1,721,275 research outputs found
Tumori intracanalari papillari mucinosi del pancreas: la loro enucleazione è possibile?
No full textReintervento precoce laparoscopico per complicanze immediate dopo fundoplicatura di Toupet: a proposito di 3 casi.
No full textNew ambulatory treatment with radiofrequency for internal symptomatic hemorrhoids: morbidity evaluation
No full textChronic haemorrhoidal symptoms secondary to internal haemorrhoids can be treated with several out-patients conservative procedures. On 1993 the American Society of Colon and Rectal Surgeons proposed the rubber band ligation (RBL) as the treatment of choice for first and second degree haemorrhoids that are complicated with symptoms of bleeding and/or prolapse [1]. This procedure is simple, relatively painless for the patient, unlike a surgical intervention. However, this method in a single session is followed by some discomfort for the patients and often is associated with unpleasant side effects [2]. In patients with bleeding haemorrhoids as the prevalent symptom a treatment with Infrared Coagulation (IC) can be a good alternative [1]. We describe a new technique for the ambulatory treatment of internal haemorrhoids using radiofrequency coagulation and report our results
Surgical treatment of recurrent prolapse after stapled haemorrhoidopexy.
No full textBACKGROUND: Recurrent prolapse after stapled haemorrhoidopexy is a late
complication of the procedure which can present with accompanying symptoms and
may require surgery. We describe a technique for treating symptomatic patients,
aimed at obtaining remission of symptoms and avoiding recurrences.
METHODS: After excisional haemorrhoidectomy, a transverse incision is performed
on the proximal part of the mucocutaneous bridge, above the plane of the internal
sphincter. A flap of anal mucosa is gently raised. Haemorrhoidal tissue is not
removed. LigaSureTM may be useful in focussing coagulation and reducing heat
diffusion. Denudation of the internal sphincter allows the removal of potential
retained staples. Then, stitches are placed between the proximal part of the flap
and the proximal divided edge of the rectal mucosa. Excessive devascularisation
of the flap must be avoided.
RESULTS: From January 2007 to January 2011, we treated 11 patients. The
procedures lasted a mean of 38.2 ± 11.1 min. One patient (9 %) suffered from
bleeding during the night before being discharged, but this did not require
surgery, and another (9 %) had urinary retention. No other perioperative
complications were observed. The mean visual analogue scale score 1 day and
1 week after surgery was 4.7 ± 1.3 and 2.3 ± 0.5, respectively. At mean follow-up
of 4 ± 1.8 years, neither symptomatic nor asymptomatic recurrences have been
observed. Two out of three patients presenting with urgency reported regression
of symptoms (66.7 %). In all patients suffering from pain after stapled
haemorrhoidopexy, the procedure achieved pain relief (2/2, 100 %). No stenoses
occurred.
CONCLUSIONS: This technique is a promising alternative after failed stapled
haemorrhoidopexy. Morbidity is low. The procedure may effectively treat
associated symptoms
Trattamento ambulatoriale delle emorroidi di I e II grado con radiofrequenza : nuova tecnica
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