A 58-year-old man with a history of hemorrhoidectomy and chronic constipation presented for routine surveillance colonoscopy. He took an over-the-counter herbal laxative containing senna for constipation. The rectal mucosa showed a brownish discoloration in a moire pattern, characteristic of melanosis coli. Advancing beyond the rectum, the full circumference of colonic mucosa turned jet black i...

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...

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Circular stapled transanal hemorrhoidopexy (STH) was first introduced by A. Longo for the correction of internal mucosal prolapse and obstructed defecation and in 1998, was proposed as alternative to conventional excisional hemorrhoidectomy. More recently, stapled transanal rectal resection (STARR) has gradually gained popularity, as the Longo procedure, in the treatment of hemorrhoids. The aim...

Background and Aims This study compared if perianal block using ropivacaine and dexmedetomidine was as good as spinal anesthesia (SA) using bupivacaine (heavy) for closed hemorrhoidectomies. Methods A prospective randomized study was conducted in sixty patients who underwent closed hemorrhoidectomy. Thirty patients of Group A received SA. Thirty patients in Group B received local perianal blo...

BACKGROUND AND OBJECTIVES Steinert disease is the most common muscular dystrophy of the adult. Due to its multisystem characteristic, the perioperative management of these patients is a challenge to the anesthesiologist. The aim of this report was to present a case of hemorrhoidectomy in a patient with muscular dystrophy and to discuss the several anesthetic implications involved. CASE REPORT...