haemorrhoidectomy: tips and tricks of the postoperative period - … · 2018. 12. 10. · liu jw1,...
TRANSCRIPT
Haemorrhoidectomy Tips and Tricks of the Postoperative
Period
By
Waleed Thabet
Professor of Colorectal Surgery
Mansoura University
Surgical management of hemorrhoids shouldaim to provide a definite cure or long-termrelief of symptoms using techniques that aresafe preserve the anorectal function and makethe patients quality of life an importantpriority
Pain after conventional versus Ligasurehaemorrhoidectomy A meta-analysisVolume 8 Issue 4 2010 Pages 269-273
International Journal of Surgery
SWNienhuijsIHJTde Hingh
Conclusion
Significantly less immediate postoperative painafter haemorrhoidectomy without any adverseeffect on postoperative complicationsconvalescence and incontinence rate
Harmonic Scalpel hemorrhoidectomy a painless procedure[Article in English Serbian]
Ivanov D1 Babović S Selesi D Ivanov M Cvijanović R
conclusion
Harmonic Scalpel hemorrhoidectomy due to less thermal damage statistically significantly reduced postoperative pain
Literature review of the role of lateral internal sphincterotomy (LIS) when combined with excisional hemorrhoidectomyArticle middot Literature Review in International Journal of Colorectal Disease31(7) middot May 2016
Conclusion
LIS effectively reduced postoperative pain andneed for analgesics following excisionalhemorrhoidectomy LIS also managed todecrease incidence of postoperative urinaryretention and anal stenosis significantly Thenegative aspect of adding LIS to excisionalhemorrhoidectomy was developing minor FIafter surgery which was temporary in duration
Stapled haemorrhoidectomy(haemorrhoidopexy) for the treatment of haemorrhoids A systematic review and economic evaluationArticle middot Literature Review (PDF Available) in Health technology assessment (Winchester England) 12(8)iii-iv
Conclusions
SH was associated with less pain in theimmediate postoperative period
Doppler-Guided Hemorrhoidal Artery Ligation An Alternative to HemorrhoidectomyGeorge Felice MD FRCS(Engl) PhD(Lond)Antonio Privitera MD MRCS(Edinb) Ernest Ellul MD FRCS(Edinb)Maria Klaumann MD
Dis Colon Rectum 2005 48 2090ndash2093
Conclusion
Doppler-guided ligation of the hemorrhoidalartery is a safe and effective alternative tohemorrhoidectomy and is associated withminimal discomfort and low risk ofcomplications
Effect of Glyceryl Trinitrate Ointment on PainControl After Hemorrhoidectomy A Meta-analysis of Randomized Controlled TrialsWorld J Surg 2016 Jan40(1)215-24 doi 101007s00268-015-3344-6Liu JW1 Lin CC2 Kiu KT3 Wang CY1 Tam KW4567
CONCLUSION
Topical application of glyceryl trinitrateeffectively relieves pain and promotes woundhealing after hemorrhoidectomy however thesubstantial headache incidence may limitextensive application
Prolonged Opioid-Sparing Pain Control after Hemorrhoidectomy with Liposome Bupivacaine Results from a Cohort of
95 PatientsAllen B Jetmore12 Douglas Hagen3
1Department of Surgery Overland Park Surgery Center Overland Park KS USA2Shawnee Mission Medical Center Shawnee Mission KS USA3Department of Anesthesia Anesthesia Associates of Kansas City Overland Park KS USAReceived 25 September 2015 accepted 16 January 2016 published 19 January 2016
A total of 266 mg20 mL of undiluted liposomebupivacaine was equally infiltrated into 4quadrants of the deep subcutaneous adiposetissue just outside the sphincter (ischiorectalspace) and beneath the incision lines
Postoperative analgesia for
hemorrhoidectomy with bilateral
pudendal blockade on an ambulatory
patient a controlled clinical studyLuiz Eduardo Imbelloni1 Eneida Maria Vieira2 Antonio Fernando Carneiro3
controlled clinical study J Coloproctol 201232(3) 291-296
At the end of the surgery The Pudendal Grouppatients received 20 mL levobupivacaine afterstimulation of pudendal nerves Bilateralblockade of pudendal nerves was performedwith the patient in lithotomy or ventraldecubitus position still under the effect ofspinal anesthesia
Efficacy of cholestyramine ointment in
reduction of postoperative pain and pain
during defecation after open
hemorrhoidectomy results of a
prospective single-center randomized
double-blind placebo-controlled trialWorld J Surg 2013 Mar37(3)657-62 doi 101007s00268-012-1895-
3 Ala S1 Eshghi F Enayatifard R Fazel P Rezaei B Hadianamrei R
CONCLUSIONS
Compared with placebo cholestyramineointment (15) reduced postoperative pain atrest and on defecation and consequentlylowered the analgesic requirement after openhemorrhoidectomy
Topical metronidazole can reduce pain aftersurgery and pain on defecation inpostoperative hemorrhoidectomyDis Colon Rectum 2008 Feb51(2)235-8 doi 101007s10350-007-9174-3 Epub 2008 Jan 4
CONCLUSION
These finding indicate that topical 10 percentmetronidazole significantly reduce posthemorrhoidectomy discomfort andpostoperative defecation pain is reducedcompared with that of the placebo controlgroup
Efficacy of metronidazole versus placebo inpain control after hemorrhoidectomy Resultsof a controlled clinical trial2015 Nov107(11)681-5 doi 1017235reed201539262015
Solorio-Loacutepez S1 Palomares-Chacoacuten UR2 Guerrero-Tariacuten JE2 Gonzaacutelez-Ojeda
CONCLUSION
Oral administration of metronidazole iseffective in pain management afterhemorrhoidectomy
Avoidance of Anal Stenosis After Hemorrhoidectomy
Preservation of sufficient intact anodermbetween excision sites generally considered atleast 1 cm of intact intervening anodermAdditionally limiting the number ofhemorrhoids excised in a given setting will alsohelp to limit the incidence of postoperativestenosis
Postoperative complications after procedurefor prolapsed hemorrhoids (PPH) and stapledtransanal rectal resection (STARR) proceduresTechniques in Coloproctology
March 2008 Volume 12 Issue 1 pp 7ndash19 | Cite as
Authors
Authors and affiliations
M Pescatori
G Gagliardi
Conclusion
Meticulous technique and an accurateselection of patients may decrease the risk ofadverse events
Post-hemorrhoidectomy Fecal Incontinence
Excisional hemorrhoidal surgery and its effect on anal continenceWorld J Gastroenterol 2012 Aug 14 18(30) 4059ndash4063
Yan-Dong Li Jia-He Xu Jian-Jiang Lin and Wei-Fang Zhu
Conclusion
However patients with preoperativecompromised continence may have furtherdeterioration of their continence henceMilligan-Morgan hemorrhoidectomy should beavoided in such patients
Fecal Urge Incontinence After Stapled Anopexiafor Prolapse and Hemorrhoids A Prospective Observational StudyArticle (PDF Available) in World Journal of Surgery 33(2)355-64 middot December 2008
Conclusion
Fecal urge incontinence is a self-limiting sideeffect that with which patients need to bemade familiar
Post-hemorrhoidectomy Secondary Hemorrhage
2005 Oct21(5)271-278 Korean Choi DH
Dr Chois Coloproctologic Clinic Pohang Korea
Conclusion
Occurs at home between the fourth andeighteenth postoperative day and takes placein 098 percent of hemorrhoidectomies
In the authors opinion post-hemorrhoidectomy secondary hemorrhageusually is not a preventable complication
Severe rectal bleeding following PPH-stapler procedure for haemorroidal diseaseM AMMENDOLA G SAMMARCO A CARPINO F FERRARI G VESCIO and R SACCO
2014 Nov-Dec 35(11-12) 290ndash292
Conclusion
Haemorrhage is the most important earlycomplication Bleeding tends to occur eitherimmediately after surgery or between thefourth and tenth days after surgery
Four factors may help to minimize the risk ofbleeding manual overstitching of the stapleline use of the PPH03 gun which has a smallerstaple closure and is more hemostatictightening the gun to the absolute limit anduse of a postoperative endoanal sponge
Postoperative urinary retention after surgeryfor benign anorectal disease potential riskfactors and strategy for preventionOctober 2006 Volume 21 Issue 7 pp 676ndash682
Conclusion
Urinary retention is a common complicationafter anorectal surgery It is linked to severalrisk factors including increased intravenousfluids and postoperative pain Perioperativefluid restriction and adequate pain reliefappear to be effective in preventing urinaryretention
