context hemorrhoidal disease is the most common anorectal disorder that requires surgical intervention. hemorrhoids require treatment when they result in symptoms such as bleeding or prolapse. surgical intervention is indicated for significant prolapse, and a number of accepted and viable methods are available for treating prolapsing hemorrhoids that do not reduce spontaneously (grade iii and i...

PURPOSE A variety of instruments, including circular staplers, ultrasonic scalpels, lasers, and bipolar electrothermal devices, are currently used when performing a hemorrhoidectomy. This study compared outcomes between hemorrhoidectomies performed with an ultrasonic scalpel and conventional methods. METHODS The study was a randomized prospective review of data available between May 2013 and ...

Abstract Background Hemorrhoids are one of the frequent presenting complaints in surgical outpatient department any hospital. Multiple options available for treatment these based on grade. Recently, there many varieties energy devices being tried hemorrhoidectomy to decrease postoperative pain and achieve better hemostasis intraoperatively. This study represented an effort compare open versus c...

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...

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...

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...

PURPOSE This study was designed to evaluate the efficacy and outcome of the Starion and Ligasure vessel sealing systems for sutureless hemorrhoidectomy. METHODS Sixty-four patients with Grades III and IV hemorrhoids were randomized into two groups: 1) Starion hemorrhoidectomy (32 patients), and 2) Ligasure hemorrhoidectomy (32 patients). The patient demographics, operative details, numbers of...

Surgical treatment is considered to be the best therapeutic modality for third and fourth-degree hemorrhoidal disease. Many different methods of hemorrhoidectomy aim to decrease pain, and complications. The aim of this study was to compare the results of Harmonic Scalpel (HS) hemorrhoidectomy with conventional Ferguson’s hemorrhoidectomy for the treatment of grade III and IV hemorrhoids. During...