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Vasantha Gali, Jonathan S Bleeker, Douglas Lynch
Epstein-Barr virus (EBV) is known to be associated with B-cell lymphoproliferative disorders, and EBV-positive mucocutaneous ulcer (EBV-MCU) is a recently described entity observed in immunocompromised individuals. EBV-MCU is an aggressive appearing ulcerated lesion seen in the skin, oral cavity, and gastrointestinal tract. The process has Hodgkin-like features with a self-limited, indolent course, generally responding well to conservative management. We present a case of EBV-MCU recently encountered in a 54-year-old renal transplant recipient...
June 2018: South Dakota Medicine: the Journal of the South Dakota State Medical Association
Yong Tao, Guangen Yang, Jianming Qiu, Hongtao Wang, Dong Wang, Shuxian Shao
OBJECTIVE: To investigate the association between serum miRNA-6086 expression level and anal fistula recurrence. METHODS: Clinical data and serum samples of 60 patients with anal fistula and mix hemorrhoid identified by pathology undergoing resection in our department from August 2015 to August 2016 were collected. In addition, serum samples of 20 patients matching with fistula group in age, gender and body weight and receiving only hemorroidectomy were collected as control during the same period...
December 25, 2017: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
Adrian Medina-Gallardo, Yuhamy Curbelo-Peña, Xavier De Castro, Pere Roura-Poch, Josep Roca-Closa, Enric De Caralt-Mestres
INTRODUCTION: Surgery is the only curative method of hemorrhoidal disease. Currently the Milligan-Morgan hemorrhoidectomy is still considered the "gold standard", since it is the best performing technique. However, postoperative pain remains a major problem. We analize the postoperative analgesic requirements for this procedure in 117 patients. PRESENTATION OF CASES: Between 2012 and 2013, 117 consecutive patients undergoing Milligan-Morgan hemorroidectomy, with an analysis of sex, age, total vascular anal cushions removed, hospital stay, complications, and relation with postoperative analgesic requirements...
2017: International Journal of Surgery Case Reports
Jianming Qiu, Jiping Yu, Guangen Yang, Kan Xu, Yong Tao, Ali Lin, Dong Wang
OBJECTIVE: To detect and analyze the characteristic miRNAs profile of anal fistula and explore their possible target genes and potential clinical significance. METHODS: The anal mucosa close to the hemorrhoids were collected from three patients undergoing fistulectomy and hemorrhoidectomy (fistula group) as well as three patients receiving only hemorroidectomy(hemorrhoids group), matching with fistula group in age, gender and body weight. miRNA microarray was used to compare the expression of 1 285 human miRNAs of the anal mucosa between two groups...
July 2016: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
Soraya Souto da Silva, Gerson Suguiyama Nakajima, Ricardo Alexandre Guimarães, Flávia da Costa Mourão
BACKGROUND: Many researchers studied human Papillomavirus infection in the anal area supposing it represents a risk factor for precursor lesions of anal cancer. AIM: To study the association between histological findings suggestive of injury by the virus in hemorrhoidectomy specimens. METHOD: Prevalence study was carried out based on histopathological analysis of hemorrhoidectomy specimens to find viral cytopathic effects. These findings were compared with anal condyloma acuminata that had no relationship with hemorrhoidectomy for microscopic comparison...
November 2015: Brazilian Archives of Digestive Surgery: ABCD
S Sultan
There is now sufficient data in the literature to compare pedicular hemorroidectomy (Milligan and Morgan, Ferguson), the reference operation, to the Longo procedure (stapled hemorrhoidopexy) (SH). SH is easy to perform, is associated with less pain and allows early return to normal activities. Not withstanding a higher risk of recurrence and some degree of procidentia, the long-term level of patient satisfaction is high after SH. Strict patient selection is necessary: patients should have reversible prolapse, normal anal caliber, and absence of large tags...
April 2015: Journal of Visceral Surgery
I Giannini, G Pecorella, D Pennisi, G Santangelo, R Digennaro, F Latorre, G Giuliani, D F Altomare
AIM: Milligan-Morgan hemorrhoidectomy (MM) is still the most common treatment for grades III and IV hemorrhoids despite prolonged post-operative anal pain and wound healing. This multicenter, double blind, randomized, controlled trial was designed to assess the safety and the efficacy of anal wound cleansing with Triclosan (Proctocid®) in the control of symptoms and healing time after MM. METHODS: A total of 113 patients with grades III and IV hemorrhoids, undergoing open hemorroidectomy by diathermy or Ligasure vessel sealing device, were randomly assigned to Triclosan or sodium hypochlorite solution...
