Classical treatment of hemorrhoids

Moult, Hélène Pillant-Le; Aubert, M; Parades, Vincent de

doi:10.1016/j.jviscsurg.2014.09.012

Cited by 31 publications

(34 citation statements)

References 36 publications

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“…Indeed, urinary retention, postoperative pain, anal incontinence, anal stenosis, bleeding and infection have been reported [1,7]. Such complications can be prevented by giving emphasis to the identification of the Parks' ligament (Trietz's muscle) as performed in the presented manuscript.…”

Section: Discussionmentioning

confidence: 99%

The direct relation between safe hemorrhoidectomy and anal canal anatomy

Mariolis‐Sapsakos¹,

Skarpas²,

Xifara³

et al. 2017

Clin Case Rep Rev

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Hemorrhoids are a common anal disorder that affects both men and women of all ages. One out of ten patients with hemorrhoidal disease, requires surgical treatment. However, hemorrhoidectomy is related to complications that can be present early or late postoperatively. In the present manuscript, the safe surgical technique which emphasizes to the identification of the ligament of Parks (Trietz's muscle) is described. A total of 145 patients with grades III and IV hemorrhoids, underwent Milligan-Morgan or Ferguson's hemorrhoidectomy. The mucosal ligament of Parks was located to all patients and was used as a key anatomical structure through the excision of the hemorrhoids. Its detection guides surgeons during hemorrhoidectomy. Finally, since the ligament of Parks represents a constantly identifiable landmark, it leads to simple and reliable identification of the internal sphincter and minimizes the potentiality of postoperative complications. Hereby, surgeons' thorough knowledge of the anatomy of the anal canal is a cornerstone of safe hemorrhoidectomy.

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Section: Discussionmentioning

confidence: 99%

The direct relation between safe hemorrhoidectomy and anal canal anatomy

Mariolis‐Sapsakos¹,

Skarpas²,

Xifara³

et al. 2017

Clin Case Rep Rev

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“…To our knowledge, this is the first pilot retrospective study to report results of haemorrhoidectomy with or without associated fissurectomy in patients with SCI. In the general population, approximately one in ten patients with haemorrhoids require surgical treatment, i.e., removal of haemorrhoidal tissues [10,14]. Different techniques exist, however most are associated with the same complications [10].…”

Section: Discussionmentioning

confidence: 99%

“…Open haemorrhoidectomy (Milligan and Morgan procedure) was performed for isolated haemorrhoids. It is a four-step procedure [10]:…”

Section: Methodsmentioning

confidence: 99%

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Open surgery for haemorrhoids in persons with spinal cord injury

Prévinaire

Bont

Bordi

et al. 2018

Spinal Cord Ser Cases

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“…Hemorrhoidectomy is utilized to treat severe hemorrhoids (especially for III or IV degree hemorrhoids) or hemorrhoids failing to respond to conservative therapies 4. However, hemorrhoidectomy is always associated with significant postoperative pain, which may make the patient and the surgeon anxious.…”

Section: Introductionmentioning

confidence: 99%

Xiaozhi decoction reduced posthemorrhoidectomy pain and analgesic medication consumption: a prospective study

Shen¹,

Luo²,

Zhou³

et al. 2017

JPR

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ObjectiveThe aim of this study was to investigate the effect of Xiaozhi decoction (XZD) on posthemorrhoidectomy pain and analgesic medication consumption.MethodsFrom 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 (control group) and 155 patients were randomly assigned to accept sitz bath with XZD (XZD group) after hemorrhoidectomy. Postoperative pain at 12 hours after surgery and on postoperative days (PODs) 1, 2, 7, 14 and 28 was evaluated by Visual Analog Scale (VAS). Pain on defecation on PODs 1, 2, 7, 14 and 28 was also recorded using the VAS. The consumption of analgesics was also analyzed.ResultsNo significant difference was found in baseline characteristics between the two groups. Postoperative pain score of the XZD group was significantly lower on POD 2 (6.04±1.11 vs 6.33±1.14, P=0.0229), POD 7 (3.35±0.75 vs 4.22±0.87, P=0.0000) and POD 14 (2.87±0.64 vs 3.64±0.77, P=0.0000) than that of the control group. Similarly, patients in the XZD group experienced significantly less pain on defecation on POD 2 (5.02±1.34 vs 5.43±1.56, P=0.0130), POD 7 (3.08±1.17 vs 3.52±1.29, P=0.0017) and POD 14 (2.31±0.85 vs 2.68±0.99, P=0.0004). Patients in the XZD group consumed significantly less analgesic medication on POD 2 (P=0.0136), POD 7 (P=0.0074) and POD 14 (P=0.0046) than the control group.ConclusionXZD could effectively relieve postoperative pain and reduce analgesic medication consumption after hemorrhoidectomy.

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Classical treatment of hemorrhoids

Cited by 31 publications

References 36 publications

The direct relation between safe hemorrhoidectomy and anal canal anatomy

The direct relation between safe hemorrhoidectomy and anal canal anatomy

Open surgery for haemorrhoids in persons with spinal cord injury

Xiaozhi decoction reduced posthemorrhoidectomy pain and analgesic medication consumption: a prospective study

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