BACKGROUND Hemorrhoid surgery is mostly being performed as an inpatient procedure under general or regional anesthesia. However, there was a trend toward performing anorectal surgery in an ambulatory setting utilizing local anesthesia. OBJECTIVE To propose an easy technique of perianal block for ambulatory hemorrhoidectomy. MATERIAL AND METHOD Between January 2004 and June 2007, 61 patients...

BACKGROUND Transanal hemorrhoidal dearterialization (THD), a new approach for patients who would otherwise require an operative hemorrhoidectomy, accomplishes hemorrhoidal symptom relief with far less postoperative pain than an operative hemorrhoidectomy. METHODS THD, an ambulatory procedure, employs a specially designed proctoscope coupled with a Doppler transducer to allow identification an...

hemorrhoidectomy is the treatment of choice for patients with third or fourth-degree hemorrhoids. although the majority of surgeons believe that surgical hemorrhoidectomy is the most effective approach with excellent results in the management of hemorrhoid disease, but hemorrhoidectomy is not a simple procedure. one of the complications of this surgery is an injury to anal sphincters that can l...

Hemorrhoids are a common anorectal disease and can affect all ages. This research aims to specify the differences in Length of Stay (LOS) hemorrhoidal patients who underwent modified combined method rubber ligation sclerotic injection using Paran Injection Ligation for Ambeien pack (PILA pack) compared hemorrhoidectomy. study consisted 56 respondents hemorrhoidectomy, other experienced PILA pac...

BACKGROUND In this article we reported results obtained in our previous studies concerning application of radiofrequency (RF) in proctology and in particular for hemorrhoids treatment. METHODS We compared radiofrequency submucosal hemorrhoidectomy (RSH) and conventional Parks' hemorrhoidectomy (CPH) (group 1), radiofrequency open hemorrhoidectomy (ROH) and Milligan-Morgan hemorrhoidectomy (MM...

PURPOSE The aim of this study was to evaluate the incidence of postoperative complications after Harmonic Scalpels hemorrhoidectomy and to identify any predisposing factors leading to postoperative complications. METHODS Five hundred consecutive cases of Harmonic Scalpel hemorrhoidectomy were studied in a prospective manner. Postoperative complications were recorded, and any predisposing fact...

Patients affected by high-grade haemorrhoid with a fibrous internal pile or an important external component are suitable for an excisional procedure. The aim of this study is to evaluate the outcome of different excisional treatments such as Milligan and Morgan haemorrhoidectomy, Ferguson haemorrhoidectomy and Pexy-excision carried out according to a tailored treatment on each pathological pile...

BACKGROUND: Milligan-Morgan excision haemorrhoidectomy remains a very popular treatment modality for third and fourth degree hemorrhoids due to its cost effectiveness and better long-term results. Ferguson haemorrhoidectomy is believed to result in less postoperative pain because of a closed wound. The aim of this study was to compare the effectiveness of Milligan-Morgan excision haemorrhoidect...