BACKGROUND Day-care open haemorrhoidectomy under local anaesthesia (LH) may be the most cost-effective approach to haemorrhoidectomy. This prospective randomized trial compared outcome after LH from patients' and clinical perspectives with that after day-care open haemorrhoidectomy under general anaesthesia (GH). METHODS Forty-one patients with third-degree haemorrhoids were randomized to LH ...

The problem of hemorrhoids treatment has been important for more then two thousand years. After the standard closed hemmorroidectomy in the postoperative period pain syndrome long-term rehabilitation of patients, a large number of relapses, can be observed. Implementation method of rubber band ligation, as well as the trans anal doppler-guided hemorrhoidal artery ligation, are an alternative to...

85 patients at age of 27-68 years (44.78+/-9.02) with stage III-IV hemorrhoids were treated. Trans-anal disarterization of internal hemorrhoids under Doppler control with mucopexy and lifting was carried out using modified Moricorn proctoscope. Operation duration amounted 24-45 minutes (32+/-5.21). Postoperative pain syndrome amounted on average 33.2+/-0.52 mm (range 20-50 mm) on the first day ...

Patients affected by high-grade haemorrhoid with a fibrous internal pile or an important external component are suitable for an excisional procedure. The aim of this study is to evaluate the outcome of different excisional treatments such as Milligan and Morgan haemorrhoidectomy, Ferguson haemorrhoidectomy and Pexy-excision carried out according to a tailored treatment on each pathological pile...

Madam, We mad with interest a short report published in your November issue titled "Immediate Haemorrhoidectomy for Thrombosed Fourth Degree Haemorrhoids”. The Author has compared the results of immediate haemorrhoidectomy and conservative treatment. Unfortunately, be did not mention the treatment that we have found simple and effective in thrombosed, prolapsed haemorrholds. Head and Gudgeon re...

Background and objectives: Hemorrhoids is the most prevalent rectal disease which is defined as enlargement of ano-rectal cushions.  Intensified pressure on vascular plexus of hemorrhoids seems playing a chief role in the development of hemorrhoids. Hemorrhoidectomy is an important surgery to relieve discomforts of patients that suffer from symptomatic hemorrhoids. This review ...

The OBJECTIVE was to evaluate the efficacy and safety of hemorrhoidectomy with lateral ultrasound dissection in patients older age groups. METHODS AND MATERIALS. A comparative analysis immediate long-term results treatment two groups geriatric suffering from III–IV stages hemorrhoids carried out. main included 27 who underwent using original technique «cutting» mode. control group consisted 33 ...

Hemorrhoids are the common benign anal problems in rural India and usually the patients present to the surgical outpatient department at late stage. This prospective randomized clinical trial is aimed to compare the results of classical versus stapled hemorrhoidopexy for treatment of third and fourth degree hemorrhoids. Objective: We report our experience on surgical treatment focusing on posto...