April 2014: Minerva Chirurgica
Concetta Anna Dodaro, Carlo Grifasi, Domenico Lo Conte, Renata Romagnuolo
INTRODUCTION: We make our study of day surgery to awaken health worker that is possible to reduce the mean hospitalization time for each type of procedure: it needs improvement in communication, organizational and medical skills with a specific training both for medical and nursing staff. MATERIAL OF STUDY: A retrospective study on all patients who underwent day surgery procedures from 1st January 2008 to 31st December 2011. Out of 486 hospitalizations for programmed surgery, 177 (36...
July 2013: Annali Italiani di Chirurgia
Fabio Rondelli, Lorenzo Mariani, Andreino Tassi, Paolo Stella, Pietro Giorgio Mariani, Giovanni Bistoni, Enrico Mariani
BACKGROUND: Hemorrhoidectomy is one of the most commonly performed anorectal operations. The aim of this study was to evaluate the safety and the efficacy of a new technique for sutured closed hemorroidectomy with linear stapler in a consecutive series of 300 patients. PATIENTS AND METHODS: Between January 2006 and December 2009, 300 patients (117 male, 183 female) (mean age, 52 (range 21-85) years) with grade III and IV hemorrhoids were treated with our modified technique with linear stapler with 6 cm vascular recharge...
November 2011: In Vivo
M Gentile, M De Rosa, V Pilone, F Mosella, P Forestieri
AIM: Milligan-Morgan operation is still considered the treatment of choice for IV-degree haemorrhoids: it is frequently associated with significant postoperative pain and prolonged hospital stay. Many instruments were conceived to reduce these complications, such as the LigaSure™ (LS) system, a combination of radiofrequency and pressure that seems mainly effective where a large tissue demolition is required. This randomized study is METHODS: Fifty-two patients with IV-degree hemorrhoids were randomly assigned to two different surgical treatments (conventional diathermy vs...
June 2011: Minerva Chirurgica
N Ele, G Okiemy, R Chocolat, A Ibamba Ikassi, M Note Madzele, R Massengo
AIM OF THE STUDY: To study the results of the surgical treatment of haemorrhoid disease according to Milligan and Morgan technique. MATERIAL AND METHOD: It is about a retrospective study in the unit of the digestive surgery of the teaching hospital of Braszaville. From March 1992 to february 2002, 56 patients who had hemorrhoid disease have undergone a pedicular hémorroïdectomy of Milligan and Morgan type. The diagnosis of the hemorrhoid has been established from the clinical and endoscopic elements in the search of associated lesions...
2007: Le Mali Médical
Simon Nienhuijs, Ignace de Hingh
BACKGROUND: Hemorrhoidectomy is a frequently performed surgical procedure and associated with postprocedural pain. The use of the Ligasure could result in a decreased incidence of pain as coagulation with high frequency currency and active feedback control over the power output has minimal thermal spread and limited tissue charring. OBJECTIVES: To compare patient tolerance focussing on pain following Ligasure and conventional hemorrhoidectomy in patients with symptomatic hemorrhoids...
2009: Cochrane Database of Systematic Reviews
George Sgourakis, Georgios C Sotiropoulos, Georgia Dedemadi, Arnold Radtke, Ioannis Papanikolaou, Thalis Christofides, Andreas D Rink, Constantine Karaliotas, Hauke Lang
AIMS: The objective of this study was to compare the perioperative, short-term, and long-term outcomes of stapled hemorrhoidectomy with Ferguson hemorrhoidectomy. MATERIALS AND METHODS: The present meta-analysis pooled the effects of outcomes of a total 926 patients treated with stapled or Ferguson hemorrhoidectomy in five out of 122 screened for retrieval randomized controlled trials using the fixed-effects or a random-effects model. RESULTS: Stapled hemorroidectomy was equivalent to the Ferguson procedure in comparisons pertaining to the following outcomes: hospital stay, postoperative hemorrhage requiring intervention, early postoperative bleeding <4 weeks, late postoperative bleeding <8 weeks, and the presence of anal pathology at 1 year follow-up...
September 2008: International Journal of Colorectal Disease
Kwok-On Ng, Mei-Yung Tsou, Yuh-Huey Chao, Wui-Chiu Mui, Lok-Hi Chow, Kwok-Hon Chan
BACKGROUND: This prospective study was designed to compare the incidence of urinary retention after spinal anesthesia between 0.5% hyperbaric bupivacaine and 0.5% hyperbaric tetracaine in patients who underwent minor orthopedic and general surgeries. METHODS: Eighty patients aged 18-40 were randomly assigned to receive either hyperbaric bupivacaine or tetracaine for spinal anesthesia. Intravenous fluids were administered for maintenance of basal requirement, replacement of blood loss and prevention of hypotension...
