OBJECTIVE o compare the outcome of Milligan-Morgan (MMH) and Ferguson (FH) techniques for haemorrhoidectomy with regard to postoperative pain, control of bleeding, early mobilization of patients and wound healing. METHODOLOGY In this prospective, randomized clinical study conducted between January 2005 to December 2008, 213 patients with late 2(nd) degree; third or fourth degree hemorrhoids w...

Hemorrhoids are the most common anal disease and many modalities are available for its treatment. In our study, we compared Doppler-guided Hemorrhoid Artery Ligation combined with Recto Anal Repair and open Hemorrhoidectomy. Study conducted on 50 patients with Grade III and Grade IV haemorrhoids. We observed DGHAL procedure has less post operative pain, less need for analgesic, less operative t...

ANUS, RECTUM AND COLON. By J. C. Goligher. Second Edition. (Pp. 1120; figs. 630 and 6 colour plates, 210s). London: Bailliere, Tindall & Cassell, 1967. THE first edition of this work was hailed as "the best book on the subject in the English language". Another reviewer stated "it should be in the library of every proctologist or abdominal surgeon". The second edition maintains the same high sta...

Lycopene, the main carotenoid found in tomatoes and tomato-based products, has been reported to be protective against several types of cancer. Assessment of changes in plasma concentration of carotenoids following ingestion of lycopene-rich food sources does not necessarily predict changes in lycopene concentration or distribution of its isomers in other body tissues. Our aim was to determine t...

BACKGROUND AND OBJECTIVES The achondroplasic dwarfism or achondroplasia is the most common form of dwarfism and occurs, in most of the cases, as a result of spontaneous genetic alteration. The anesthesia in these patients presents several particularities. The objective of the present report was to describe an achondroplasic patient case, with a previous history of surgical procedure of the vert...

OBJECTIVE We have audited our 5 years experience of circumferential-stapled haemorrhoidopexy (PPH). METHOD A prospectively collected electronic data base of our 5-year experience to September 2005 has been examined. RESULTS A total of 357 consecutive patients (220 - 62% women, median age 46 years; range 28-92) with symptomatic third- and fourth-degree haemorrhoids (ratio 222:135) have under...

Difficulties achieving high response rates to patient reported outcome measures (PROMs) within clinical trials are well recognised. The NIHR HTA funded eTHoS trial, which compares Stapled Haemorrhoidopexy with Traditional Haemorrhoidectomy for the treatment of grade II-IV haemorrhoids, is no exception. Early response rates to postal PROMs on quality of life (distributed at 12 and 24 months post...