THANK YOU
Surgical management of hemorrhoids shouldaim to provide a definite cure or long-termrelief of symptoms using techniques that aresafe preserve the anorectal function and makethe patients quality of life an importantpriority
Pain after conventional versus Ligasurehaemorrhoidectomy A meta-analysisVolume 8 Issue 4 2010 Pages 269-273
International Journal of Surgery
SWNienhuijsIHJTde Hingh
Conclusion
Significantly less immediate postoperative painafter haemorrhoidectomy without any adverseeffect on postoperative complicationsconvalescence and incontinence rate
Harmonic Scalpel hemorrhoidectomy a painless procedure[Article in English Serbian]
Ivanov D1 Babović S Selesi D Ivanov M Cvijanović R
conclusion
Harmonic Scalpel hemorrhoidectomy due to less thermal damage statistically significantly reduced postoperative pain
Literature review of the role of lateral internal sphincterotomy (LIS) when combined with excisional hemorrhoidectomyArticle middot Literature Review in International Journal of Colorectal Disease31(7) middot May 2016
Conclusion
LIS effectively reduced postoperative pain andneed for analgesics following excisionalhemorrhoidectomy LIS also managed todecrease incidence of postoperative urinaryretention and anal stenosis significantly Thenegative aspect of adding LIS to excisionalhemorrhoidectomy was developing minor FIafter surgery which was temporary in duration
Stapled haemorrhoidectomy(haemorrhoidopexy) for the treatment of haemorrhoids A systematic review and economic evaluationArticle middot Literature Review (PDF Available) in Health technology assessment (Winchester England) 12(8)iii-iv
Conclusions
SH was associated with less pain in theimmediate postoperative period
Doppler-Guided Hemorrhoidal Artery Ligation An Alternative to HemorrhoidectomyGeorge Felice MD FRCS(Engl) PhD(Lond)Antonio Privitera MD MRCS(Edinb) Ernest Ellul MD FRCS(Edinb)Maria Klaumann MD
Dis Colon Rectum 2005 48 2090ndash2093
Conclusion
Doppler-guided ligation of the hemorrhoidalartery is a safe and effective alternative tohemorrhoidectomy and is associated withminimal discomfort and low risk ofcomplications
Effect of Glyceryl Trinitrate Ointment on PainControl After Hemorrhoidectomy A Meta-analysis of Randomized Controlled TrialsWorld J Surg 2016 Jan40(1)215-24 doi 101007s00268-015-3344-6Liu JW1 Lin CC2 Kiu KT3 Wang CY1 Tam KW4567
CONCLUSION
Topical application of glyceryl trinitrateeffectively relieves pain and promotes woundhealing after hemorrhoidectomy however thesubstantial headache incidence may limitextensive application
Prolonged Opioid-Sparing Pain Control after Hemorrhoidectomy with Liposome Bupivacaine Results from a Cohort of
95 PatientsAllen B Jetmore12 Douglas Hagen3
1Department of Surgery Overland Park Surgery Center Overland Park KS USA2Shawnee Mission Medical Center Shawnee Mission KS USA3Department of Anesthesia Anesthesia Associates of Kansas City Overland Park KS USAReceived 25 September 2015 accepted 16 January 2016 published 19 January 2016
A total of 266 mg20 mL of undiluted liposomebupivacaine was equally infiltrated into 4quadrants of the deep subcutaneous adiposetissue just outside the sphincter (ischiorectalspace) and beneath the incision lines
Postoperative analgesia for
hemorrhoidectomy with bilateral
pudendal blockade on an ambulatory
patient a controlled clinical studyLuiz Eduardo Imbelloni1 Eneida Maria Vieira2 Antonio Fernando Carneiro3
controlled clinical study J Coloproctol 201232(3) 291-296
At the end of the surgery The Pudendal Grouppatients received 20 mL levobupivacaine afterstimulation of pudendal nerves Bilateralblockade of pudendal nerves was performedwith the patient in lithotomy or ventraldecubitus position still under the effect ofspinal anesthesia
Efficacy of cholestyramine ointment in
reduction of postoperative pain and pain
during defecation after open
hemorrhoidectomy results of a
prospective single-center randomized
double-blind placebo-controlled trialWorld J Surg 2013 Mar37(3)657-62 doi 101007s00268-012-1895-
3 Ala S1 Eshghi F Enayatifard R Fazel P Rezaei B Hadianamrei R
CONCLUSIONS
Compared with placebo cholestyramineointment (15) reduced postoperative pain atrest and on defecation and consequentlylowered the analgesic requirement after openhemorrhoidectomy
Topical metronidazole can reduce pain aftersurgery and pain on defecation inpostoperative hemorrhoidectomyDis Colon Rectum 2008 Feb51(2)235-8 doi 101007s10350-007-9174-3 Epub 2008 Jan 4
CONCLUSION
These finding indicate that topical 10 percentmetronidazole significantly reduce posthemorrhoidectomy discomfort andpostoperative defecation pain is reducedcompared with that of the placebo controlgroup
Efficacy of metronidazole versus placebo inpain control after hemorrhoidectomy Resultsof a controlled clinical trial2015 Nov107(11)681-5 doi 1017235reed201539262015
Solorio-Loacutepez S1 Palomares-Chacoacuten UR2 Guerrero-Tariacuten JE2 Gonzaacutelez-Ojeda
CONCLUSION
Oral administration of metronidazole iseffective in pain management afterhemorrhoidectomy
Avoidance of Anal Stenosis After Hemorrhoidectomy
Preservation of sufficient intact anodermbetween excision sites generally considered atleast 1 cm of intact intervening anodermAdditionally limiting the number ofhemorrhoids excised in a given setting will alsohelp to limit the incidence of postoperativestenosis
Postoperative complications after procedurefor prolapsed hemorrhoids (PPH) and stapledtransanal rectal resection (STARR) proceduresTechniques in Coloproctology
March 2008 Volume 12 Issue 1 pp 7ndash19 | Cite as
Authors
Authors and affiliations
M Pescatori
G Gagliardi
Conclusion
Meticulous technique and an accurateselection of patients may decrease the risk ofadverse events
Post-hemorrhoidectomy Fecal Incontinence
Excisional hemorrhoidal surgery and its effect on anal continenceWorld J Gastroenterol 2012 Aug 14 18(30) 4059ndash4063
Yan-Dong Li Jia-He Xu Jian-Jiang Lin and Wei-Fang Zhu
Conclusion
However patients with preoperativecompromised continence may have furtherdeterioration of their continence henceMilligan-Morgan hemorrhoidectomy should beavoided in such patients
Fecal Urge Incontinence After Stapled Anopexiafor Prolapse and Hemorrhoids A Prospective Observational StudyArticle (PDF Available) in World Journal of Surgery 33(2)355-64 middot December 2008
Conclusion
Fecal urge incontinence is a self-limiting sideeffect that with which patients need to bemade familiar
Post-hemorrhoidectomy Secondary Hemorrhage
2005 Oct21(5)271-278 Korean Choi DH
Dr Chois Coloproctologic Clinic Pohang Korea
Conclusion
Occurs at home between the fourth andeighteenth postoperative day and takes placein 098 percent of hemorrhoidectomies
In the authors opinion post-hemorrhoidectomy secondary hemorrhageusually is not a preventable complication
Severe rectal bleeding following PPH-stapler procedure for haemorroidal diseaseM AMMENDOLA G SAMMARCO A CARPINO F FERRARI G VESCIO and R SACCO
2014 Nov-Dec 35(11-12) 290ndash292
Conclusion
Haemorrhage is the most important earlycomplication Bleeding tends to occur eitherimmediately after surgery or between thefourth and tenth days after surgery
Four factors may help to minimize the risk ofbleeding manual overstitching of the stapleline use of the PPH03 gun which has a smallerstaple closure and is more hemostatictightening the gun to the absolute limit anduse of a postoperative endoanal sponge
Postoperative urinary retention after surgeryfor benign anorectal disease potential riskfactors and strategy for preventionOctober 2006 Volume 21 Issue 7 pp 676ndash682
Conclusion
Urinary retention is a common complicationafter anorectal surgery It is linked to severalrisk factors including increased intravenousfluids and postoperative pain Perioperativefluid restriction and adequate pain reliefappear to be effective in preventing urinaryretention
THANK YOU
Pain after conventional versus Ligasurehaemorrhoidectomy A meta-analysisVolume 8 Issue 4 2010 Pages 269-273
International Journal of Surgery
SWNienhuijsIHJTde Hingh
Conclusion