December 2006: Acta Anaesthesiologica Taiwanica: Official Journal of the Taiwan Society of Anesthesiologists
Carlos Walter Sobrado, Guilherme Cutait de Castro Cotti, Fabricio Ferreira Coelho, Júlio Rafael Mariano da Rocha
BACKGROUND: Introduction of stapled hemorrhoidopexy by Longo in 1998 represented a radical change in the treatment of hemorrhoids. By avoiding multiple excisions and suture lines in the perianal region, stapled hemorrhoidopexy is intended to offer less postoperative pain than with conventional techniques. OBJECTIVE: To report and analyze the intra and postoperative results gained during initial experience with stapled hemorrhoidopexy. METHODS: One hundred and fifty five patients (67 males) with average age of 39...
July 2006: Arquivos de Gastroenterologia
P Dell'Abate, G Ferrieri, P Del Rio, P Soliani, M Sianesi
The authors analyzed their experience from January 2001 to February 2005 on 117 patients treated with Longo hemorrhoidopexy (46 cases) and Milligan-Morgan hemorroidectomy (71 cases). All the patients were observed after a week and one month after surgical procedure; at 6 months the Authors controlled 70 patients treated with Milligan-Morgan and 33 treated with Longo technique. The pain after 24 hours was the same in two groups but after a week a significative difference between two groups (p<0.05) was registered with a better quality of life for hemorrhoidopexy group...
November 2005: Il Giornale di Chirurgia
Malika Oughriss, Renaud Yver, Jean-Luc Faucheron
OBJECTIVES: The aim of this retrospective multicentric study was to assess the complications of the Longo technique for the treatment of haemorrhoidal disease. METHODS: From March 1999 to April 2003, 550 patients underwent a stapled hemorrhoidectomy following Longo's technique in 12 surgical units in the Rhone-Alpes Region. The operative indications were the same as for conventional hemorrhoidectomy. Complications were divided into early or late complications depending on whether they occurred before or after the 7th day...
April 2005: Gastroentérologie Clinique et Biologique
Kazuhiro Nagao, Takeshi Yokoyama, Koichi Yamashita, Akinobu Imoto, Masanobu Manabe, Tomoki Nishiyama
A 73-year-old man with hyper gamma-globulinemia was scheduled for bilateral herniorrhaphy and hemorroidectomy. In preoperative examination, the serum concentrations of gamma-globulin and total protein were 7.31 g x dl(-1) and 11.9 g x dl(-1). Although platelet count was 6.5 x 10(4) x microl(-1), epidural anesthesia was selected to minimize hemodynamic changes which could increase a risk of thrombosis. Epidural catheters were inserted at T 12-L 1 and L 4-5. Analgesia level checked by a pin prick was T 4 after administering 10 ml of 2% lidocaine, 7 ml into T 12-L 1 and 3 ml into L 4-5...
December 2004: Masui. the Japanese Journal of Anesthesiology
M Hahn, J Simsa, J Horák
BACKGROUND: The aim of this article is an assessment of new surgical procedure--stapled hemorroidectomy according to Longo. We do concentrate on surgical complications and possibilities of it's management. METHODS: Prospective, clinical follow up of patients in which stapled hemorrhoidectomy was performed during the period of 2 years (1st December 2000--30st November 2002). Observation concentrates on surgical complications of this method. All patients had a clinical check up 3 weeks and 3 months after surgery...
June 2003: Rozhledy V Chirurgii: Měsíčník Československé Chirurgické Společnosti
G Maria, G Alfonsi, C Nigro, G Brisinda
At the present time Milligan-Morgan's operation is the most diffusely employed and is widely considered to be the most effective of the various surgical techniques for the treatment of hemorrhoids. In this study we report our experience with Whitehead's radical hemorrhoidectomy. In a 5-year period, 1450 patients with hemorrhoids were treated at our Coloproctologic Unit. We routinely carry out the Milligan-Morgan operation. Nevertheless, in 26 patients the Milligan-Morgan operation was judged to be impossible to perform, in that the prolapsed hemorrhoids were completely irreducible and it was not possible to distinguish and separate the three piles...
August 2001: Techniques in Coloproctology
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