Currently, anorectal procedures are done in an inpatient setting in most local hospitals. This study examines the feasibility of performing these procedures in an outpatient setting. Patients (age range 16 to 65 years) with anorectal complaints requiring surgery were randomized into 2 groups of 40 patients each. Procedures performed included haemorrhoidectomy, fistulotomy, lateral sphincterecto...

AIMS Transanal haemorrhoidal dearterialisation and mucopexy has evolved in recent years as a popular minimally invasive non-excisional surgery for symptomatic prolapsing haemorrhoids. The long-term outcome of this procedure however, remains to be established. We aim to analyse the long-term outcome of THD-mucopexy in the management of prolapsing haemorrhoids based on the evidence of a prospecti...

Abstract Introduction Stapled anopexy is a modern technique to treat symptomatic grade 3 and grade 4 internal haemorrhoids. It has advantage of early recovery, less pain, and short procedure time as compared to conventional haemorrhoidectomy. Frequency of post anopexy bleeding per rectum requiring reoperation is 1.5% to 3.3% and staple line is identified to be the most common site. To date no c...

This report describes our experience with major surgery in hemodialysis patients and discusses special considerations in their surgical management. A total of 359 operations under general anesthesia excluding blood access operations were performed in hemodialysis patients (kidney transplantation, 168; bilateral nephrectomy with or without splenectomy, 38; graftectomy. 40; parathyroidectomy. 43;...

OBJECTIVE Conventional Milligan-Morgan haemorrhoidectomy is associated with significant pain and potentially hazardous complications. Doppler-Guided Haemorrhoidal Artery Ligation (DGHAL) may offer a lower risk, pain-free alternative. We present our early and long-term outcome experience with DGHAL, combined with patient views and satisfaction with the procedure. METHOD One hundred and thirtee...

BACKGROUND Stapled haemorrhoidopexy is a well recognized alternative to haemorrhoidectomy, and is associated with reduced pain and earlier return to normal activity. This paper reports all published cases of life-threatening sepsis following stapled haemorrhoidopexy, identifies causative factors and makes recommendations. METHODS A systematic review of the literature was performed by searchin...

Congenital coronary anomalies are uncommon and are usually diagnosed incidentally during coronary angiogram or autopsy. Isolated coronary artery anomalies and the anomalous origin of left main stem (LMS) from the proximal portion of the right coronary artery or from the right sinus of valsalva are extremely rare. A 68 years old woman with atypical chest pains was referred for risk assessment fo...