OBJECTIVE To compare the efficacy of haemorrhoidectomy done by using LigaSure with conventional Milligan Morgan haemorrhoidectomy. METHODS This randomized controlled trial was done at Department of Surgery Dow University Hospital Karachi during January 2013 to September 2015. A total of 55 patients were included in the study. Patients were randomly allocated to group A (Haemorrhoidectomy by L...

OBJECTIVE According to the ''vascular'' theory, arterial overflow in the superior hemorrhoidal arteries would lead to dilatation of the hemorrhoidal venous plexus. Hemorrhoid laser procedure (LHP) is a new laser procedure for outpatient treatment of hemorrhoids in which hemorrhoidal arterial flow feeding the hemorrhoidal plexus is stopped by laser coagulation. AIM Our aim was to compare the h...

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...

OBJECTIVE Hemorrhoids are normal elements of the anal canal anatomy and they become symptomatic with potential factors such as gravity or strain. When symptomatic, hemorrhoidal disease can be costly measured in time away from productive activities. The aim of the study was to assess changes in the quality of life of patients after hemorrhoidectomy using Short Form-36. MATERIAL AND METHODS Thi...

Background and objectives: Hemorrhoids is the most prevalent rectal disease which is defined as enlargement of ano-rectal cushions.  Intensified pressure on vascular plexus of hemorrhoids seems playing a chief role in the development of hemorrhoids. Hemorrhoidectomy is an important surgery to relieve discomforts of patients that suffer from symptomatic hemorrhoids. This review ...

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...

PURPOSE Postoperative pain is the main adverse effect of formal hemorrhoidectomy. A new technique based on Doppler-guided ligation of the terminal branches of the superior hemorrhoidal artery was introduced in 1995 as an alternative to hemorrhoidectomy. The authors report a preliminary experience with this procedure. METHODS The Doppler-guided hemorrhoidal artery ligation technique uses a spe...

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...