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[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↗

[Infrared coagulation as an aide in proctology].

The infrared coagulation has being described as a method of treatment for haemorrhoids first and second degree, with results almost as effective as rubber band ligation and sclerosing injection therapy, but with fewer complications. More frequent applications of infrared coagulation may improve results and are often in a six month interval necessary. A major indication exist in bleeding haemorrhoids where the infrared coagulation gives a quick result.

Evaluation Studies as Topic↗