HYPOTHESIS Use of circular stapled hemorrhoidectomy will result in the same or improved safety and efficacy outcomes as those of the conventional methods for hemorrhoidectomy in patients with hemorrhoids. DATA SOURCES Studies on stapled hemorrhoidectomy were identified using PREMEDLINE and MEDLINE (June 1966-June 2001), EMBASE (January 1980-June 2001), Current Contents (June 1993-June 2001), ...

Background: Haemorrhoidectomy remains the treatment of choice for symptomatic grade-III and IV hemorrhoids. Milligan and Morgan’s haemorrhoidectomy is the most widely used procedure in the surgical management of hemorrhoids. Aim: This study was done to evaluate and analyze statistically whether stapler haemorrhoidectomy is better than Milligan Morgan haemorrhoidectomy in terms of Post operative...

Objective: To explore the efficacy of two surgical procedures by comparing mean operative time, average blood loss and postoperative pain score during conventional LigaSure. Study Design: Quasi-experimental study. Setting: Department Surgery, Aziz Fatimah Hospital, to compare regarding perioperative variables. Period: One Year (1st July 2020 -30th June 2021). Material & Methods: Sixty patie...

The immediate and long-term results of the surgical treatment hemorrhoids in two patient groups were compared. In main group, original technique lateral ultrasound dissection cutting mode was used, whereas control hemorrhoidectomy using monopolar electrocautery performed. dynamics intensity postoperative pain syndrome analyzed a specialized questionnaire. Pathomorphological changes removed stud...

The Milligan-Morgan (MM) operation is the most widely practiced procedure for prolapsed hemorrhoids. But it is also associated with a fair amount of postoperative pain, a long period of convalescence, and complications like bleeding and anal stenosis. The aim of this study was to evaluate the efficacy of in-situ radiofrequency ablation (RA) of hemorrhoids. During a 6-month period, 40 patients w...

BACKGROUND AND OBJECTIVES Hemorrhoidectomy may be performed under several anesthetic techniques and in outpatient regimen. Postoperative pain is severe and may delay discharge. This study aimed at evaluating bilateral pundendal nerves block for post- hemorrhoidectomy analgesia. METHODS Bilateral pundendal nerves block with 0.25% S75:R25 bupivacaine was performed with nerve stimulator in 35 pa...

In the morning a healthy 40 years old female had a successful spinal anesthetic with bupivacaine 1% 10 mg for hemorrhoidectomy followed by a second injection at midnight for severe pain. The second traumatic injection caused a conus medullaris/cauda equina lesion discovered by MRI 45 days later. The contribution of hyperbaric bupivacaine dosage and pencil point needle is discussed.