The objective of this retrospective study was to examine the effects of an intraoperative injection of liposome bupivacaine on the quality and duration of postsurgical pain control, patient satisfaction, and opioid use in a cohort of patients undergoing hemorrhoidectomy in an outpatient setting. Patients underwent ambulatory hemorrhoidectomy conducted by a single surgeon. Liposome bupivacaine 2...

Objective: To determine whether harmonic scalpel has any advantage over Ligasure tonsillectomy or not in terms of blood loss, duration surgery, pain scores and slough separation time. Study Design: Double Blind Cross Sectional study. Setting: Faisalabad Medical University Affiliated Institutions. Period: January to June 2022. Material & Methods: Seventy patients total were selected divided ...

Aluminum potassium sulfate and tannic acid injection (ALTA) is a useful and less-invasive treatment for internal hemorrhoids. However, it is not a treatment option for external hemorrhoidal diseases, including mixed hemorrhoids. Distal hemorrhoidectomy with ALTA injection involves surgical resection of external piles, followed by injection therapy on internal piles. We report technical details ...

We describe the first reported case of Escherichia coli endocarditis following a hemorrhoidectomy that was performed by the patient's herbalist. With increasing frequency, patients are seeking care by those who practice alternative medicine. Physicians must become more aware of the impact and possible complications related to this practice. Prosthetic valve endocarditis ranges up to 1.5% per pa...

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...

This study is to evaluate a novel Quantum Molecular Resonance energy device as laparoscopic bipolar vessel sealer. The majority of conventional energy-based sealing devices utilize at frequencies between 300 kHz and 500 kHz. use such has disadvantages including unintended damage surrounding tissues excessive surgical smoke production. Here, we developed source using (QMR) 4–64 MHz combined this...

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...