BACKGROUND The etiology and pathogenesis of hemorrhoids is unclear, although hemorrhoids are a worldwide disease in men and women, with peak prevalence at 45-65 years of age. Hemorrhoidal cushions as the anal venous plexi are normal anatomical structures from infancy. This study attempts to reveal the angiodysplasia and other pathological changes in association with different degrees of symptom...

Purpose. To study outcomes after the minimally invasive treatment of combined hemorrhoids. Material and methods. Two hundred three patients with hemorrhoids were included in study. Patients main group (n = 101) had laser coagulation internal hemorrhoids; control 102) – ligation Then, excision external was made both groups. Results. The intensity postoperative pain syndrome decreased more rapidl...

A 67 year man presented with six-week persistent left lower quadrant pain. He is known to have hypertension, hyperlipidemia and prior removal of two diminutive polyps from the sigmoid colon six years before this presentation. One was tubular adenoma and the second was hyperplastic. He was also found to have sigmoid colon diverticulosis and internal hemorrhoids. Another colonoscopy was done as p...

Hemorrhoids are the most common anal disease and many modalities are available for its treatment. In our study, we compared Doppler-guided Hemorrhoid Artery Ligation combined with Recto Anal Repair and open Hemorrhoidectomy. Study conducted on 50 patients with Grade III and Grade IV haemorrhoids. We observed DGHAL procedure has less post operative pain, less need for analgesic, less operative t...

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...

Injection sclerotherapy has a prominent role in the treatment of bleeding hemorrhoids. The commonly used sclerosants are not available or very expensive in Nigeria. We prospectively evaluated 50% dextrose water, used as a nonallergenic sclerosant, in the treatment of bleeding internal hemorrhoids. Forty consenting adult patients (median age 50 years [range 35-67]; 22 women) with bleeding hemorr...

A 66-year-old male patient came to the anorectal clinic, Outpatient department, AVT Institute for Advanced Research, Coimbatore, Tamil Nadu, with complaints of prolapsing pile mass during defecation and bleeding while passing stool. The case was diagnosed as "Raktarsha" - 11 & 7 'o' clock position II degree internal hemorrhoids, deeply situated, projecting one and caused by pitta and rakta; wit...

INTRODUCTION Surgical treatment for hemorrhoids should be indicated individually and is based on the predominant symptom (bleeding or prolapse), severity of disease and the presence or absence of external component (plicoma). Surgeons must choose among varied techniques the one suitable for each case. TECHNIC The THD procedure consists of Doppler guided high ligation, selective to up six subm...

Anorectal disorders result in many visits to healthcare specialists. These disorders include benign conditions such as hemorrhoids to more serious conditions such as malignancy; thus, it is important for the clinician to be familiar with these disorders as well as know how to conduct an appropriate history and physical examination. This article reviews the most common anorectal disorders, inclu...