OBJECTIVE The aim of this study was to investigate the effect of Xiaozhi decoction (XZD) on posthemorrhoidectomy pain and analgesic medication consumption. METHODS From May 2013 to March 2015, 315 patients who underwent open hemorrhoidectomy in our hospital were enrolled in this study, of whom, 160 patients were randomly assigned to accept sitz bath with warm water after hemorrhoidectomy (con...

PURPOSE Postoperative pain is the main adverse effect of formal hemorrhoidectomy. A new technique based on Doppler-guided ligation of the terminal branches of the superior hemorrhoidal artery was introduced in 1995 as an alternative to hemorrhoidectomy. The authors report a preliminary experience with this procedure. METHODS The Doppler-guided hemorrhoidal artery ligation technique uses a spe...

The aim of this study was to assess the medical treatment in comparison with hemorrhoidectomy in the management of primary grade-4 internal hemorrhoidal disease (IH) and external hemorrhoidal disease (CH). Group I (medical treatment): 127 patients (59 IH, 68 CH) were prospectively collected and medically treated using oral tablet of micronized purified flavonoid fraction (MPFF) containing 450 m...

PURPOSE To determine the safety, pain intensity correlated with age and body mass index (BMI), epidural anesthesia with ropivacaine and clonidine in hemorrhoidectomy. METHODS Eighty patients, both genders, 20-70 years old, ASA I or II, for hemorrhoidectomy were randomly divided into two groups: Control (n=38), epidural anesthesia with 14 mL of ropivacaine 0.75 % plus 0.0266 mL/kg of 0.9% sali...

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...

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%) ...

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