Postoperative pain is the major drawback of a hemorrhoidectomy. Researchers have sought solutions to this problem by looking at surgical techniques, topical medications, and surgical devices. First, surgical techniques have drawn attention since the basic techniques of a hemorrhoidectomy were established. Which technique is ideal or more suitable for a hemorrhoidectomy has long been a subject o...

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...

Background: Performing hemorrhoidectomy with LigaSureTM vessel sealing system is a rapid and simple new technique. The aim of this study was to evaluate LigaSureTM hemorrhoidectomy (LH) to open hemorrhoidectomy (OH) performed by the conventional diathermy. Patients and methods: One hundred and sixteen patients with grades III and IV hemorrhoids were prospectively randomized to either LigaSureTM...

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...

Background: Post-hemorrhoidectomy pain is common, usually temporary, and responsive to analgesics. However, some patients experience prolonged, intractable anal pain, which refractory conventional analgesics adversely effects quality of life. We aimed evaluate the efficacy a combination injection containing local anesthesia steroids for treatment post-hemorrhoidectomy pain.

OBJECTIVE To evaluate the pain level, analgesic consumption, operation time, bleeding and early complications after open and closed hemorrhoidectomy using a harmonic scalpel (HS) and classical methods. METHODS Between January 2005 and January 2006, 87 patients with grade III-IV hemorrhoids, admitted in General Surgery Clinic, Gulhane Military Medical Academy, Ankara, Turkey were enrolled in t...

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...

BACKGROUND Transanal hemorrhoidal dearterialization (THD), a new approach for patients who would otherwise require an operative hemorrhoidectomy, accomplishes hemorrhoidal symptom relief with far less postoperative pain than an operative hemorrhoidectomy. METHODS THD, an ambulatory procedure, employs a specially designed proctoscope coupled with a Doppler transducer to allow identification an...

Hemorrhoids are one of the most common anorectal disorders. Conventional hemorrhoidectomy is the most commonly practiced surgical technique. Stapled hemorrhoidectomy (procedure for prolapse and hemorrhoids [PPH]) and Ligasure hemorrhoidectomy are newly developed methods for the surgical management of hemorrhoids. The objective of this study was to compare the effectiveness and safety of these t...

BACKGROUND In this article we reported results obtained in our previous studies concerning application of radiofrequency (RF) in proctology and in particular for hemorrhoids treatment. METHODS We compared radiofrequency submucosal hemorrhoidectomy (RSH) and conventional Parks' hemorrhoidectomy (CPH) (group 1), radiofrequency open hemorrhoidectomy (ROH) and Milligan-Morgan hemorrhoidectomy (MM...