background: the stapled hemorrhoidopexy (sh) is a procedure for prolapse and hemorrhoids . at first sh seemed to be a good alternative for the milligan morgan (mm) hemorrhoidectomy and preliminary results in early 2000 confirmed it. however, further studies and evaluation of long-term results showed poorer outcomes. objectives: this study aimed to evaluate and compare the results of these 2 sur...

conclusions doppler-guided hemorrhoid artery ligation is a safe and easy method for treating hemorrhoidal disease, but its results should be interpreted carefully, especially in grade iv of the disease. patients and methods one hundred patients were enrolled in this study and divided randomly into two groups of fifty patients. each group either underwent the milligan-morgan procedure or the dop...

Hemorrhoidectomy is the treatment of choice for patients with third or fourth-degree hemorrhoids. Although the majority of surgeons believe that surgical hemorrhoidectomy is the most effective approach with excellent results in the management of hemorrhoid disease, but hemorrhoidectomy is not a simple procedure. One of the complications of this surgery is an injury to anal sphincters that can l...

PURPOSE Passive fecal incontinence after hemorrhoidectomy may occur and is socially incapacitating. There has been no effective treatment for passive fecal incontinence caused by internal anal sphincter dysfunction. This case series reviewed the outcome of therapy with injectable silicone biomaterial (PTQ) in patients who had passive fecal incontinence after hemorrhoidectomy. METHODS From 200...

We report a case of unexpected anal squamous cells carcinoma found in hemorrhoidectomy specimen. The patient had a 3-year history of prolapsing hemorrhoids. A prolapsing hemorrhoid was present at eleven o'clock in lithotomy. Milligan-Morgan was performed and gross examination of the specimen was unremarkable. Histopathologic evaluation showed noninvasive squamous cells carcinoma. The present ca...

hemorrhoidectomy is the treatment of choice for patients with third or fourth-degree hemorrhoids. although the majority of surgeons believe that surgical hemorrhoidectomy is the most effective approach with excellent results in the management of hemorrhoid disease, but hemorrhoidectomy is not a simple procedure. one of the complications of this surgery is an injury to anal sphincters that can l...

Hemorrhoids are a common anal disorder which affects both men and women of all ages. One out of ten patients with hemorrhoidal disease, requires surgical treatment. Unfortunately though, hemorrhoidectomy is closely related to complications that can be present early or late postoperatively. In the present manuscript, the safe surgical technique which emphasizes to the identification of the key a...

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...