ligation is an acceptable alternative to surgical hemorrhoidectomy.

Hemorrhoids↗
PubMed1995

Recurrent rectal bleeding from portal hypertensive colopathy in a patient with hemorrhoids.

In a 62-yr-old woman who complained of recurrent rectal bleeding, hemorrhoids with mucosal prolapse were found. Virus-related cirrhosis also was present. Colonoscopy revealed spontaneous bleeding from two rectal ectasias (portal hypertensive colopathy) located 9 cm from the anus. Endoscopic hemostasis was achieved with a heater probe, and there has been no recurrent hemorrhage. Colonoscopy is important in ruling out hemorrhage from portal hypertensive colopathy when rectal bleeding occurs in the presence of portal hypertension.

Angiodysplasia↗
PubMed1993

Single session ligation treatment of bleeding hemorrhoids.

Rubber band ligation (RBL) was prospectively used in 49 consecutive patients with bleeding internal hemorrhoids between 1987 and 1990. All patients underwent a two year follow-up period. Ten patients experienced complications consisting of pain, bleeding, mild discomfort and dissatisfaction. Hemorrhoidectomy was required in three patients. Long term results were satisfactory in 93.9 percent of the patients. The results of this study confirm that single session RBL is a valuable alternative to hemorrhoidectomy in selected patients.

Adult↗
PubMedDate not supplied

[Etiopathogenesis and physiopathology of hemorrhoidal disease].

Many possible causes have been proposed to explain the pathogenesis of symptomatic hemorrhoids: constipation and abnormal bowel habits are commonly blamed despite largely contrary evidence. The most consistently demonstrated physiological abnormality is an increased maximum resting anal pressure. The pathophysiologic theory, made popular by Thomson's studies, in which the anal cushions break their elastic support and become more sensitive to the increase of pressure from straining and to trauma from hard stool, with a progressive downward displacement, is currently the best accepted. The intimate mechanism of functioning and control of the arteriovenous anastomoses remains unclear as does the existence of an individual susceptibility in which a part is played by socioeconomic, cultural and psychological factors.

Hemorrhoids↗
PubMedDate not supplied

[Infrared photocoagulation, cryosurgery and laser surgery in hemorrhoidal disease].

The non invasive treatment of hemorrhoidal disease has the best indications for I and II degree symptomatic piles and only in few cases of III and IV degree. Authors report their practice with infra-red-coagulation, cryosurgery and laser surgery, discussing indications, controindications and describing in detail their technique. About laser surgery they emphasize that this procedure is a formal hemorrhoidectomy, and laser acts as a scissor or a blaude.

Hemorrhoids↗
PubMedDate not supplied

[Treatment of hemorrhoidal peduncles with diathermy probe].

Diatermy hemorrhoidectomy, without suture of hemorrhoidal pedicles, is a variant of the classical Milligan and Morgan operation. This procedure, if correctly performed, reduces postoperative pain and complications; results are good. Great care is reserved to internal sphincter; it must not be involved in coagulation. Evaluation concerning 100 personal cases are referred.

Diathermy↗
PubMed1977

[Pathomorphology and therapy of hemorrhoids].

The newest investigations about the morphology and pathomorphology of the corpus cavernosum recti are given. The importance of the m. canalis ani and of the hitherto unknown transsphincteric course of the blood reflux from the arterially supplied corpus cavernosum for the pathogenesis of the hemorrhoidal disease as the adequate therapy are delineated.

Hemorrhoids↗
PubMed1997

[The surgical treatment of hemorrhoids: diathermocoagulation and traditional technics. A prospective randomized study].

INTRODUCTION: The operations to treat hemorrhoids of III and IV degree are numerous but classifiable into two groups: "closed" techniques such as Ferguson, Parks and Khubchandani, and "open" techniques such as Arnous-Parnaud of the most famous Milligan-Morgan. Recently the Anglo-Saxon school was proposed a technical variant to Milligan-Morgan operation: it involves diathermy excision without peduncle ligature. This technique partly because of the coagulation of the pain receptor, partly because of the absence of "at risk" sutures in septic ground would involve a reduction in the postoperative pain. We have developed the following study to have a global valuation of these methodologies. MATERIALS AND METHODS: From November 1993, 135 patients with haemorrhoids of III and IV degree have been recruited and grouped in 3 random groups: the patients of the I group have been subjected to closed hemorrhoidectomy (Ferguson and is variant according to Khubchandani), the patients of the II group have been subjected to the Milligan-Morgan operation and those the III group of the diathermy hemorrhoidectomy. All the patients have had the same kind of preoperative preparation and the same kind of analgesic during the post-operative course. Before the operation all the patients were given a questionnaire including a scale of the pain on which the administrations of analgesic were also noted. RESULTS: A faster canalization and a minor postoperative pain were found in the patients of the II and III group and among them a minor use of analgesics in those subjected to diathermy-hemorrhoidectomy. No statistical difference occurred in postoperative haemorrhage into Milligan-Morgan and diathermy hemorrhoidectomy without peduncle ligature (2.2%). CONCLUSIONS: All the methods we have considered have turned out to be effective for the clinical and anatomical recovery. However, in our experience, the open techniques involve in a significant reduction of the postoperative pain and those made with diathermy permit a minor use of analgesics in comparison with those made a conventional scissor excision. Finally the peduncle ligature doesn't influence postoperative haemorrhage.

Chi-Square Distribution↗
PubMedDate not supplied

[Surgical treatment outcome of hemorrhoidal in 475 patients].

Despite feared by patients and reserved for the minority of patients suffering from hemorrohoids, hemorrhoidectomy remains as the most effective approach to this condition. To analyse results from 475 hemorrhoidectomies performed at University of São Paulo Hospital das Clínicas between 1984 and 1995, a retrospective chart review regarding gender, age, associated anorectal conditions, surgical technique, complications and their management and follow-up was addressed. Two hundred and seven (43.6%) were male. Age between fourth and sixth decades were observed for 70.8%. Associated anorectal conditions were diagnosed in 18.9%. Chronic anal fissure was the commonest one. Milligan-Morgan operation was performed in the majority of patients (91.2%) and Ferguson technique in 6.7%. There were no intraoperative complications postoperative complications occurred in 38 (8%) patients regardless of employed surgical technique. Urinary retention was the commonest postoperative complication. Mean follow-up was 5.8 years for 70% of patients. Surgical hemorrhoidectomy remains as a treatment with excellent results in the management of hemorrhoid disease for selected patients. Produces erradications of the disease in all cases in spite of low morbidity.

Adolescent↗
PubMed1998

[Hemorrhoidal disease].

Prevalence of hemorrhoidal diseases in proctologic practice has decreased over the past years. Inflammatory and functional diseases predominant as a consequence of improved differential diagnosis and diagnostic management. In less than 20% of patients of a specialized practice stage-adapted therapy is indicated. Favorable long term results, however, are barely obtainable without elimination of pathogenic factors. If inflammatory and/or functional disorders of the anal region are not eliminated relapses are preprogrammed.

Hemorrhoids↗
PubMedDate not supplied

[The termination of the superior hemorrhoidal artery. An anatomicoradiological study].

The author report the observations carried out on the distal part of the hemorrhoidal artery, obtained with a research on the vascularization of the large intestine, studied by the angiographic method and injection of the c.m. in the anatomical specimen immediately after surgical extirpation. The study was based on 92 anatomical specimens and reveals a variability of the terminal arterial distribution which can be summarized in few more frequent models, but cannot be given an absolute rule.

Angiography↗