Background Haemorrhoidectomy is frequently associated with significant postoperative pain and prolonged hospital stay; different techniques and devices have been developed to overcome these problems, including modifications of the technique (excision without legation) and introduction of new surgical instruments (LigasureTM, Harmonic ScalpelTM). We evaluated the surgical outcomes of Milligan Mo...

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...

Abstract Case Report Symptomatic prolapsing haemorrhoids are usually treated with either haemorrhoidal artery ligation operation (HALO), stapled haemorrhoidopexy or open haemorrhoidectomy. Complications rare serious complications like rectal perforation reported scarcely in literature. We report a case of intraperitoneal following transanal and converted Ligasure-assisted haemorrhoidectomy 74-y...

UNLABELLED Carotid paragangliomas are rare tumors of slow growth, progressive, and highly vascularized; surgery is the chosen treatment, and most surgeons perform an approach with a longitudinal cervicotomy. OBJECTIVE We present a case of carotid paraganglioma Shamblin III with skull base extension. METHODS Submandibular approach and vascular sealing device of the Ligasure(®) system were us...