Significantly less immediate postoperative painafter haemorrhoidectomy without any adverseeffect on postoperative complicationsconvalescence and incontinence rate
Harmonic Scalpel hemorrhoidectomy a painless procedure[Article in English Serbian]
Ivanov D1 Babović S Selesi D Ivanov M Cvijanović R
conclusion
Harmonic Scalpel hemorrhoidectomy due to less thermal damage statistically significantly reduced postoperative pain
Literature review of the role of lateral internal sphincterotomy (LIS) when combined with excisional hemorrhoidectomyArticle middot Literature Review in International Journal of Colorectal Disease31(7) middot May 2016
Conclusion
LIS effectively reduced postoperative pain andneed for analgesics following excisionalhemorrhoidectomy LIS also managed todecrease incidence of postoperative urinaryretention and anal stenosis significantly Thenegative aspect of adding LIS to excisionalhemorrhoidectomy was developing minor FIafter surgery which was temporary in duration
Stapled haemorrhoidectomy(haemorrhoidopexy) for the treatment of haemorrhoids A systematic review and economic evaluationArticle middot Literature Review (PDF Available) in Health technology assessment (Winchester England) 12(8)iii-iv
Conclusions
SH was associated with less pain in theimmediate postoperative period
Doppler-Guided Hemorrhoidal Artery Ligation An Alternative to HemorrhoidectomyGeorge Felice MD FRCS(Engl) PhD(Lond)Antonio Privitera MD MRCS(Edinb) Ernest Ellul MD FRCS(Edinb)Maria Klaumann MD
Dis Colon Rectum 2005 48 2090ndash2093
Conclusion
Doppler-guided ligation of the hemorrhoidalartery is a safe and effective alternative tohemorrhoidectomy and is associated withminimal discomfort and low risk ofcomplications
Effect of Glyceryl Trinitrate Ointment on PainControl After Hemorrhoidectomy A Meta-analysis of Randomized Controlled TrialsWorld J Surg 2016 Jan40(1)215-24 doi 101007s00268-015-3344-6Liu JW1 Lin CC2 Kiu KT3 Wang CY1 Tam KW4567
CONCLUSION
Topical application of glyceryl trinitrateeffectively relieves pain and promotes woundhealing after hemorrhoidectomy however thesubstantial headache incidence may limitextensive application
Prolonged Opioid-Sparing Pain Control after Hemorrhoidectomy with Liposome Bupivacaine Results from a Cohort of
95 PatientsAllen B Jetmore12 Douglas Hagen3
1Department of Surgery Overland Park Surgery Center Overland Park KS USA2Shawnee Mission Medical Center Shawnee Mission KS USA3Department of Anesthesia Anesthesia Associates of Kansas City Overland Park KS USAReceived 25 September 2015 accepted 16 January 2016 published 19 January 2016
A total of 266 mg20 mL of undiluted liposomebupivacaine was equally infiltrated into 4quadrants of the deep subcutaneous adiposetissue just outside the sphincter (ischiorectalspace) and beneath the incision lines
Postoperative analgesia for
hemorrhoidectomy with bilateral
pudendal blockade on an ambulatory
patient a controlled clinical studyLuiz Eduardo Imbelloni1 Eneida Maria Vieira2 Antonio Fernando Carneiro3
controlled clinical study J Coloproctol 201232(3) 291-296
At the end of the surgery The Pudendal Grouppatients received 20 mL levobupivacaine afterstimulation of pudendal nerves Bilateralblockade of pudendal nerves was performedwith the patient in lithotomy or ventraldecubitus position still under the effect ofspinal anesthesia
Efficacy of cholestyramine ointment in
reduction of postoperative pain and pain
during defecation after open
hemorrhoidectomy results of a
prospective single-center randomized
double-blind placebo-controlled trialWorld J Surg 2013 Mar37(3)657-62 doi 101007s00268-012-1895-
3 Ala S1 Eshghi F Enayatifard R Fazel P Rezaei B Hadianamrei R
CONCLUSIONS
Compared with placebo cholestyramineointment (15) reduced postoperative pain atrest and on defecation and consequentlylowered the analgesic requirement after openhemorrhoidectomy
Topical metronidazole can reduce pain aftersurgery and pain on defecation inpostoperative hemorrhoidectomyDis Colon Rectum 2008 Feb51(2)235-8 doi 101007s10350-007-9174-3 Epub 2008 Jan 4
CONCLUSION
These finding indicate that topical 10 percentmetronidazole significantly reduce posthemorrhoidectomy discomfort andpostoperative defecation pain is reducedcompared with that of the placebo controlgroup
Efficacy of metronidazole versus placebo inpain control after hemorrhoidectomy Resultsof a controlled clinical trial2015 Nov107(11)681-5 doi 1017235reed201539262015
Solorio-Loacutepez S1 Palomares-Chacoacuten UR2 Guerrero-Tariacuten JE2 Gonzaacutelez-Ojeda
CONCLUSION
Oral administration of metronidazole iseffective in pain management afterhemorrhoidectomy
Avoidance of Anal Stenosis After Hemorrhoidectomy
Preservation of sufficient intact anodermbetween excision sites generally considered atleast 1 cm of intact intervening anodermAdditionally limiting the number ofhemorrhoids excised in a given setting will alsohelp to limit the incidence of postoperativestenosis
Postoperative complications after procedurefor prolapsed hemorrhoids (PPH) and stapledtransanal rectal resection (STARR) proceduresTechniques in Coloproctology
March 2008 Volume 12 Issue 1 pp 7ndash19 | Cite as
Authors
Authors and affiliations
M Pescatori
G Gagliardi
Conclusion
Meticulous technique and an accurateselection of patients may decrease the risk ofadverse events
Post-hemorrhoidectomy Fecal Incontinence
Excisional hemorrhoidal surgery and its effect on anal continenceWorld J Gastroenterol 2012 Aug 14 18(30) 4059ndash4063
Yan-Dong Li Jia-He Xu Jian-Jiang Lin and Wei-Fang Zhu
Conclusion
However patients with preoperativecompromised continence may have furtherdeterioration of their continence henceMilligan-Morgan hemorrhoidectomy should beavoided in such patients
Fecal Urge Incontinence After Stapled Anopexiafor Prolapse and Hemorrhoids A Prospective Observational StudyArticle (PDF Available) in World Journal of Surgery 33(2)355-64 middot December 2008
Conclusion
Fecal urge incontinence is a self-limiting sideeffect that with which patients need to bemade familiar
Post-hemorrhoidectomy Secondary Hemorrhage
2005 Oct21(5)271-278 Korean Choi DH
Dr Chois Coloproctologic Clinic Pohang Korea
Conclusion
Occurs at home between the fourth andeighteenth postoperative day and takes placein 098 percent of hemorrhoidectomies
In the authors opinion post-hemorrhoidectomy secondary hemorrhageusually is not a preventable complication
Severe rectal bleeding following PPH-stapler procedure for haemorroidal diseaseM AMMENDOLA G SAMMARCO A CARPINO F FERRARI G VESCIO and R SACCO
2014 Nov-Dec 35(11-12) 290ndash292
Conclusion
Haemorrhage is the most important earlycomplication Bleeding tends to occur eitherimmediately after surgery or between thefourth and tenth days after surgery
Four factors may help to minimize the risk ofbleeding manual overstitching of the stapleline use of the PPH03 gun which has a smallerstaple closure and is more hemostatictightening the gun to the absolute limit anduse of a postoperative endoanal sponge
Postoperative urinary retention after surgeryfor benign anorectal disease potential riskfactors and strategy for preventionOctober 2006 Volume 21 Issue 7 pp 676ndash682
Conclusion
Urinary retention is a common complicationafter anorectal surgery It is linked to severalrisk factors including increased intravenousfluids and postoperative pain Perioperativefluid restriction and adequate pain reliefappear to be effective in preventing urinaryretention
THANK YOU
Conclusion
Significantly less immediate postoperative painafter haemorrhoidectomy without any adverseeffect on postoperative complicationsconvalescence and incontinence rate
Harmonic Scalpel hemorrhoidectomy a painless procedure[Article in English Serbian]
Ivanov D1 Babović S Selesi D Ivanov M Cvijanović R
conclusion
Harmonic Scalpel hemorrhoidectomy due to less thermal damage statistically significantly reduced postoperative pain
Literature review of the role of lateral internal sphincterotomy (LIS) when combined with excisional hemorrhoidectomyArticle middot Literature Review in International Journal of Colorectal Disease31(7) middot May 2016
