BACKGROUND The procedure for prolapse and haemorrhoids (PPH) was introduced to address the postoperative pain following excisional haemorrhoidectomy (EH). OBJECTIVE To assess the efficacy of both procedures to treat haemorrhoids. DATA SOURCES Literature review using MEDLINE. Articles addressing PPH and ER were included. STUDY SELECTION RCTs comparing PH and PPH with > or = 20 patients. ...

This study aims to assess the efficiency of micronised purified flavonoid fraction (MPFF) administration prior open haemorrhoidectomy on postoperative pain severity reduction. Methods. The prospective clinical involved patients with haemorrhoidal disease. Participants were randomly divided into two groups: first one received 1000 mg MPFF (Detralex®) 15 days before surgery, seven after according...

OBJECTIVE Hemorrhoids are normal elements of the anal canal anatomy and they become symptomatic with potential factors such as gravity or strain. When symptomatic, hemorrhoidal disease can be costly measured in time away from productive activities. The aim of the study was to assess changes in the quality of life of patients after hemorrhoidectomy using Short Form-36. MATERIAL AND METHODS Thi...

Stapled haemorrhoidectomy (SH) is a minimally invasive intervention that uses a stapling device which avoids the need for wounds in the sensitive anal area and reduces the pain after surgery. This study was undertaken in Nepal Medical College Teaching Hospital from January 2010 to December 2012 to evaluate the efficacy of this modality of treatment among patients (32) who presented in the Surge...

INTRODUCTION This study was conducted to survey current practices in the treatment of haemorrhoids (Hs), prevalence of complications associated with injection sclerotherapy (IS) and attitudes to its use to treat anterior Hs. METHODS Postal questionnaires were sent to 92 consultant surgeons in the South East Thames Region. They were returned anonymously. RESULTS Seventy questionnaires were r...

INTRODUCTION Milligan-Morgan and Ferguson haemorrhoidectomy has been the gold standard treatment for symptomatic haemorrhoids for many years. However, escisional techniques are associated with a significant morbidity rate. In recent years, diverse techniques have been described in an attempt to decrease these complications. The guided transanal haemorrhoidal dearterialization THD) doppler is on...