Continuous-flow left ventricle assist devices (CF-LVADs) has become an essential modality in the management of stage D heart failure (HF) with significant improvement in survival and quality of life. Due to the durability of such devices and long term support complications such as bleeding and aortic insufficiency has emerged. Bleeding accounts for more than 20 % with the majority being from th...

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%) ...

Anorectal symptoms and complaints are common and may be caused by a wide spectrum of conditions. Although most conditions are benign and may be successfully treated by primary care practitioners, a high index of suspicion for colorectal cancer should be maintained, and all patients should be appropriately investigated. Inspection, palpation and anoscopic examination using an Ive's slotted anosc...

The radiofrequency scalpel is an innovative instrument which allows to cut and coagulate tissues in an atraumatic manner, conversely to the electric scalpel. The authors describe the use of radiofrequencies in proctology by making a literature review for every major proctologic disease (hemorrhoids, anal fistulas, anal fissure, sinus pilonidalis, hypertrophied anal papillae). Many techniques ha...

prolapsing hemorrhoids. Patients with rectal prolapse typically have protruding concentric rings of everted rectum, which is different from prolapsed hemorrhoids. This disturbing anorectal condition can be worsened by faulty bowel habits and aging, and surgical repair is required for correction. Conditions associated with rectal prolapse include weakening of pelvic muscles and ligaments, loss o...