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At the Crossroads of Venous Insufficiency and Hemorrhoidal Disease: Daflon 500 mg. Proceedings of a symposium. Vienna, Austria, January 31, 1992.
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[Do people with hemorrhoids more often have varicose veins?].
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[Consensus hemorrhoids (Dutch Society for Surgery)].
On the initiative of the Dutch Surgical Society a consensus meeting was held on December 3rd, 1993 in Utrecht, the Netherlands by the National Organisation for Quality Assurance in Hospitals (CBO), on the diagnosis and treatment of haemorrhoids. The following statements were formulated. Haemorrhoids are vascular cushions, covered by mucosa, originating from the plexus rectalis superior, and are part of the normal anatomy of man. Complaints from haemorrhoids occur if they prolapse. The usual 4-grade classification of haemorrhoids has no direct impact on their treatment. Portal hypertension is not a cause of haemorrhoids. Blood loss, a sensation of prolapse, pruritus and soiling are non-specific symptoms of haemorrhoids. Anaemia may only be attributed to haemorrhoids after other pathology has been excluded. Acute massive anorectal blood loss is frequently caused by traumatic damage to the rectum. Anticoagulant therapy is a risk factor. The presence of unexplained perianal skin lesions neccessitates further proctologic investigation. Haemorrhoids are not palpable on rectal digital examination. In patients under 50 with anorectal blood loss and a history of haemorrhoids, a proctoscopic examination is sufficient. Anorectal blood loss in patients over 50 requires exclusion of higher pathology. The regulation of defaecation and eating habits can have a preventive effect on the development of haemorrhoids. Conservative measures form the basis of treatment for haemorrhoidal complaints. Local antihaemorrhoidal treatment can only be expected to give short-term relief and is not a causal therapy. Barron elastic band ligation and sclerosing, in addition to infrared coagulation are treatment modalities in the outpatient setting that are very effective, inexpensive and optimally patient-friendly.(ABSTRACT TRUNCATED AT 250 WORDS)
[Etiopathogenesis of hemorrhoidal disease].
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[Experience with the surgical treatment of hemorrhoids].
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[The surgical procedure in acute hemorrhoids].
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[Ruscorectal in the anorectal symptom complex, especially in hemorrhoids].
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[Alternative therapeutic methods in the ambulatory treatment of hemorrhoids: observations with infrared coagulation].
The author reports his observations gained by different ambulatory treatments of haemorrhoids. A total of 1537 patients with different degree internal haemorrhoids were randomly treated by rubber band ligation, sclero cryo therapy and infrared coagulation. The five years results and review of international literature suggest that infrared coagulation among the known procedures its proper application is economic, suitable and alternative possibility in the treatment of haemorrhoids.
[Treatment of hemorrhoids].
In the years 1980-89, 156 patients were treated in the Department of Gastrointestinal Surgery, in whom the main disease were haemorrhoids. Surgical treatment was given to 101 patients (64.74%), and 55 patients were treated conservatively (35.26%). In the group of patients treated surgically, the Whitehead method was used in 58.42% of cases, the Milligan method in 35.64% of patients, and in the remaining 5.94% the operation was carried out by other methods. Among the patients operated on, cure was achieved in 97 cases (96.04%), four patients (3.96%) required further treatment due to local complications (3-after operation by the Whitehead method, 1-by the Milligan method). More postoperative complications were seen in patients treated by the Whitehead method (5.08%) than by the Milligan method (2.78%), but for operation by the Whitehead method, patients were qualified with advanced, often complicated haemorrhoids, and all patients with accompanying anal prolapse.
Practice parameters for the treatment of hemorrhoids. The Standards Task Force American Society of Colon and Rectal Surgeons.
It should be recognized that these guidelines should not be deemed inclusive of all proper methods of care or exclusive of methods of care reasonably directed to obtaining the same results. The ultimate judgment regarding the propriety of any specific procedure must be made by the physician in light of all of the circumstances presented by the individual patient.
[Sclerotherapy or rubber-band ligation for hemorrhoids].
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[Short-term hospitalization and ambulatory care of patients with advanced hemorrhoidal disease].
The authors describe possible non-surgical treatment of extensive haemorrhoids grade 3 and 4, using Barron's rubber band ligation. To make comparison of therapeutic results possible Dennison's Sheffield classification is used. In the mentioned new approach indications for ambulatory treatment or short-term hospitalization in patients with an advanced grade of internal or external haemorrhoids are extended. From a group of 145 patients treated by this method 126 were free of subjective complains during a check-up 12 months after termination of treatment.
[Hemorrhoidal disease: instrumental and surgical therapeutic possibilities].
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[Sclerotherapy or rubberband ligation in hemorrhoids].
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