The Effectiveness of Proctofoam-HC for Treatment of Hemorrhoids in Late Pregnancy

Vohra, S.; Akoury, Hani; Bernstein, Paul S.; Einarson, Thomas R.; Pairaudeau, Nicholas; Taddio, Anna; Koren, Gideon

doi:10.1016/s1701-2163(16)34246-3

Cited by 10 publications

(7 citation statements)

References 14 publications

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“…Two studies evaluated the effectiveness of Proctofoam-HCâ, a combination of corticosteroid and a local anaesthetic, in 292 pregnant women [58,59].…”

Section: 5mentioning

confidence: 99%

European Society of ColoProctology: guideline for haemorrhoidal disease

et al. 2020

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Aim The goal of this European Society of ColoProctology project was to establish a multidisciplinary, international guideline for haemorrhoidal disease (HD) and to provide guidance on the most effective (surgical) treatment for patients with HD. Methods The development process consisted of six phases. In phase one we defined the scope of the guideline. The patient population included patients with all stages of haemorrhoids. The target group for the guideline was all practitioners treating patients with haemorrhoids and, in addition, healthcare workers and patients who desired information regarding the treatment management of HD. The guideline needed to address both the diagnosis of and the therapeutic modalities for HD. Phase two consisted of the compilation of the guideline development group (GDG). All clinical members needed to have affinity with the diagnosis and treatment of haemorrhoids. Further, attention was paid to the geographical distribution of the clinicians. Each GDG member identified at least one patient in their country who could read English to comment on the draft guideline. In phase three review questions were formulated, using a reversed process, starting with possible recommendations based on the GDG’s knowledge. In phase four a literature search was performed in MEDLINE (Ovid), PubMed, Embase (Ovid) and the Cochrane Database of Systematic Reviews. The search was focused on existing systematic reviews addressing each review question, supplemented by other studies published after the time frame covered by the systematic reviews. In phase five data of the included papers were extracted by the surgical resident (RT) and checked by the methodologist (JK) and the GDG. If needed, meta‐analysis of the systematic reviews was updated by the surgical resident and the methodologist using Review Manager. During phase six the GDG members decided what recommendations could be made based on the evidence found in the literature using GRADE. Results There were six sections: (i) symptoms, diagnosis and classification; (ii) basic treatment; (iii) outpatient procedures; (iv) surgical interventions; (v) special situations; (vi) other surgical techniques. Thirty‐four recommendations were formulated. Conclusion This international, multidisciplinary guideline provides an up to date and evidence based summary of the current knowledge of the management of HD and may serve as a useful guide for patients and clinicians.

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“…Two studies evaluated the effectiveness of Proctofoam-HCâ, a combination of corticosteroid and a local anaesthetic, in 292 pregnant women [58,59].…”

Section: 5mentioning

confidence: 99%

European Society of ColoProctology: guideline for haemorrhoidal disease

et al. 2020

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“…The growing of the uterus during pregnancy results in increased abdominal pressure in addition to mechanical pressure to the upper part of rectum, inferior vena cava, and portal vein which leads to development of venous stasis, especially in the second part of the pregnancy (4,(14)(15)(16)(17). As a result, blood circulation to the internal anal sphincter decreases (4).…”

Section: Etiology Pathogenesis and Risk Factorsmentioning

confidence: 99%

Perianal Diseases in Pregnancy and After Childbirth: Frequency, Risk Factors, Impact on Women's Quality of Life and Treatment Methods

2022

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Hemorrhoids and anal fissures occur in about 40% of pregnant women and women during postpartum period. Usually they occur during the third trimester of pregnancy and 1–2 days after giving birth. Constipation during pregnancy, perianal diseases during previous pregnancy and childbirth, instrumental delivery, straining duration of more than 20 min, and weight of the newborn more than 3,800 g are associated with hemorrhoids. Perianal diseases reduce the quality of life of both pregnant and postpartum women. In the absence of acute conditions, surgical treatment of hemorrhoids is delayed after pregnancy, childbirth, and lactation. Thrombosed internal hemorrhoids and perianal thrombosis are to be treated conservatively in most instances by prescribing adequate pain relief, oral, and topical flavonoid preparations.

