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At least 1,441 records · Page 80Linked to original sources
PubMed1993

[Ambulatory therapy of internal hemorrhoids using infrared photocoagulation and elastic ligature].

The authors present their experience with infrared photocoagulation and its combination with suction ligature by means of elastic rings in the treatment of internal haemorrhoids. They used infrared photocoagulation in 15 patients with grade I haemorrhoids, the procedure was painless in 80% and 20% of the patients reported mild pain. As to side-effects, 13.3% reported mild discomfort during defaecation. After one month 66.6% were symptom-free, 26.7% improved and 6.7% did not report improvement. The authors used the combination of suction ligation and infrared photocoagulation in 27 patients with internal haemorrhoids grade II. The procedure was painless in 70.4%, slight pain was reported by 25.9% and in one patient the procedure was associated with severe pain (3.7%). No side-effects were reported by 44.4% of the patients, mild discomfort during defaecation in 48.2% and more marked discomfort in 7.4%. None of the methods were associated with haemorrhage. After one month 74.1% of the patients were asymptomatic, 18.5% reported improvement and two probands (7.4%) did not report improvement. These methods can be used, due to the simple procedure, slight discomfort caused to the patients and low incidence of side-effects in out-patients departments. The short time taken by the procedure and the low cost are not negligible either.

Adult↗
PubMedDate not supplied

[Clinical manifestations and diagnosis of hemorrhoids].

Haemorroidal disease has often typical presentation with rectal bleeding, anal prolapse and pain. Practitioners and patients usually underestimate the symptoms; in adults and older people the same symptoms may suggest neoplastic disease, which may be synchronous. Proctoscopy is the main diagnostic test for staging; endoscopic examination with biopsy is helpful to differentiate neoplastic, granulomatous and inflammatory anorectal lesions. In our mind, a complete study of anorectal function and morphology is necessary for a correct diagnosis.

Anus Diseases↗
PubMedDate not supplied

[Anorectal manometry in hemorrhoidal disease].

Manometry is an important approach to anorectal function. In the haemorrhoids the evaluation of the anal resting tone, of the squeeze and of the sphincterial length is very useful to realize the best surgical treatment. Anorectal manometry is neither invasive nor expensive; it can be ready repeated and the results are reproducible. This examination must be considerated as essential part of the diagnostic routine of the anorectal diseases.

Anal Canal↗
PubMedDate not supplied

[Sclerotherapy and elastic ligation of hemorrhoids].

In the treatment of haemorrhoids all procedures may have good results, if indications are correct. Injection treatment has the best indication for I and II degree bleeding piles, the rubber band ligation for II and III degree piles; this procedure is very effective when associated to cryosurgery. All operations for haemorrhoids must be avoided in Crohn disease.

Cryosurgery↗
PubMedDate not supplied

[Hemorrhoids. Review].

Correct definition of haemorrhoidal disease allows the estimation of the incidence and the therapeutic choices. The term "haemorrhoidal disease" should be used specifically for symptoms secondary to abnormalities of the intern haemorrhoidal plexus. The classification of severity is useful but difficult to apply to individual cases. The aetiopathogenesis remains unclear. Many arguments are in favour of a progressive degeneration of the fibromuscular structure of the internal haemorrhoidal plexus responsible for his prolapse in the anal canal. Most patients suffering from haemorrhoids are relieved by simple dietary advice. Moderate prolapsing haemorrhoids are significantly improved by rubber band ligation. Surgical haemorrhoidectomy remains the procedure of choice in patients with advanced prolapsing haemorrhoids.

Aged↗
PubMed1996

[Optimization of the Barron ligature treatment of 2nd and 3rd-degree hemorrhoids using a therapeutic troika].

Due to the fact that the intensity of haemorrhoidal complaints may rapidly change, also numerous therapeutic approaches of minor effectiveness are considered a helpful remedy. However, the advantage of the Barron-ligature is not seriously doubted. By placing it correctly at the insensitive distal rectum, haemorrhoidal operations are only necessary in very advanced stages. Can the Barron ligature be optimized even more? Three patient groups consisting of 120 patients with 2nd degree haemorrhoids who were simultaneously treated by anal dilation using an appropriate lubricant for the anal dilator, were compared with each other in a randomized, open, placebo-controlled study conducted in two centres. In these groups treatment consisted of: rubber-band ligature alone rubber-band ligature and anal dilator and Kamillosan ointment rubber-band ligature and anal dilator and vaseline The observation period comprised six weeks. Every two weeks a check was made. Assessment criteria were: light-red haemorrhage, itching, oozing, sensation of incomplete evacuation, nodal prolapse and slight staining after defecation The pressure ratios of the closing apparatus were investigated at the beginning and end of the study. The group who had been treated with rubber-band ligature, anal dilator and Kamillosan ointment showed the best results. By simultaneously applying the rubber-band ligature, anal dilator and Kamillosan ointment as a lubricant, significantly better results could be obtained. The findings are based on a former retrospective study carried out in 500 patients with 2nd degree haemorrhoids. In this study by applying the anal dilator and Kamillosan ointment, the number of treatments could significantly be reduced from 5.95 to 4.2 and the number of necessary ligatures from 3.8 to 2.76 which, also from the economic point of view, was favourable.

Adolescent↗