There is little data for the management of patients with mild hemophilia-A and inhibitors concerning prophylaxis before operations and in the postoperative period. We report a case of an adult with mild hemophilia-A and a low-titer inhibitor who successfully underwent hemorrhoidectomy without post-operative bleeding. An increased dose of F-VIII concentrate was given before operation and a bypas...

The current patho-physiologies of hemorrhoids include the degenerative change of supportive tissue within the anal cushions, vascular hyperplasia, and hyper perfusion of the hemorrhoidal plexus. On the one hand hemorrhoidectomy has been the mainstay of surgical treatment, while more recently other approaches have been employed including stapled hemorrhoidopexy and Dopplerguided hemorrhoidal art...

Hemorrhoids are the most common anorectal complaint, and approximately 10 to 20 percent of patients with symptomatic hemorrhoids require surgery. Symptoms of hemorrhoids, such as painless rectal bleeding, tissue protrusion and mucous discharge, vary. The traditional therapeutic strategies of medicine include surgical, as well as non-surgical, treatment. To alleviate symptoms caused by hemorrhoi...

Excisional technique according to Milligan-Morgan remains the most effective approach for patients with grade III-IV hemorrhoids [1]. However, it is usually associated with significant postoperative pain that may result in severe patient discomfort and in a delayed return to daily activities. Pain seems to be multifactorial, depending on factors such as individual tolerance, method of anesthesi...

Mucoceles are commonly associated with the appendix and cranial sinuses. Rectal mucoceles are rare. There are case reports of rectal mucoceles following Hartmann’s procedure, and secon dary to high anal sphincter tone following spinal trauma. [1,2] Mucoceles have developed in defunctioned colon after pull-through surgery due to stenosis and retraction of the colonic stump [3,4]. Scarring of the...