Conclusion
LIS effectively reduced postoperative pain andneed for analgesics following excisionalhemorrhoidectomy LIS also managed todecrease incidence of postoperative urinaryretention and anal stenosis significantly Thenegative aspect of adding LIS to excisionalhemorrhoidectomy was developing minor FIafter surgery which was temporary in duration
Stapled haemorrhoidectomy(haemorrhoidopexy) for the treatment of haemorrhoids A systematic review and economic evaluationArticle middot Literature Review (PDF Available) in Health technology assessment (Winchester England) 12(8)iii-iv
Conclusions
SH was associated with less pain in theimmediate postoperative period
Doppler-Guided Hemorrhoidal Artery Ligation An Alternative to HemorrhoidectomyGeorge Felice MD FRCS(Engl) PhD(Lond)Antonio Privitera MD MRCS(Edinb) Ernest Ellul MD FRCS(Edinb)Maria Klaumann MD
Dis Colon Rectum 2005 48 2090ndash2093
Conclusion
Doppler-guided ligation of the hemorrhoidalartery is a safe and effective alternative tohemorrhoidectomy and is associated withminimal discomfort and low risk ofcomplications
Effect of Glyceryl Trinitrate Ointment on PainControl After Hemorrhoidectomy A Meta-analysis of Randomized Controlled TrialsWorld J Surg 2016 Jan40(1)215-24 doi 101007s00268-015-3344-6Liu JW1 Lin CC2 Kiu KT3 Wang CY1 Tam KW4567
CONCLUSION
Topical application of glyceryl trinitrateeffectively relieves pain and promotes woundhealing after hemorrhoidectomy however thesubstantial headache incidence may limitextensive application
Prolonged Opioid-Sparing Pain Control after Hemorrhoidectomy with Liposome Bupivacaine Results from a Cohort of
95 PatientsAllen B Jetmore12 Douglas Hagen3
1Department of Surgery Overland Park Surgery Center Overland Park KS USA2Shawnee Mission Medical Center Shawnee Mission KS USA3Department of Anesthesia Anesthesia Associates of Kansas City Overland Park KS USAReceived 25 September 2015 accepted 16 January 2016 published 19 January 2016
A total of 266 mg20 mL of undiluted liposomebupivacaine was equally infiltrated into 4quadrants of the deep subcutaneous adiposetissue just outside the sphincter (ischiorectalspace) and beneath the incision lines
Postoperative analgesia for
hemorrhoidectomy with bilateral
pudendal blockade on an ambulatory
patient a controlled clinical studyLuiz Eduardo Imbelloni1 Eneida Maria Vieira2 Antonio Fernando Carneiro3
controlled clinical study J Coloproctol 201232(3) 291-296
At the end of the surgery The Pudendal Grouppatients received 20 mL levobupivacaine afterstimulation of pudendal nerves Bilateralblockade of pudendal nerves was performedwith the patient in lithotomy or ventraldecubitus position still under the effect ofspinal anesthesia
Efficacy of cholestyramine ointment in
reduction of postoperative pain and pain
during defecation after open
hemorrhoidectomy results of a
prospective single-center randomized
double-blind placebo-controlled trialWorld J Surg 2013 Mar37(3)657-62 doi 101007s00268-012-1895-
3 Ala S1 Eshghi F Enayatifard R Fazel P Rezaei B Hadianamrei R
CONCLUSIONS
Compared with placebo cholestyramineointment (15) reduced postoperative pain atrest and on defecation and consequentlylowered the analgesic requirement after openhemorrhoidectomy
Topical metronidazole can reduce pain aftersurgery and pain on defecation inpostoperative hemorrhoidectomyDis Colon Rectum 2008 Feb51(2)235-8 doi 101007s10350-007-9174-3 Epub 2008 Jan 4
CONCLUSION
These finding indicate that topical 10 percentmetronidazole significantly reduce posthemorrhoidectomy discomfort andpostoperative defecation pain is reducedcompared with that of the placebo controlgroup
Efficacy of metronidazole versus placebo inpain control after hemorrhoidectomy Resultsof a controlled clinical trial2015 Nov107(11)681-5 doi 1017235reed201539262015
Solorio-Loacutepez S1 Palomares-Chacoacuten UR2 Guerrero-Tariacuten JE2 Gonzaacutelez-Ojeda
CONCLUSION
Oral administration of metronidazole iseffective in pain management afterhemorrhoidectomy
Avoidance of Anal Stenosis After Hemorrhoidectomy
Preservation of sufficient intact anodermbetween excision sites generally considered atleast 1 cm of intact intervening anodermAdditionally limiting the number ofhemorrhoids excised in a given setting will alsohelp to limit the incidence of postoperativestenosis
Postoperative complications after procedurefor prolapsed hemorrhoids (PPH) and stapledtransanal rectal resection (STARR) proceduresTechniques in Coloproctology
March 2008 Volume 12 Issue 1 pp 7ndash19 | Cite as
Authors
Authors and affiliations
M Pescatori
G Gagliardi
Conclusion
Meticulous technique and an accurateselection of patients may decrease the risk ofadverse events
Post-hemorrhoidectomy Fecal Incontinence
Excisional hemorrhoidal surgery and its effect on anal continenceWorld J Gastroenterol 2012 Aug 14 18(30) 4059ndash4063
Yan-Dong Li Jia-He Xu Jian-Jiang Lin and Wei-Fang Zhu
Conclusion
However patients with preoperativecompromised continence may have furtherdeterioration of their continence henceMilligan-Morgan hemorrhoidectomy should beavoided in such patients
Fecal Urge Incontinence After Stapled Anopexiafor Prolapse and Hemorrhoids A Prospective Observational StudyArticle (PDF Available) in World Journal of Surgery 33(2)355-64 middot December 2008
Conclusion
Fecal urge incontinence is a self-limiting sideeffect that with which patients need to bemade familiar
Post-hemorrhoidectomy Secondary Hemorrhage
2005 Oct21(5)271-278 Korean Choi DH
Dr Chois Coloproctologic Clinic Pohang Korea
Conclusion
Occurs at home between the fourth andeighteenth postoperative day and takes placein 098 percent of hemorrhoidectomies
In the authors opinion post-hemorrhoidectomy secondary hemorrhageusually is not a preventable complication
Severe rectal bleeding following PPH-stapler procedure for haemorroidal diseaseM AMMENDOLA G SAMMARCO A CARPINO F FERRARI G VESCIO and R SACCO
2014 Nov-Dec 35(11-12) 290ndash292
Conclusion
Haemorrhage is the most important earlycomplication Bleeding tends to occur eitherimmediately after surgery or between thefourth and tenth days after surgery
Four factors may help to minimize the risk ofbleeding manual overstitching of the stapleline use of the PPH03 gun which has a smallerstaple closure and is more hemostatictightening the gun to the absolute limit anduse of a postoperative endoanal sponge
Postoperative urinary retention after surgeryfor benign anorectal disease potential riskfactors and strategy for preventionOctober 2006 Volume 21 Issue 7 pp 676ndash682
Conclusion
Urinary retention is a common complicationafter anorectal surgery It is linked to severalrisk factors including increased intravenousfluids and postoperative pain Perioperativefluid restriction and adequate pain reliefappear to be effective in preventing urinaryretention
THANK YOU
Harmonic Scalpel hemorrhoidectomy a painless procedure[Article in English Serbian]
Ivanov D1 Babović S Selesi D Ivanov M Cvijanović R
conclusion
Harmonic Scalpel hemorrhoidectomy due to less thermal damage statistically significantly reduced postoperative pain
Literature review of the role of lateral internal sphincterotomy (LIS) when combined with excisional hemorrhoidectomyArticle middot Literature Review in International Journal of Colorectal Disease31(7) middot May 2016
Conclusion
LIS effectively reduced postoperative pain andneed for analgesics following excisionalhemorrhoidectomy LIS also managed todecrease incidence of postoperative urinaryretention and anal stenosis significantly Thenegative aspect of adding LIS to excisionalhemorrhoidectomy was developing minor FIafter surgery which was temporary in duration
Stapled haemorrhoidectomy(haemorrhoidopexy) for the treatment of haemorrhoids A systematic review and economic evaluationArticle middot Literature Review (PDF Available) in Health technology assessment (Winchester England) 12(8)iii-iv
Conclusions
SH was associated with less pain in theimmediate postoperative period
