Complete rectal prolapse vs prolapsed hemorrhoids: points to ponder

Complete rectal prolapse vs prolapsed hemorrhoids: points to ponder

A 45 years female presented with a complain of something coming out through her anus since one year, which comes on straining and reduces only after manual intervention. She had also, a history of constipation with occasional blood and mucus discharge in the stool. On examination, she was found to have full thickness rectal prolapse, which comes out on straining and reduces only after pushing i...

Complete rectal prolapse--quo vadis?

Load testing: Points to ponder

Testing of multi-user applications under realistic and stress loads remains the only way to ensure appropriate performance and reliability in production. The author outlines some issues to consider for performance testing of distributed business applications and presents the typical pitfalls from the practical point of view. While the original objective was to contrast load testing with functio...

Surgical Management of Complete Rectal Prolapse

through the anal canal. Precisely how a complete rectal prolapse develops is not thoroughly understood. Possible etiologies include a defect of the pelvic floor, redundant rectosigmoid colon, deep Douglas pouch, gender (female), psychiatric problems and nulliparity. Pathogenesis may involve a sliding hernia or a circumferential intussusception. Treatment of rectal prolapse can involve a variety...

Prospective, randomized, controlled trial of Starion vs Ligasure hemorrhoidectomy for prolapsed hemorrhoids.

PURPOSE This study was designed to evaluate the efficacy and outcome of the Starion and Ligasure vessel sealing systems for sutureless hemorrhoidectomy. METHODS Sixty-four patients with Grades III and IV hemorrhoids were randomized into two groups: 1) Starion hemorrhoidectomy (32 patients), and 2) Ligasure hemorrhoidectomy (32 patients). The patient demographics, operative details, numbers of...