1,721,075 research outputs found
The 15th International Coloproctology Meeting (#IMOC2018) 16-18 April 2018, Turin, Italy
No full textThe city of Turin welcomed more than 270 participants (48
coming from abroad), at the 15th International Coloproctology
Meeting (#IMOC2018). Spring weather arrived as well.
During the meeting, all the most cutting edge issues in
the field of coloproctology were discussed in depth and the
presence of an impressive faculty resulted in lectures, discussions,
debates and round tables of great quality. The high
number of young surgeons, who presented 63 posters, has
confirmed the interest of the new generation in the field of
coloproctology
Complete rectal prolapse: still a lot of work to do
No full textDear Sir,
We thank Dr. Cirocco for his editorial recently published
in Techniques in Coloproctology regarding the never-ending
story about the most appropriate surgical treatment for complete
rectal prolapse (CRP). We have read it with great interest,
because the management of a CRP is challenging for all
coloproctologists interested in anatomo-functional disorders
of the pelvic floor and we would like to share some of our
thoughts on this topic
Thrombosed external haemorrhoids: A clinician’s dilemma
Full text linkHaemorrhoids are highly vascular submucosal cushions that underlie the distal rectal mucosa and contribute approximately
15-20% of the resting anal pressure, ensuring complete closure of the anal cana
Postoperative pain after haemorrhoidal disease treatment: a still unsolved problem
Full text linkHaemorrhoidal disease (HD) is a common proctological disorder with a major impact on quality of life. Surgical excision is the gold standard approach to manage grade III andIV HD but postoperative pain is a frequent complaint [1].Indeed, the main and most common drivers of postoperative pain after conventional excisional haemorrhoidectomy(i.e. Milligan-Morgan or Ferguson) are the incorporation ofsensitive mucosa and strands of the internal anal sphincter(IAS) in haemorrhoid pedicle ligatures and the denudingthe anal canal of its epithelium with a consequent spasm ofthe IAS, the presence of tubes and packs, the swelling of thewound, the occurrence of an anal fstula or fssure, and theinfection of the wound. In our opinion, the spasm of the IASis the main driver. In fact, excisional haemorrhoidectomycauses linear wounds that extend up to the anorectal ring inthe vascular pedicle and resemble an anal fssure with painand the presence of internal sphincter hypertoni
Conservative Treatment of Hemorrhoidal Disease
No full textBackground: Hemorrhoids are vascular cushions underlying the distal rectal mucosa and contributing to approximately 15-20% of the resting anal pressure with a complete closure of the anal canal. They can become pathological (hemorrhoidal disease, HD) being the most common cause of painless rectal bleeding during defecation with or without prolapsing anal tissue. The treatment of HD must be tailored to both the severity of disease and patient's expectation.
Methods: A narrative review of all the most relevant papers present on the three major databases (PUBMED, EMBASE and WEB OF SCIENCE) regarding conservative treatment was conducted.
Results: Conservative treatment is effective in managing the majority of patients complaining of early stages of the disease. Dietary and lifestyle modifications are the first therapeutic step necessary to achieve a regular defecation with soft stool whereas oral phlebotonic drugs can help to control symptoms. The use of topical medications, particularly during the acute phase or in the post-operative period can also be beneficial for all patients complaining of HD.
Conclusion: Despite a large number of available products in the market and the high incidence of HD, very few randomized controlled trials have been carried out and most of the studies are uncontrolled case series. Larger and better designed studies are necessary to establish the real benefit of all types of drugs for the treatment of early stages of H
Sclerotherapy with 3% polidocanol foam: revolutionizing outpatient treatment in patients with haemorrhoidal disease
No full textThe use of a new automated device for the sclerosing treatment of haemorrhoidal disease – A video-vignette
No full textOver the last few years, minimally invasive treatment of haemorrhoidal
disease (HD) has been gaining popularity. In this context,
sclerotherapy with 3% polidocanol foam is one of the most frequently
performed outpatient procedures for second degree symptomatic
HD and in patients with a severe life-threatening
bleeding
aged more than 75 years, or with comorbiditie
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