Doppler-Guided Hemorrhoidal Artery Ligation An Alternative to HemorrhoidectomyGeorge Felice MD FRCS(Engl) PhD(Lond)Antonio Privitera MD MRCS(Edinb) Ernest Ellul MD FRCS(Edinb)Maria Klaumann MD
Dis Colon Rectum 2005 48 2090ndash2093
Conclusion
Doppler-guided ligation of the hemorrhoidalartery is a safe and effective alternative tohemorrhoidectomy and is associated withminimal discomfort and low risk ofcomplications
Effect of Glyceryl Trinitrate Ointment on PainControl After Hemorrhoidectomy A Meta-analysis of Randomized Controlled TrialsWorld J Surg 2016 Jan40(1)215-24 doi 101007s00268-015-3344-6Liu JW1 Lin CC2 Kiu KT3 Wang CY1 Tam KW4567
CONCLUSION
Topical application of glyceryl trinitrateeffectively relieves pain and promotes woundhealing after hemorrhoidectomy however thesubstantial headache incidence may limitextensive application
Prolonged Opioid-Sparing Pain Control after Hemorrhoidectomy with Liposome Bupivacaine Results from a Cohort of
95 PatientsAllen B Jetmore12 Douglas Hagen3
1Department of Surgery Overland Park Surgery Center Overland Park KS USA2Shawnee Mission Medical Center Shawnee Mission KS USA3Department of Anesthesia Anesthesia Associates of Kansas City Overland Park KS USAReceived 25 September 2015 accepted 16 January 2016 published 19 January 2016
A total of 266 mg20 mL of undiluted liposomebupivacaine was equally infiltrated into 4quadrants of the deep subcutaneous adiposetissue just outside the sphincter (ischiorectalspace) and beneath the incision lines
Postoperative analgesia for
hemorrhoidectomy with bilateral
pudendal blockade on an ambulatory
patient a controlled clinical studyLuiz Eduardo Imbelloni1 Eneida Maria Vieira2 Antonio Fernando Carneiro3
controlled clinical study J Coloproctol 201232(3) 291-296
At the end of the surgery The Pudendal Grouppatients received 20 mL levobupivacaine afterstimulation of pudendal nerves Bilateralblockade of pudendal nerves was performedwith the patient in lithotomy or ventraldecubitus position still under the effect ofspinal anesthesia
Efficacy of cholestyramine ointment in
reduction of postoperative pain and pain
during defecation after open
hemorrhoidectomy results of a
prospective single-center randomized
double-blind placebo-controlled trialWorld J Surg 2013 Mar37(3)657-62 doi 101007s00268-012-1895-
3 Ala S1 Eshghi F Enayatifard R Fazel P Rezaei B Hadianamrei R
CONCLUSIONS
Compared with placebo cholestyramineointment (15) reduced postoperative pain atrest and on defecation and consequentlylowered the analgesic requirement after openhemorrhoidectomy
Topical metronidazole can reduce pain aftersurgery and pain on defecation inpostoperative hemorrhoidectomyDis Colon Rectum 2008 Feb51(2)235-8 doi 101007s10350-007-9174-3 Epub 2008 Jan 4
CONCLUSION
These finding indicate that topical 10 percentmetronidazole significantly reduce posthemorrhoidectomy discomfort andpostoperative defecation pain is reducedcompared with that of the placebo controlgroup
Efficacy of metronidazole versus placebo inpain control after hemorrhoidectomy Resultsof a controlled clinical trial2015 Nov107(11)681-5 doi 1017235reed201539262015
Solorio-Loacutepez S1 Palomares-Chacoacuten UR2 Guerrero-Tariacuten JE2 Gonzaacutelez-Ojeda
CONCLUSION
Oral administration of metronidazole iseffective in pain management afterhemorrhoidectomy
Avoidance of Anal Stenosis After Hemorrhoidectomy
Preservation of sufficient intact anodermbetween excision sites generally considered atleast 1 cm of intact intervening anodermAdditionally limiting the number ofhemorrhoids excised in a given setting will alsohelp to limit the incidence of postoperativestenosis
Postoperative complications after procedurefor prolapsed hemorrhoids (PPH) and stapledtransanal rectal resection (STARR) proceduresTechniques in Coloproctology
March 2008 Volume 12 Issue 1 pp 7ndash19 | Cite as
Authors
Authors and affiliations
M Pescatori
G Gagliardi
Conclusion
Meticulous technique and an accurateselection of patients may decrease the risk ofadverse events
Post-hemorrhoidectomy Fecal Incontinence
Excisional hemorrhoidal surgery and its effect on anal continenceWorld J Gastroenterol 2012 Aug 14 18(30) 4059ndash4063
Yan-Dong Li Jia-He Xu Jian-Jiang Lin and Wei-Fang Zhu
Conclusion
However patients with preoperativecompromised continence may have furtherdeterioration of their continence henceMilligan-Morgan hemorrhoidectomy should beavoided in such patients
Fecal Urge Incontinence After Stapled Anopexiafor Prolapse and Hemorrhoids A Prospective Observational StudyArticle (PDF Available) in World Journal of Surgery 33(2)355-64 middot December 2008
Conclusion
Fecal urge incontinence is a self-limiting sideeffect that with which patients need to bemade familiar
Post-hemorrhoidectomy Secondary Hemorrhage
2005 Oct21(5)271-278 Korean Choi DH
Dr Chois Coloproctologic Clinic Pohang Korea
Conclusion
Occurs at home between the fourth andeighteenth postoperative day and takes placein 098 percent of hemorrhoidectomies
In the authors opinion post-hemorrhoidectomy secondary hemorrhageusually is not a preventable complication
Severe rectal bleeding following PPH-stapler procedure for haemorroidal diseaseM AMMENDOLA G SAMMARCO A CARPINO F FERRARI G VESCIO and R SACCO
2014 Nov-Dec 35(11-12) 290ndash292
Conclusion
Haemorrhage is the most important earlycomplication Bleeding tends to occur eitherimmediately after surgery or between thefourth and tenth days after surgery
Four factors may help to minimize the risk ofbleeding manual overstitching of the stapleline use of the PPH03 gun which has a smallerstaple closure and is more hemostatictightening the gun to the absolute limit anduse of a postoperative endoanal sponge
Postoperative urinary retention after surgeryfor benign anorectal disease potential riskfactors and strategy for preventionOctober 2006 Volume 21 Issue 7 pp 676ndash682
Conclusion
Urinary retention is a common complicationafter anorectal surgery It is linked to severalrisk factors including increased intravenousfluids and postoperative pain Perioperativefluid restriction and adequate pain reliefappear to be effective in preventing urinaryretention
THANK YOU
Literature review of the role of lateral internal sphincterotomy (LIS) when combined with excisional hemorrhoidectomyArticle middot Literature Review in International Journal of Colorectal Disease31(7) middot May 2016
Conclusion
LIS effectively reduced postoperative pain andneed for analgesics following excisionalhemorrhoidectomy LIS also managed todecrease incidence of postoperative urinaryretention and anal stenosis significantly Thenegative aspect of adding LIS to excisionalhemorrhoidectomy was developing minor FIafter surgery which was temporary in duration
Stapled haemorrhoidectomy(haemorrhoidopexy) for the treatment of haemorrhoids A systematic review and economic evaluationArticle middot Literature Review (PDF Available) in Health technology assessment (Winchester England) 12(8)iii-iv
Conclusions
SH was associated with less pain in theimmediate postoperative period
Doppler-Guided Hemorrhoidal Artery Ligation An Alternative to HemorrhoidectomyGeorge Felice MD FRCS(Engl) PhD(Lond)Antonio Privitera MD MRCS(Edinb) Ernest Ellul MD FRCS(Edinb)Maria Klaumann MD
Dis Colon Rectum 2005 48 2090ndash2093
Conclusion
Doppler-guided ligation of the hemorrhoidalartery is a safe and effective alternative tohemorrhoidectomy and is associated withminimal discomfort and low risk ofcomplications
Effect of Glyceryl Trinitrate Ointment on PainControl After Hemorrhoidectomy A Meta-analysis of Randomized Controlled TrialsWorld J Surg 2016 Jan40(1)215-24 doi 101007s00268-015-3344-6Liu JW1 Lin CC2 Kiu KT3 Wang CY1 Tam KW4567
CONCLUSION
Topical application of glyceryl trinitrateeffectively relieves pain and promotes woundhealing after hemorrhoidectomy however thesubstantial headache incidence may limitextensive application
Prolonged Opioid-Sparing Pain Control after Hemorrhoidectomy with Liposome Bupivacaine Results from a Cohort of
95 PatientsAllen B Jetmore12 Douglas Hagen3
