addition group at 6, 12, and 24 hours after surgery. However, the morphine-addition group showed a significant increase in postoperative complications, such as pruritus and urinary retention [8]. Therefore, although it is effective in reducing short-term pain which can occur within 24 hours after surgery, the spinal block anesthesia with morphine must be performed in consideration of possible c...

BACKGROUND Many researchers studied human Papillomavirus infection in the anal area supposing it represents a risk factor for precursor lesions of anal cancer. AIM To study the association between histological findings suggestive of injury by the virus in hemorrhoidectomy specimens. METHOD Prevalence study was carried out based on histopathological analysis of hemorrhoidectomy specimens to ...

has been widely accepted as the main surgical treatment of hemorrhoids for a long history, but it is notorious for the level of post operative pain the patient must endure, coupled with a long recuperation period. Stapled hemorrhoidopexy was presented as a procedure for prolapsed hemorrhoids (PPH) in 1998 by Longo. From the view points of lesser post operative pain and short recuperation period...

BACKGROUND Hemorrhoidectomy is one of the most commonly performed anorectal operations. The aim of this study was to evaluate the safety and the efficacy of a new technique for sutured closed hemorroidectomy with linear stapler in a consecutive series of 300 patients. PATIENTS AND METHODS Between January 2006 and December 2009, 300 patients (117 male, 183 female) (mean age, 52 (range 21-85) y...

The prevalence of benign anorectal conditions in the primary care setting is high, although evidence of effective therapy is often lacking. In addition to recognizing common benign anorectal disorders, physicians must maintain a high index of suspicion for inflammatory and malignant disorders. Patients with red flags such as increased age, family history, persistent anorectal bleeding despite t...

Circular stapled transanal hemorrhoidopexy (STH) was first introduced by A. Longo for the correction of internal mucosal prolapse and obstructed defecation and in 1998, was proposed as alternative to conventional excisional hemorrhoidectomy. More recently, stapled transanal rectal resection (STARR) has gradually gained popularity, as the Longo procedure, in the treatment of hemorrhoids. The aim...

BACKGROUND Haemorrhoidectomy is associated with complications including pain, bleeding and wound infection which can result prolonged hospital stay. Haemorrhoidectomy is considered to provide a better outcome in terms of postoperative pain and wound healing. Aims were to compare postoperative pain, bleeding, operating time and wound healing in patients undergoing open and closed haemorrhoidecto...

OBJECTIVES This study was designed to evaluate the effectiveness of stapled hemorrhoidectomy (SH) in terms of cure of the symptoms and post-operative pain control. MATERIAL AND METHODS In this prospective clinical study, SH (Ethicon Endo-surgery, Cincinnati, OH) was performed for all patients with grade III and grade IV hemorrhoids, presenting to the surgical clinics of Ohud and Meeqat Hospit...