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“…Nėštumo metu tam tikri mechaniniai veiksniai lemia didesnę hemorojaus išsivystymo tikimybę: didėjanti gimda sukelia pilvo ertmės slėgio padidėjimą, be to, dėl mechaninio spaudimo į viršutinę tiesiosios žarnos, apatinę tuščiąją bei vartų venas vystosi veninė stazė, kuri ypač išryškėja antroje nėštumo pusėje [26,53,54,100,102]. Dėl padidėjusio pilvo ertmės slėgio ir veninės stazės sutrinka vidinio rauko kraujotaka [26].…”

Section: Etiologija Ir Patogenezėunclassified

“…Dėl padidėjusio pilvo ertmės slėgio ir veninės stazės sutrinka vidinio rauko kraujotaka [26]. Negana to, nėštumo metu organizme cirkuliuojančio kraujo tūris padidėja 25-40 % [25,44,54]. Šie veiksniai lemia gausesnį kraujagyslių prisipildymą ir išsiplėtimą bei veninę stazę mažajame dubenyje.…”

Section: Etiologija Ir Patogenezėunclassified

“…Nėštumo metu didesnę hemorojaus išsivystymo riziką lemia keli veiksniai. Padidėjęs progesterono kiekis kraujyje, veikdamas venų sienelės lygiuosius raumenis, sukelia venų sienelių relaksaciją ir hipotoniją [53,54,81]. Tai lemia virškinamojo trakto motorikos slopinimą, kuris gali tiesiogiai sukelti vidurių užkietėjimą arba netiesiogiai prisidėti prie jau anksčiau buvusių žarnyno peristaltikos sutrikimų [53].…”

Section: Paplitimasunclassified

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Nėščiųjų ir pagimdžiusiųjų hemorojus ir išangės įplėša: paplitimas, rizikos veiksniai bei įtaka moters gyvenimo kokybei

Bužinskienė¹,

Drąsutienė²,

Poškus³

2014

LCH

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Šio straipsnio tikslas – apžvelgti literatūrą, nagrinėjančią nėščiųjų hemorojaus ir išangės įplėšos paplitimą, priežastis, dažnį, rizikos veiksnius bei šių ligų įtaką moterų gyvenimo kokybei.Išangės ligos (hemorojus ir išangės įplėša) tiek nėštumo metu, tiek laikotarpiu po gimdymo yra dažna patologija, kuriai vis dar stinga tiek koloproktologų, tiek akušerių ginekologų dėmesio. Šiuo metu nėra tyrimų, kuriuose perspektyviuoju būdu nėštumo metu ir po gimdymo būtų vertinamas išangės ligų atsiradimas, nustatomi jų rizikos veiksniai. Labai svarbu ištirti ir įvertinti šių ligų paplitimą Lietuvoje ir rizikos veiksnius, jų ryšį su nėštumo ir gimdymo veiksniais, laiku šias ligas diagnozuoti ir gydyti bei atrasti priemonių, kaip jų išvengti, taip pagerinant moterų gyvenimo kokybę ne tik nėštumo ir gimdymo metu, bet ir laikotarpiu po gimdymo.Reikšminiai žodžiai: hemorojus, išangės įplėša, nėštumas, gimdymas, rizikos veiksniai, gyvenimo kokybė Hemorrhoids and anal fissures during pregnancy and after childbirth: prevalence, risk factors and impact on women’s quality of lifeDiana Bužinskienė, Gražina Drąsutienė, Tomas Poškus The aim of this study was to review the literature regarding the incidence, prevalence, risk factors of hemorrhoids and anal fissures during, before, and after pregnancy and their impact on the quality of life of women.Both hemorrhoids and anal fissures are common during and after pregnancy; however, they are frequently overlooked by both coloproctologists and gynecologists. There are no prospective cohort studies of perianal diseases during and after pregnancy with an emphasis on identifying the possible risk factors. Thus, it is important to identify the incidence and risk factors of perianal diseases in Lithuania and to find the factors of pregnancy and delivery that could be related to the occurrence or prevent the occurrence of these diseases. In this way, the possible areas of correction and intervention could be identified.Key words: hemorrhoids, anal fissure, pregnancy, delivery, risk factors, quality of life

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The Effectiveness of Proctofoam-HC for Treatment of Hemorrhoids in Late Pregnancy

Cited by 10 publications

References 14 publications

European Society of ColoProctology: guideline for haemorrhoidal disease

European Society of ColoProctology: guideline for haemorrhoidal disease

Perianal Diseases in Pregnancy and After Childbirth: Frequency, Risk Factors, Impact on Women's Quality of Life and Treatment Methods

Nėščiųjų ir pagimdžiusiųjų hemorojus ir išangės įplėša: paplitimas, rizikos veiksniai bei įtaka moters gyvenimo kokybei

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