1Department of Surgery Overland Park Surgery Center Overland Park KS USA2Shawnee Mission Medical Center Shawnee Mission KS USA3Department of Anesthesia Anesthesia Associates of Kansas City Overland Park KS USAReceived 25 September 2015 accepted 16 January 2016 published 19 January 2016
A total of 266 mg20 mL of undiluted liposomebupivacaine was equally infiltrated into 4quadrants of the deep subcutaneous adiposetissue just outside the sphincter (ischiorectalspace) and beneath the incision lines
Postoperative analgesia for
hemorrhoidectomy with bilateral
pudendal blockade on an ambulatory
patient a controlled clinical studyLuiz Eduardo Imbelloni1 Eneida Maria Vieira2 Antonio Fernando Carneiro3
controlled clinical study J Coloproctol 201232(3) 291-296
At the end of the surgery The Pudendal Grouppatients received 20 mL levobupivacaine afterstimulation of pudendal nerves Bilateralblockade of pudendal nerves was performedwith the patient in lithotomy or ventraldecubitus position still under the effect ofspinal anesthesia
Efficacy of cholestyramine ointment in
reduction of postoperative pain and pain
during defecation after open
hemorrhoidectomy results of a
prospective single-center randomized
double-blind placebo-controlled trialWorld J Surg 2013 Mar37(3)657-62 doi 101007s00268-012-1895-
3 Ala S1 Eshghi F Enayatifard R Fazel P Rezaei B Hadianamrei R
CONCLUSIONS
Compared with placebo cholestyramineointment (15) reduced postoperative pain atrest and on defecation and consequentlylowered the analgesic requirement after openhemorrhoidectomy
Topical metronidazole can reduce pain aftersurgery and pain on defecation inpostoperative hemorrhoidectomyDis Colon Rectum 2008 Feb51(2)235-8 doi 101007s10350-007-9174-3 Epub 2008 Jan 4
CONCLUSION
These finding indicate that topical 10 percentmetronidazole significantly reduce posthemorrhoidectomy discomfort andpostoperative defecation pain is reducedcompared with that of the placebo controlgroup
Efficacy of metronidazole versus placebo inpain control after hemorrhoidectomy Resultsof a controlled clinical trial2015 Nov107(11)681-5 doi 1017235reed201539262015
Solorio-Loacutepez S1 Palomares-Chacoacuten UR2 Guerrero-Tariacuten JE2 Gonzaacutelez-Ojeda
CONCLUSION
Oral administration of metronidazole iseffective in pain management afterhemorrhoidectomy
Avoidance of Anal Stenosis After Hemorrhoidectomy
Preservation of sufficient intact anodermbetween excision sites generally considered atleast 1 cm of intact intervening anodermAdditionally limiting the number ofhemorrhoids excised in a given setting will alsohelp to limit the incidence of postoperativestenosis
Postoperative complications after procedurefor prolapsed hemorrhoids (PPH) and stapledtransanal rectal resection (STARR) proceduresTechniques in Coloproctology
March 2008 Volume 12 Issue 1 pp 7ndash19 | Cite as
Authors
Authors and affiliations
M Pescatori
G Gagliardi
Conclusion
Meticulous technique and an accurateselection of patients may decrease the risk ofadverse events
Post-hemorrhoidectomy Fecal Incontinence
Excisional hemorrhoidal surgery and its effect on anal continenceWorld J Gastroenterol 2012 Aug 14 18(30) 4059ndash4063
Yan-Dong Li Jia-He Xu Jian-Jiang Lin and Wei-Fang Zhu
Conclusion
However patients with preoperativecompromised continence may have furtherdeterioration of their continence henceMilligan-Morgan hemorrhoidectomy should beavoided in such patients
Fecal Urge Incontinence After Stapled Anopexiafor Prolapse and Hemorrhoids A Prospective Observational StudyArticle (PDF Available) in World Journal of Surgery 33(2)355-64 middot December 2008
Conclusion
Fecal urge incontinence is a self-limiting sideeffect that with which patients need to bemade familiar
Post-hemorrhoidectomy Secondary Hemorrhage
2005 Oct21(5)271-278 Korean Choi DH
Dr Chois Coloproctologic Clinic Pohang Korea
Conclusion
Occurs at home between the fourth andeighteenth postoperative day and takes placein 098 percent of hemorrhoidectomies
In the authors opinion post-hemorrhoidectomy secondary hemorrhageusually is not a preventable complication
Severe rectal bleeding following PPH-stapler procedure for haemorroidal diseaseM AMMENDOLA G SAMMARCO A CARPINO F FERRARI G VESCIO and R SACCO
2014 Nov-Dec 35(11-12) 290ndash292
Conclusion
Haemorrhage is the most important earlycomplication Bleeding tends to occur eitherimmediately after surgery or between thefourth and tenth days after surgery
Four factors may help to minimize the risk ofbleeding manual overstitching of the stapleline use of the PPH03 gun which has a smallerstaple closure and is more hemostatictightening the gun to the absolute limit anduse of a postoperative endoanal sponge
Postoperative urinary retention after surgeryfor benign anorectal disease potential riskfactors and strategy for preventionOctober 2006 Volume 21 Issue 7 pp 676ndash682
Conclusion
Urinary retention is a common complicationafter anorectal surgery It is linked to severalrisk factors including increased intravenousfluids and postoperative pain Perioperativefluid restriction and adequate pain reliefappear to be effective in preventing urinaryretention
THANK YOU
Conclusion
LIS effectively reduced postoperative pain andneed for analgesics following excisionalhemorrhoidectomy LIS also managed todecrease incidence of postoperative urinaryretention and anal stenosis significantly Thenegative aspect of adding LIS to excisionalhemorrhoidectomy was developing minor FIafter surgery which was temporary in duration
Stapled haemorrhoidectomy(haemorrhoidopexy) for the treatment of haemorrhoids A systematic review and economic evaluationArticle middot Literature Review (PDF Available) in Health technology assessment (Winchester England) 12(8)iii-iv
Conclusions
SH was associated with less pain in theimmediate postoperative period
Doppler-Guided Hemorrhoidal Artery Ligation An Alternative to HemorrhoidectomyGeorge Felice MD FRCS(Engl) PhD(Lond)Antonio Privitera MD MRCS(Edinb) Ernest Ellul MD FRCS(Edinb)Maria Klaumann MD
Dis Colon Rectum 2005 48 2090ndash2093
Conclusion
Doppler-guided ligation of the hemorrhoidalartery is a safe and effective alternative tohemorrhoidectomy and is associated withminimal discomfort and low risk ofcomplications
Effect of Glyceryl Trinitrate Ointment on PainControl After Hemorrhoidectomy A Meta-analysis of Randomized Controlled TrialsWorld J Surg 2016 Jan40(1)215-24 doi 101007s00268-015-3344-6Liu JW1 Lin CC2 Kiu KT3 Wang CY1 Tam KW4567
CONCLUSION
Topical application of glyceryl trinitrateeffectively relieves pain and promotes woundhealing after hemorrhoidectomy however thesubstantial headache incidence may limitextensive application
Prolonged Opioid-Sparing Pain Control after Hemorrhoidectomy with Liposome Bupivacaine Results from a Cohort of
95 PatientsAllen B Jetmore12 Douglas Hagen3
1Department of Surgery Overland Park Surgery Center Overland Park KS USA2Shawnee Mission Medical Center Shawnee Mission KS USA3Department of Anesthesia Anesthesia Associates of Kansas City Overland Park KS USAReceived 25 September 2015 accepted 16 January 2016 published 19 January 2016
A total of 266 mg20 mL of undiluted liposomebupivacaine was equally infiltrated into 4quadrants of the deep subcutaneous adiposetissue just outside the sphincter (ischiorectalspace) and beneath the incision lines
Postoperative analgesia for
hemorrhoidectomy with bilateral
pudendal blockade on an ambulatory
patient a controlled clinical studyLuiz Eduardo Imbelloni1 Eneida Maria Vieira2 Antonio Fernando Carneiro3
controlled clinical study J Coloproctol 201232(3) 291-296
At the end of the surgery The Pudendal Grouppatients received 20 mL levobupivacaine afterstimulation of pudendal nerves Bilateralblockade of pudendal nerves was performedwith the patient in lithotomy or ventraldecubitus position still under the effect ofspinal anesthesia
Efficacy of cholestyramine ointment in
reduction of postoperative pain and pain
during defecation after open
hemorrhoidectomy results of a
prospective single-center randomized
double-blind placebo-controlled trialWorld J Surg 2013 Mar37(3)657-62 doi 101007s00268-012-1895-
3 Ala S1 Eshghi F Enayatifard R Fazel P Rezaei B Hadianamrei R
