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PubMed1995

A novel therapy for internal hemorrhoids: ligation of the hemorrhoidal artery with a newly devised instrument (Moricorn) in conjunction with a Doppler flowmeter.

OBJECTIVES: To assess the usefulness of hemorrhoidal artery ligation (HAL) for internal hemorrhoids with a newly devised instrument (the Moricorn). METHODS: We devised a new instrument (the Moricorn) that is used in conjunction with a Doppler flowmeter. This instrument allows for easy and safe ligation of the hemorrhoidal artery. HAL with the Moricorn was performed on 116 patients with internal hemorrhoids who had episodes of anal pain, bleeding, and prolapse. One month after treatment, the effect was evaluated on the basis of improvement of symptoms and the shrinkage of hemorrhoidal tissue. RESULTS: The treatment's effect was observed in 50 of 52 patients (96%) with pain, 50 of 64 (78%) with prolapse, and 92 of 96 (95%) with bleeding. No patient required anesthesia throughout the entire procedure. No major complications were encountered with this treatment. CONCLUSIONS: HAL with the Moricorn is a simple, safe, and effective method. However, further observations predicated on a longer follow-up, a larger number of patients, and comparisons with other conventional treatments are called for.

Arteries↗

PubMed2002

[Doppler ultrasound assisted hemorrhoid artery ligation. A new therapy in symptomatic hemorrhoids].

In 1995, Morinaga et al. (Japan) reported on a new technique in the treatment of hemorrhoids. We report the results of our first 105 patients thus treated. By a specially designed proctoscope coupled with a Doppler transducer, the hemorrhoidal arteries are looked for and ligated. All stages of hemorrhoid were treated. This method is painless, successful, and has a low rate of complications. It is for outpatients and is an alternative to all other methods in the treatment of hemorrhoids.

Adult↗

PubMed1992

[Effects of administration of 50 mg heparan sulfate tablets to patients with varicose dilatation of the hemorrhoid plexus (hemorrhoids)].

An experimental clinical study was performed using heparan sulfate in order to ascertain the effects of the drug in the treatment of 2nd or 3rd degree varicose dilatation of the hemorrhoid plexus. Forty female patients, mean age 37 years and suffering from varicose dilatation of the hemorrhoid plexus, were enrolled in the study. The study was carried out in an open comparison with oxerutin using parallel groups with random access. After a run-in period of 3 days, 20 patients commenced treatment with 1 50 mg tablet of heparin sulfate 3 times daily, whereas the other 20 patients were given 1,500 mg oxerutin tablet again 3 times daily. Subsequently, treatment was continued at the following doses: 1 50 mg tablet of heparin sulfate twice a day, and 1,500 mg tablet of oxerutin twice a day, for a duration of two weeks. At pre-established times (before treatment, after 1 week, after 2 weeks), a standard questionnaire was filled in relating to each patient in order to evaluate the efficacy and tolerability of treatment. No adverse or undesirable effects were reported. Each participant was also put on a personalized and computerised diet with the same fibre intake. 55% of patients treated with oxerutin reported persistent moderate or intense pain caused by defecation compared to 45% of the group treated with heparan sulfate. Both drugs induced the remission of skin rash and itching. Compared to the control drug, heparan sulfate was more efficacious in relation to the normalisation of hyperemia and mucoid secretion.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗

PubMed1985

Of heliotropes and hemorrhoids. St. Fiacre, patron saint of gardeners and hemorrhoid sufferers.

During the Middle Ages, an integral part of the therapy for certain ailments included supplication to "patron" saints for possible divine intervention. Through legends surrounding his life, St. Fiacre, a 7th century Irish monk, has become the patron saint for hemorrhoid sufferers.

France↗

PubMedDate not supplied

[Macroscopic and microscopic pathological anatomy of the hemorrhoidal vascular network in hemorrhoidal disease].

In this study, the writers have taken as the basis of their investigation the anatomic and pathological analysis of samples studied as a matter of course after hemorrhoidal operations performed regularly at St Mark's Hospital. They describe their macro- and microscopic findings and, in the discussion, they summarise the development of our knowledge in this field, note the inconsistency between anatomical conclusions and clinical variations, stress the importance of the slipped vascular pad phenomenon, and reject the oft-cited concept of the existence of a corpus cavernosum in the rectum.

Anal Canal↗

PubMed1999