Background Hemorrhoidectomy is one of the most common procedures performed in anorectal surgery. Regardless of the method of surgical ablation of hemorrhoids it carries the risk of troublesome complications. Postoperative pain, urinary retention, infection, anal stenosis and bleeding are the most common. Delayed postoperative bleeding after hemorrhoidectomy has a reported incidence of 0.9 10%. ...

BACKGROUND Doppler guidance in hemorrhoidal surgery has become more frequent during the past decade. The method is mainly studied in nonrandomized trials. Data from randomized controlled trials are lacking. OBJECTIVE The aim of this study was to compare early and midterm results of transanal hemorrhoidal dearterialization with anopexy to open hemorrhoidectomy. DESIGN, SETTINGS, PATIENTS, AND ...

Medications, including topical 0.2% glyceryl trinitrate (GTN), can reduce anal spasm and pain after excisional hemorrhoidectomy. GTN after stapled hemorrhoidopexy was compared with routine postoperative management. Patients with symptomatic grade 3/4 hemorrhoids were recruited. After stapled hemorrhoidopexy, residual perianal skin tags were excised as appropriate. Those requiring double purse-s...

Background: Postoperative pain management is one of the major challenges surgeons and anesthesiologists. Objectives: This study aimed to determine efficacy topical ketorolac in post-hemorrhoidectomy management. Methods: clinical trial was conducted on 84 candidates for hemorrhoidectomy (grade-II hemorrhoids) who visited Ali ibn Abi-Talib hospital Rafsanjan, Kerman, Iran (2020 - 2021). The parti...

OBJECTIVE The aim of this study was to investigate the effect of Xiaozhi decoction (XZD) on posthemorrhoidectomy pain and analgesic medication consumption. METHODS From May 2013 to March 2015, 315 patients who underwent open hemorrhoidectomy in our hospital were enrolled in this study, of whom, 160 patients were randomly assigned to accept sitz bath with warm water after hemorrhoidectomy (con...

BACKGROUND Anal canal dilatation and sphincterotomy have been recommended besides hemorrhoidectomy to overcome the anal pressures in the management of hemorrhoids. The aim of this study to compare internal sphincterotomy and hemorrhoidectomy with hemorrhoidectomy alone with respect to manometric and clinical measures. METHODS One hundred twenty patients with hemorrhoids were randomly assigned...

.. Objectives: Is to compare outcomes in terms of mean post-operative pain and hospital stay between stapled versus conventional hemorrhoidectomy. Hypothesis: There is a difference in mean post-operative pain and hospital stay between stapled and conventional hemorrhoidectomy, stapled technique is better than conventional technique. Study Design: Randomized control trial. Setting: Department of...

The aim of this study was to assess the medical treatment in comparison with hemorrhoidectomy in the management of primary grade-4 internal hemorrhoidal disease (IH) and external hemorrhoidal disease (CH). Group I (medical treatment): 127 patients (59 IH, 68 CH) were prospectively collected and medically treated using oral tablet of micronized purified flavonoid fraction (MPFF) containing 450 m...

OBJECTIVE To evaluate the effects of topical policresulen and cinchocaine in the postoperative pain behavior of open hemorrhoidectomy. METHODS We conducted a prospective, double-blinded, controlled study. The control group received the usual guidelines with oral medications. The topical treatment group received, in addition, the application of the ointment and was comprised of two subgroups (...