CONCLUSIONS
Compared with placebo cholestyramineointment (15) reduced postoperative pain atrest and on defecation and consequentlylowered the analgesic requirement after openhemorrhoidectomy
Topical metronidazole can reduce pain aftersurgery and pain on defecation inpostoperative hemorrhoidectomyDis Colon Rectum 2008 Feb51(2)235-8 doi 101007s10350-007-9174-3 Epub 2008 Jan 4
CONCLUSION
These finding indicate that topical 10 percentmetronidazole significantly reduce posthemorrhoidectomy discomfort andpostoperative defecation pain is reducedcompared with that of the placebo controlgroup
Efficacy of metronidazole versus placebo inpain control after hemorrhoidectomy Resultsof a controlled clinical trial2015 Nov107(11)681-5 doi 1017235reed201539262015
Solorio-Loacutepez S1 Palomares-Chacoacuten UR2 Guerrero-Tariacuten JE2 Gonzaacutelez-Ojeda
CONCLUSION
Oral administration of metronidazole iseffective in pain management afterhemorrhoidectomy
Avoidance of Anal Stenosis After Hemorrhoidectomy
Preservation of sufficient intact anodermbetween excision sites generally considered atleast 1 cm of intact intervening anodermAdditionally limiting the number ofhemorrhoids excised in a given setting will alsohelp to limit the incidence of postoperativestenosis
Postoperative complications after procedurefor prolapsed hemorrhoids (PPH) and stapledtransanal rectal resection (STARR) proceduresTechniques in Coloproctology
March 2008 Volume 12 Issue 1 pp 7ndash19 | Cite as
Authors
Authors and affiliations
M Pescatori
G Gagliardi
Conclusion
Meticulous technique and an accurateselection of patients may decrease the risk ofadverse events
Post-hemorrhoidectomy Fecal Incontinence
Excisional hemorrhoidal surgery and its effect on anal continenceWorld J Gastroenterol 2012 Aug 14 18(30) 4059ndash4063
Yan-Dong Li Jia-He Xu Jian-Jiang Lin and Wei-Fang Zhu
Conclusion
However patients with preoperativecompromised continence may have furtherdeterioration of their continence henceMilligan-Morgan hemorrhoidectomy should beavoided in such patients
Fecal Urge Incontinence After Stapled Anopexiafor Prolapse and Hemorrhoids A Prospective Observational StudyArticle (PDF Available) in World Journal of Surgery 33(2)355-64 middot December 2008
Conclusion
Fecal urge incontinence is a self-limiting sideeffect that with which patients need to bemade familiar
Post-hemorrhoidectomy Secondary Hemorrhage
2005 Oct21(5)271-278 Korean Choi DH
Dr Chois Coloproctologic Clinic Pohang Korea
Conclusion
Occurs at home between the fourth andeighteenth postoperative day and takes placein 098 percent of hemorrhoidectomies
In the authors opinion post-hemorrhoidectomy secondary hemorrhageusually is not a preventable complication
Severe rectal bleeding following PPH-stapler procedure for haemorroidal diseaseM AMMENDOLA G SAMMARCO A CARPINO F FERRARI G VESCIO and R SACCO
2014 Nov-Dec 35(11-12) 290ndash292
Conclusion
Haemorrhage is the most important earlycomplication Bleeding tends to occur eitherimmediately after surgery or between thefourth and tenth days after surgery
Four factors may help to minimize the risk ofbleeding manual overstitching of the stapleline use of the PPH03 gun which has a smallerstaple closure and is more hemostatictightening the gun to the absolute limit anduse of a postoperative endoanal sponge
Postoperative urinary retention after surgeryfor benign anorectal disease potential riskfactors and strategy for preventionOctober 2006 Volume 21 Issue 7 pp 676ndash682
Conclusion
Urinary retention is a common complicationafter anorectal surgery It is linked to severalrisk factors including increased intravenousfluids and postoperative pain Perioperativefluid restriction and adequate pain reliefappear to be effective in preventing urinaryretention
THANK YOU
Stapled haemorrhoidectomy(haemorrhoidopexy) for the treatment of haemorrhoids A systematic review and economic evaluationArticle middot Literature Review (PDF Available) in Health technology assessment (Winchester England) 12(8)iii-iv
Conclusions
SH was associated with less pain in theimmediate postoperative period
Doppler-Guided Hemorrhoidal Artery Ligation An Alternative to HemorrhoidectomyGeorge Felice MD FRCS(Engl) PhD(Lond)Antonio Privitera MD MRCS(Edinb) Ernest Ellul MD FRCS(Edinb)Maria Klaumann MD
Dis Colon Rectum 2005 48 2090ndash2093
Conclusion
Doppler-guided ligation of the hemorrhoidalartery is a safe and effective alternative tohemorrhoidectomy and is associated withminimal discomfort and low risk ofcomplications
Effect of Glyceryl Trinitrate Ointment on PainControl After Hemorrhoidectomy A Meta-analysis of Randomized Controlled TrialsWorld J Surg 2016 Jan40(1)215-24 doi 101007s00268-015-3344-6Liu JW1 Lin CC2 Kiu KT3 Wang CY1 Tam KW4567
CONCLUSION
Topical application of glyceryl trinitrateeffectively relieves pain and promotes woundhealing after hemorrhoidectomy however thesubstantial headache incidence may limitextensive application
Prolonged Opioid-Sparing Pain Control after Hemorrhoidectomy with Liposome Bupivacaine Results from a Cohort of
95 PatientsAllen B Jetmore12 Douglas Hagen3
1Department of Surgery Overland Park Surgery Center Overland Park KS USA2Shawnee Mission Medical Center Shawnee Mission KS USA3Department of Anesthesia Anesthesia Associates of Kansas City Overland Park KS USAReceived 25 September 2015 accepted 16 January 2016 published 19 January 2016
A total of 266 mg20 mL of undiluted liposomebupivacaine was equally infiltrated into 4quadrants of the deep subcutaneous adiposetissue just outside the sphincter (ischiorectalspace) and beneath the incision lines
Postoperative analgesia for
hemorrhoidectomy with bilateral
pudendal blockade on an ambulatory
patient a controlled clinical studyLuiz Eduardo Imbelloni1 Eneida Maria Vieira2 Antonio Fernando Carneiro3
controlled clinical study J Coloproctol 201232(3) 291-296
At the end of the surgery The Pudendal Grouppatients received 20 mL levobupivacaine afterstimulation of pudendal nerves Bilateralblockade of pudendal nerves was performedwith the patient in lithotomy or ventraldecubitus position still under the effect ofspinal anesthesia
Efficacy of cholestyramine ointment in
reduction of postoperative pain and pain
during defecation after open
hemorrhoidectomy results of a
prospective single-center randomized
double-blind placebo-controlled trialWorld J Surg 2013 Mar37(3)657-62 doi 101007s00268-012-1895-
3 Ala S1 Eshghi F Enayatifard R Fazel P Rezaei B Hadianamrei R
CONCLUSIONS
Compared with placebo cholestyramineointment (15) reduced postoperative pain atrest and on defecation and consequentlylowered the analgesic requirement after openhemorrhoidectomy
Topical metronidazole can reduce pain aftersurgery and pain on defecation inpostoperative hemorrhoidectomyDis Colon Rectum 2008 Feb51(2)235-8 doi 101007s10350-007-9174-3 Epub 2008 Jan 4
CONCLUSION
These finding indicate that topical 10 percentmetronidazole significantly reduce posthemorrhoidectomy discomfort andpostoperative defecation pain is reducedcompared with that of the placebo controlgroup
Efficacy of metronidazole versus placebo inpain control after hemorrhoidectomy Resultsof a controlled clinical trial2015 Nov107(11)681-5 doi 1017235reed201539262015
Solorio-Loacutepez S1 Palomares-Chacoacuten UR2 Guerrero-Tariacuten JE2 Gonzaacutelez-Ojeda
CONCLUSION
Oral administration of metronidazole iseffective in pain management afterhemorrhoidectomy
Avoidance of Anal Stenosis After Hemorrhoidectomy
Preservation of sufficient intact anodermbetween excision sites generally considered atleast 1 cm of intact intervening anodermAdditionally limiting the number ofhemorrhoids excised in a given setting will alsohelp to limit the incidence of postoperativestenosis
Postoperative complications after procedurefor prolapsed hemorrhoids (PPH) and stapledtransanal rectal resection (STARR) proceduresTechniques in Coloproctology
March 2008 Volume 12 Issue 1 pp 7ndash19 | Cite as
Authors
Authors and affiliations
M Pescatori
G Gagliardi
Conclusion
