Resultados de la hemorroidopexia con sistema hemorpex en el tratamiento quirúrgico ambulatorio de las hemorroides

  title={Resultados de la hemorroidopexia con sistema hemorpex en el tratamiento quir{\'u}rgico ambulatorio de las hemorroides},
  author={C Iachino and Yaima Garc{\'i}a Guerrero and Francesco Mayer Sias and Luca Milone and Martino Saccone and Giuseppe Franco Giordano and M{\'a}ximo Giordano},
  journal={Cirugia Espanola},
Resumen Introduccion Se presenta una nueva tecnica para la intervencion de hemorroides, consistente en el reposicionamiento de los paquetes hemorroidales, para lo que se emplea un proctoscopio rotatorio denominado Hemor Pex System ® (HPS). Se realiza de forma ambulatoria, con minimo dolor postoperatorio y rapida incorporacion a la vida laboral. Objetivos Presentar la experiencia obtenida con esta tecnica durante 3 anos de seguimiento en 2 instituciones en Genova, Italia. Pacientes y metodo… 
4 Citations
Transanal anopexy with HemorPex System (HPS) is effective in treating grade II and III hemorrhoids: medium-term follow-up
HPS can be used in the treatment of grade II and III hemorrhoidal disease and shows that this simple technique may be an effective but due to the important limitations of this study (loss to follow-up, non-comparative study) further studies are required.
A Case Report of Acute Diverticulitis in “Pseudodiverticulosis” after Hemorpex System® Procedure
The patient luckily demonstrated a prompt response to conservative treatment, but it must be taken into account that, in case of medical treatment failure, surgical approach would be necessary and the actual patient anatomical changes could lead the surgeon to unavoidable threatening maneuvers.
Mucopexy-recto anal lifting: a standardized minimally invasive method of managing symptomatic hemorrhoids, with an innovative suturing technique and the HemorPex System®.
The standardization of MuRAL operation with HPS, turned out to be a safe and effective minimally invasive approach in managing symptomatic III and IV degree hemorrhoids, avoiding the risk of severe complications, with the possibility to perform a redo-MuRAL in the event of recurrence.


Randomized, Clinical Trial of Ligasure™ vs. Conventional Diathermy in Hemorrhoidectomy
Ligasure™ diathermy provides a superior alternative to conventional diather my in hemorrhoidectomy by reducing operating time and postoperative pain.
Comparison of hemorrhoidal treatment modalities
Although hemorrhoidectomy showed better response rates, it is associated with more complications and pain than rubber band ligation, thus should be reserved for patients who fail to respond to rubber bandLigation.
A novel therapy for internal hemorrhoids: ligation of the hemorrhoidal artery with a newly devised instrument (Moricorn) in conjunction with a Doppler flowmeter.
HAL with the Moricorn is a simple, safe, and effective method, however, further observations predicated on a longer follow-up, a larger number of patients, and comparisons with other conventional treatments are called for.
Problems of cryohemorrhoidectomy.
  • C. Oh
  • Medicine
  • 1982
It is believed that patients with high anal pressure are prone to recurrence and postoperative pain--for these patients one must not only remove the hemorrhoidal mass but also lower the anal pressure by internal sphincterotomy.
Randomised trial comparing LigaSure haemorrhoidectomy with the diathermy dissection operation
The experience shows that the LigaSure haemorrhoidectomy offers definite advantages over the classic diathermy technique, which is easier, safer, and more rapid to perform and is followed by a faster wound healing time, a significantly shorter hospital stay, less postoperative pain and faster wounds healing.
A systematic review of stapled hemorrhoidectomy.
Stapled hemorrhoidectomy may be at least as safe as conventional hemorrhoidal surgical techniques, however, the efficacy of the stapled procedure compared with the conventional techniques could not be determined.
Micronized purified flavonidic fraction compared favorably with rubber band ligation and fiber alone in the management of bleeding hemorrhoids
Hemorrhoidal bleeding was relieved most expediently in the micronized purified flavonidic fraction plus ispaghula husk group and rapidly and safely relieved bleeding from nonprolapsed hemorrhoids.
Alternatives in the treatment of hemorrhoidal disease.
Cryosurgery and dilation are fading alternatives; laser is becoming more widely used, but results have not been fully evaluated, and sclerotherapy, rubber band ligation, and infrared coagulation are also effective alternatives for patients who demand nonsurgical therapy.
New thoughts on the aetiology of haemorrhoids and the development of non-operative methods for their management.
A variety of conservative treatment options have been proposed, the majority of which can be safely performed on an outpatient basis, but haemorrhoidectomy remains the ultimate treatment for large, third degree haemOrrhoids.
THERE is no doubt that this book fills an empty slot in the library of anaesthesia. It enters, however timidly, the realm of the mechanical engineer, and in future editions this trend is to be