OBJECTIVE Conventional Milligan-Morgan haemorrhoidectomy is associated with significant pain and potentially hazardous complications. Doppler-Guided Haemorrhoidal Artery Ligation (DGHAL) may offer a lower risk, pain-free alternative. We present our early and long-term outcome experience with DGHAL, combined with patient views and satisfaction with the procedure. METHOD One hundred and thirtee...

Background: Excisional haemorrhoidectomy engenders considerable pain and has popularly been managed as an in-patient procedure. There has been anxiety over a major complication occurring in the community instead of in the hospital which is still pervasive in the developing world despite evidence to the contrary. Aim: It compared the post operative complications, time to bowel action, and post-o...

The efficacy of a multimodal analgesic approach for ligation excision haemorrhoidectomy was evaluated in a prospective series of 62 patients. Opioid was given as intravenous fentanyl intra-operatively, as part of a standardised general anaesthetic technique, followed by post-operative parenteral fentanyl or oral oxycodone as required. Pre-emptive local anaesthesia was provided via ischiorectal ...

BACKGROUND: Milligan-Morgan excision haemorrhoidectomy remains a very popular treatment modality for third and fourth degree hemorrhoids due to its cost effectiveness and better long-term results. Ferguson haemorrhoidectomy is believed to result in less postoperative pain because of a closed wound. The aim of this study was to compare the effectiveness of Milligan-Morgan excision haemorrhoidect...

BACKGROUND Haemorrhoid disease has become more and more frequent during the past years among western populations. Great attention has been paid in development of surgical procedures, in order to reduce post-operative pain (the main adverse effect of surgical treatment for haemorrhoids) and shorten execution time and hospital stay. This randomised clinical study compares the results obtained usi...

INTRODUCTION Surgical treatment of hemorrhoids is still a dilemma. New techniques have been developed leading to a lower rate of postoperative pain; however, they are associated with a greater likelihood of recurrence. AIM To review current indications as well as the results and complications of the main techniques currently used in the surgical treatment of hemorrhoidal disease. METHODS A ...

AIMS Rubber band ligation is an effective treatment for hemorrhoids. A retrospective analysis was performed to evaluate its short and long-term efficacy. PATIENTS AND METHODS From 2000 to 2008, 254 outpatients with II- degree and 114 with III-degree hemorrhoids underwent rubber band ligation. Two or three hemorrhoids were ligated per session. Each haemorrhoid was ligated with two rubber bands...

Aim: To compare the clinical long term complication of Stapled Hemorrhoidectomy versus Open Hemorrhoidectomy in term of Recurrence and Anal Stenosis. Place and duration of study: Department of Surgery at Shalamar Hospital Lahore from March 2014 to February 2015. Methods: Randomized Control Trial at Surgical Unit II, Shalamar Hospital Lahore. Results: Out of total 50 patients there were 20(80%) ...

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