Background and Aim: Hemorrhoids are common anorectal problems that cause fear by bleeding, pruritus burden, thrombosis pain. Prolapse hemorrhoids managed stapled hemorrhoidectomy (SH). Initially, Stapled seemed to be a good alternative for Milligan Morgan (MM) verified various studies. However, recent studies found long-term assessment of gives poor outcomes in terms postoperative complications...

Introduction– Open hemorrhoidectomy described by Milligan and Morgan is one of the common procedures done for hemorrhoids till date. Now a day’s rubber band ligations, radiofrequency ablation with plication, stapled hemorrhoidectomy are also being used. But these methods are not available in all centers. Some are costly too. There is also another method known as anal stretching and ligation ori...

Background: The most common complication after hemorrhoidectomy is almost always postoperative. This dreadful makes the patients postpone treatment even for prolapsing, bleeding, and uncomfortable piles. There are different methods that can be used reducing pain including performing a lateral internal sphincterotomy (LIS). Better outcome of combined with has been observed in few past controlled...

BACKGROUND Postoperative pain associated with Milligan Morgan haemorrhoidectomy (MMH) remains problematic. Most patients complaint a severe pain on defecation and in the 1st postoperative week because of secondary infection and sphincter spasm. We studied the effect of metronidazole, lactulose and glyceryl-trinitrate on pain after MMH. METHOD Thirty patients were randomly assigned to two grou...

Here, we present the case of a 66-year-old female patient with acute myeloid leukemia and severe thrombocytopenia who came complaints painful per anal mass bleeding rectum for 1 year. The is known obesity, hypertension, diabetes mellitus has received three cycles chemotherapy decitabine. On examination, she was found to have fourth- degree hemorrhoids at 3, 7, 11 oclock positions edematous chan...

Postoperative pain is the major drawback of a hemorrhoidectomy. Researchers have sought solutions to this problem by looking at surgical techniques, topical medications, and surgical devices. First, surgical techniques have drawn attention since the basic techniques of a hemorrhoidectomy were established. Which technique is ideal or more suitable for a hemorrhoidectomy has long been a subject o...