Dear Editors, The recent letter to the journal entitled ‘Irrigating methicillin-resistant Staphylococcus aureus-colonised and -infected chronic wounds – why use tap water?’ by Nagoba et al. (1) provides an opportunity for a deeper discussion from different perspectives. After the Second World War, advancement of water purification has greatly reduced human disease. Especially in the recent 10 y...

Aim: To compare the clinical long term complication of Stapled Hemorrhoidectomy versus Open Hemorrhoidectomy in term of Recurrence and Anal Stenosis. Place and duration of study: Department of Surgery at Shalamar Hospital Lahore from March 2014 to February 2015. Methods: Randomized Control Trial at Surgical Unit II, Shalamar Hospital Lahore. Results: Out of total 50 patients there were 20(80%) ...

principal causes of the condition, it seems illogical to use local greasy applications or haemorrhoidectomy as the mainstay of treatment. Yet throughout the world, until recent years, classical medicine has espoused these methods. Many of the enlightened now regard both treatments as refuges of the proctologically destitute. They still have a place, but only within the whole armament of stool-b...

Over the last century electrocautery has emerged as an imperative adjunct to surgery across the entire range of surgical disciplines. A diathermy machine converts electricity of the main supply (240V; 50 Hz) into high frequency current (>100,000 Hz) to minimize the risk of electrical shocks. In monopolar mode, the current from the diathermy enters the patient through the active electrode and ex...

BACKGROUND Haemorrhoidectomy according to Longo potentially reduces post-operative pain and allows an early return to work. The aim of this study was to evaluate the efficacy of the technique, the early and especially late complications, and recurrences, in 150 patients. METHODS Between January 2005 and December 2006, we performed 150 consecutive haemorrhoidectomies with the Longo technique: ...

Micronised purified flavonoid fraction (MPFF) [Daflon 500 mg], an oral phlebotropic drug consisting of 90% micronised diosmin and 10% flavonoids expressed as hesperidin, improves venous tone and lymphatic drainage, and reduces capillary hyperpermeability by protecting the microcirculation from inflammatory processes. The absorption of diosmin is improved by its micronisation to particles with a...