HYPOTHESIS Use of circular stapled hemorrhoidectomy will result in the same or improved safety and efficacy outcomes as those of the conventional methods for hemorrhoidectomy in patients with hemorrhoids. DATA SOURCES Studies on stapled hemorrhoidectomy were identified using PREMEDLINE and MEDLINE (June 1966-June 2001), EMBASE (January 1980-June 2001), Current Contents (June 1993-June 2001), ...

Background: Post-hemorrhoidectomy pain is common, usually temporary, and responsive to analgesics. However, some patients experience prolonged, intractable anal pain, which refractory conventional analgesics adversely effects quality of life. We aimed evaluate the efficacy a combination injection containing local anesthesia steroids for treatment post-hemorrhoidectomy pain.

INTRODUCTION: Management of posthemorrhoidectomy pain remains a very unsatisfactory clinical dilemma. Compared with electrocautery and laser, the Harmonic Scalpel ® causes minimal lateral thermal injury during tissue dissection. PURPOSE: The aim of the study was to establish whether decreased lateral thermal injury translated into diminished posthemorrhoidectomy pain. METHODS: A prospective ran...

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...

Most patients with hemorrhoids experience only mild symptoms that can be treated with nonprescription topical preparations. Patients usually seek treatment when symptoms increase. Internal hemorrhoids typically present with prolapse or painless rectal bleeding. External hemorrhoids also bleed and can cause acute pain if thrombosed. Medical therapy should be initiated with stool softeners plus l...

Background: Diltiazem is a calcium channel blocker that can prevent absorption by myocytes and decrease the tone of internal anal sphincter. Thus, it be used for treatment fissures; however, its effect on post-hemorrhoidectomy pain unclear. Accordingly, current study aimed to evaluate topical diltiazem pain. Methods: This cohort included 50 candidates hemorrhoidectomy referred Shahid Mohammadi ...

A stapled hemorrhoidopexy (SH) is a recently rising therapy and is widely performed. Side effects, such as anal stenosis, rectal stenosis, and fecal urgency, have been continuously associated with the practical uses of the SH, despite its having many advantages [1-4], including remarkably decreased anal pain after surgery, shortened recovery periods, and faster resumption of normal activities, ...

conclusions doppler-guided hemorrhoid artery ligation is a safe and easy method for treating hemorrhoidal disease, but its results should be interpreted carefully, especially in grade iv of the disease. patients and methods one hundred patients were enrolled in this study and divided randomly into two groups of fifty patients. each group either underwent the milligan-morgan procedure or the dop...