Corpus ID: 19939697

emorrhoidal Disease : A Comprehensive Review

  title={emorrhoidal Disease : A Comprehensive Review},
  author={rit Kaidar-Person and B. Person and S. Wexner},
natomy and physiology emorrhoids are vascular cushions within the anal caal, usually found in three main locations: left lateral, ight anterior, and right posterior portions. They lie beeath the epithelial lining of the anal canal and consist of irect arteriovenous communications, mainly between he terminal branches of the superior rectal and superior emorrhoidal arteries, and, to a lesser extent, between ranches originating from the inferior and middle hemrrhoidal arteries and the surrounding… Expand
New topical treatment of symptomatic internal hemorrhoids in a general practice setting
Ointment with propolis extract efficiently affected all the analyzed symptoms of the hemorrhoid disease, thus having a very significant place within the conservative treatment of hemorrhoids. Expand


Anatomical basis for impotence following haemorrhoid sclerotherapy.
The close proximity of the rectum to the periprostatic parasympathetic nerves defines an anatomical basis for impotence following sclerotherapy, which emphasises the need for all practitioners to be particularly careful when injecting in this area and for strict supervision of trainees. Expand
Hemorrhoids and rectal internal mucosal prolapse: one or two conditions? A national survey
A national survey among the most important proctologists on this particular clinical condition found that RIMP is unlikely to be a cause of hemorrhoidal disease, and many surgeons still recognize it as a difficult clinical condition to define. Expand
Hemorrhoidectomy: indications and risks.
Standard hemorrhoidectomy with proper indication is a safe procedure and all systemic and regional disorders, causing incontinence, should be excluded before starting manometric, neurophysiological and sonographic investigations. Expand
Haemorrhoids: Pathology, pathophysiology and aetiology
Most evidence points to this being a secondary phenomenon rather than the cause of haemorrhoidal disease, and the clinical role of specific pharmacological agents that might reverse some of the observed physiological changes is still unexplored. Expand
Correlation of Histology With Anorectal Function Following Stapled Hemorrhoidectomy
The amount of smooth muscle removed did not significantly affect the continence score, quality of life, or mean anal resting pressure after stapled hemorrhoidectomy, and it remains a safe and preferred procedure for the treatment of hemorrhoids. Expand
Internal Sphincterotomy With Hemorrhoidectomy Does Not Relieve Pain
Results showed no difference in the perception of pain after hemorrhoidectomy in patients who had an internal sphincterotomy compared with those who did not, and both groups were equally likely to have difficulty with control of gas and soiling. Expand
Colonoscopic findings in patients with hemorrhoids, rectal bleeding and normal rectoscopy.
This study suggests that patients with recurrent rectal bleeding and hemorrhoids (Grades II and III) who had normal rectoscopy should be further investigated by double-contrast barium enema if they are greater than 40 years of age. Expand
Hemorrhoidectomy for thrombosed external hemorrhoids.
External hemorrhoids represent distended vascular tissue in the anal canal distal to the dentate line that presents with pain on standing, sitting or defecating and can be surgically removed if encountered within the first 72 hours after onset. Expand
Harmonic Scalpel®vs. electrocautery hemorrhoidectomy: A prospective evaluation
The study demonstrates significantly reduced postoperative pain after Harmonic Scalpel® hemorrhoidectomy compared with electrocautery controls, which likely results from the avoidance of lateral thermal injury. Expand
Can the procedure for prolapsing hemorrhoids (PPH) be done twice? Results of a porcine model
A porcine model suggest that a second synchronous PPH is feasible and a controlled experience involving human subjects is required to determine the safety and usefulness of this technique in cases of metachronous application for recurrent or residual hemorrhoids. Expand