â  background treatment of hemorrhoid disease is one of the most challenging fields in general surgery in which different methods are used to treat this condition. in this study, we compared the manometric and clinical results of three treatment methods for hemorrhoids. me t hod s a total of 150 patients with symptomatic grades ii or iii internal hemorrhoids were randomly assigned to three grou...

AIM This study was performed to evaluate the efficacy, safety and complications of electrotherapy compared with conventional hemorrhoidectomy (Ferguson technique). BACKGROUND Ferguson hemorrhoidectomy is always associated with considerable pain and postoperative complications. Still, the electrotherapy method in which the hemorrhoidal tissue is not removed may not improve critical complicatio...

BACKGROUND Spasm through the internal anal sphincter is one of the supposed causes for pain after hemorrhoidectomy, a common and distressing experience. We hypothesized that the addition of topical nifedipine to lidocaine would improve pain control by causing a relaxation of the smooth muscle of the internal anal sphincter. METHODS We conducted a multicentre randomized, double-blind trial to ...

Background Haemorrhoidectomy is frequently associated with significant postoperative pain and prolonged hospital stay; different techniques and devices have been developed to overcome these problems, including modifications of the technique (excision without legation) and introduction of new surgical instruments (LigasureTM, Harmonic ScalpelTM). We evaluated the surgical outcomes of Milligan Mo...

A 58-year-old man with a history of hemorrhoidectomy and chronic constipation presented for routine surveillance colonoscopy. He took an over-the-counter herbal laxative containing senna for constipation. The rectal mucosa showed a brownish discoloration in a moire pattern, characteristic of melanosis coli. Advancing beyond the rectum, the full circumference of colonic mucosa turned jet black i...