PURPOSE The purpose of this study was to assess whether any method of hemorrhoid therapy has been shown to be superior in randomized, controlled trials. METHOD A meta-analysis was performed of all randomized, controlled trials assessing two or more treatment modalities for symptomatic hemorrhoids. Outcome variables included response to therapy, need for further therapy, complications, and pai...

Objectives: To compare the outcome of Rubber band ligation with open hemorrhoidectomy in short term and its suitability in our social set up. Material and Methods: One hundred and twenty patients were enrolled from November 2007 to May 2009. They were equally divided into group A (open hemorrhoidectomy) and group B (Rubber band ligation). Postoperative complications, recurrence and patient’s sa...

BACKGROUND Spasm through the internal anal sphincter is one of the supposed causes for pain after hemorrhoidectomy, a common and distressing experience. We hypothesized that the addition of topical nifedipine to lidocaine would improve pain control by causing a relaxation of the smooth muscle of the internal anal sphincter. METHODS We conducted a multicentre randomized, double-blind trial to ...

BACKGROUND Stapled hemorrhoidectomy was introduced as a new procedure for the surgical management of hemorrhoidal disease in 1993. We present a cohort longitudinal study performed in a community hospital setting where the short-term outcomes of stapled hemorrhoidectomy were compared with those of conventional hemorrhoidectomy. METHODS We compared 41 consecutive patients who underwent a conven...

Background and objectives: Reducing postoperative pain in hemorrhoidectomy is still a challenge. This prospective, randomized, double-blind study was conducted to compare bilateral pudendal blockade with peripheral nerve stimulator to relieve postoperative pain with the method commonly used. Method: 200 patients scheduled for hemorrhoidectomy were randomly divided into Control Group and Pudenda...

OBJECTIVE Aloe vera is an herbal medicine, which has wound healing effects in burn injury. This study assessed the effects of Aloe vera cream in reducing postoperative pain, postdefection pain, and its promotion of wound healing after open hemorrhoidectomy. DESIGN A prospective, randomized, double-blind, placebo-controlled trial was conducted comparing the effects of a cream containing Aloe v...