Meticulous technique and an accurateselection of patients may decrease the risk ofadverse events
Post-hemorrhoidectomy Fecal Incontinence
Excisional hemorrhoidal surgery and its effect on anal continenceWorld J Gastroenterol 2012 Aug 14 18(30) 4059ndash4063
Yan-Dong Li Jia-He Xu Jian-Jiang Lin and Wei-Fang Zhu
Conclusion
However patients with preoperativecompromised continence may have furtherdeterioration of their continence henceMilligan-Morgan hemorrhoidectomy should beavoided in such patients
Fecal Urge Incontinence After Stapled Anopexiafor Prolapse and Hemorrhoids A Prospective Observational StudyArticle (PDF Available) in World Journal of Surgery 33(2)355-64 middot December 2008
Conclusion
Fecal urge incontinence is a self-limiting sideeffect that with which patients need to bemade familiar
Post-hemorrhoidectomy Secondary Hemorrhage
2005 Oct21(5)271-278 Korean Choi DH
Dr Chois Coloproctologic Clinic Pohang Korea
Conclusion
Occurs at home between the fourth andeighteenth postoperative day and takes placein 098 percent of hemorrhoidectomies
In the authors opinion post-hemorrhoidectomy secondary hemorrhageusually is not a preventable complication
Severe rectal bleeding following PPH-stapler procedure for haemorroidal diseaseM AMMENDOLA G SAMMARCO A CARPINO F FERRARI G VESCIO and R SACCO
2014 Nov-Dec 35(11-12) 290ndash292
Conclusion
Haemorrhage is the most important earlycomplication Bleeding tends to occur eitherimmediately after surgery or between thefourth and tenth days after surgery
Four factors may help to minimize the risk ofbleeding manual overstitching of the stapleline use of the PPH03 gun which has a smallerstaple closure and is more hemostatictightening the gun to the absolute limit anduse of a postoperative endoanal sponge
Postoperative urinary retention after surgeryfor benign anorectal disease potential riskfactors and strategy for preventionOctober 2006 Volume 21 Issue 7 pp 676ndash682
Conclusion
Urinary retention is a common complicationafter anorectal surgery It is linked to severalrisk factors including increased intravenousfluids and postoperative pain Perioperativefluid restriction and adequate pain reliefappear to be effective in preventing urinaryretention
THANK YOU
Conclusions
SH was associated with less pain in theimmediate postoperative period
Doppler-Guided Hemorrhoidal Artery Ligation An Alternative to HemorrhoidectomyGeorge Felice MD FRCS(Engl) PhD(Lond)Antonio Privitera MD MRCS(Edinb) Ernest Ellul MD FRCS(Edinb)Maria Klaumann MD
Dis Colon Rectum 2005 48 2090ndash2093
Conclusion
Doppler-guided ligation of the hemorrhoidalartery is a safe and effective alternative tohemorrhoidectomy and is associated withminimal discomfort and low risk ofcomplications
Effect of Glyceryl Trinitrate Ointment on PainControl After Hemorrhoidectomy A Meta-analysis of Randomized Controlled TrialsWorld J Surg 2016 Jan40(1)215-24 doi 101007s00268-015-3344-6Liu JW1 Lin CC2 Kiu KT3 Wang CY1 Tam KW4567
CONCLUSION
Topical application of glyceryl trinitrateeffectively relieves pain and promotes woundhealing after hemorrhoidectomy however thesubstantial headache incidence may limitextensive application
Prolonged Opioid-Sparing Pain Control after Hemorrhoidectomy with Liposome Bupivacaine Results from a Cohort of
95 PatientsAllen B Jetmore12 Douglas Hagen3
1Department of Surgery Overland Park Surgery Center Overland Park KS USA2Shawnee Mission Medical Center Shawnee Mission KS USA3Department of Anesthesia Anesthesia Associates of Kansas City Overland Park KS USAReceived 25 September 2015 accepted 16 January 2016 published 19 January 2016
A total of 266 mg20 mL of undiluted liposomebupivacaine was equally infiltrated into 4quadrants of the deep subcutaneous adiposetissue just outside the sphincter (ischiorectalspace) and beneath the incision lines
Postoperative analgesia for
hemorrhoidectomy with bilateral
pudendal blockade on an ambulatory
patient a controlled clinical studyLuiz Eduardo Imbelloni1 Eneida Maria Vieira2 Antonio Fernando Carneiro3
controlled clinical study J Coloproctol 201232(3) 291-296
At the end of the surgery The Pudendal Grouppatients received 20 mL levobupivacaine afterstimulation of pudendal nerves Bilateralblockade of pudendal nerves was performedwith the patient in lithotomy or ventraldecubitus position still under the effect ofspinal anesthesia
Efficacy of cholestyramine ointment in
reduction of postoperative pain and pain
during defecation after open
hemorrhoidectomy results of a
prospective single-center randomized
double-blind placebo-controlled trialWorld J Surg 2013 Mar37(3)657-62 doi 101007s00268-012-1895-
3 Ala S1 Eshghi F Enayatifard R Fazel P Rezaei B Hadianamrei R
CONCLUSIONS
Compared with placebo cholestyramineointment (15) reduced postoperative pain atrest and on defecation and consequentlylowered the analgesic requirement after openhemorrhoidectomy
Topical metronidazole can reduce pain aftersurgery and pain on defecation inpostoperative hemorrhoidectomyDis Colon Rectum 2008 Feb51(2)235-8 doi 101007s10350-007-9174-3 Epub 2008 Jan 4
CONCLUSION
These finding indicate that topical 10 percentmetronidazole significantly reduce posthemorrhoidectomy discomfort andpostoperative defecation pain is reducedcompared with that of the placebo controlgroup
Efficacy of metronidazole versus placebo inpain control after hemorrhoidectomy Resultsof a controlled clinical trial2015 Nov107(11)681-5 doi 1017235reed201539262015
Solorio-Loacutepez S1 Palomares-Chacoacuten UR2 Guerrero-Tariacuten JE2 Gonzaacutelez-Ojeda
CONCLUSION
Oral administration of metronidazole iseffective in pain management afterhemorrhoidectomy
Avoidance of Anal Stenosis After Hemorrhoidectomy
Preservation of sufficient intact anodermbetween excision sites generally considered atleast 1 cm of intact intervening anodermAdditionally limiting the number ofhemorrhoids excised in a given setting will alsohelp to limit the incidence of postoperativestenosis
Postoperative complications after procedurefor prolapsed hemorrhoids (PPH) and stapledtransanal rectal resection (STARR) proceduresTechniques in Coloproctology
March 2008 Volume 12 Issue 1 pp 7ndash19 | Cite as
Authors
Authors and affiliations
M Pescatori
G Gagliardi
Conclusion
Meticulous technique and an accurateselection of patients may decrease the risk ofadverse events
Post-hemorrhoidectomy Fecal Incontinence
Excisional hemorrhoidal surgery and its effect on anal continenceWorld J Gastroenterol 2012 Aug 14 18(30) 4059ndash4063
Yan-Dong Li Jia-He Xu Jian-Jiang Lin and Wei-Fang Zhu
Conclusion
However patients with preoperativecompromised continence may have furtherdeterioration of their continence henceMilligan-Morgan hemorrhoidectomy should beavoided in such patients
Fecal Urge Incontinence After Stapled Anopexiafor Prolapse and Hemorrhoids A Prospective Observational StudyArticle (PDF Available) in World Journal of Surgery 33(2)355-64 middot December 2008
Conclusion
Fecal urge incontinence is a self-limiting sideeffect that with which patients need to bemade familiar
Post-hemorrhoidectomy Secondary Hemorrhage
2005 Oct21(5)271-278 Korean Choi DH
Dr Chois Coloproctologic Clinic Pohang Korea
Conclusion
Occurs at home between the fourth andeighteenth postoperative day and takes placein 098 percent of hemorrhoidectomies
In the authors opinion post-hemorrhoidectomy secondary hemorrhageusually is not a preventable complication
Severe rectal bleeding following PPH-stapler procedure for haemorroidal diseaseM AMMENDOLA G SAMMARCO A CARPINO F FERRARI G VESCIO and R SACCO
2014 Nov-Dec 35(11-12) 290ndash292
Conclusion
Haemorrhage is the most important earlycomplication Bleeding tends to occur eitherimmediately after surgery or between thefourth and tenth days after surgery
Four factors may help to minimize the risk ofbleeding manual overstitching of the stapleline use of the PPH03 gun which has a smallerstaple closure and is more hemostatictightening the gun to the absolute limit anduse of a postoperative endoanal sponge
Postoperative urinary retention after surgeryfor benign anorectal disease potential riskfactors and strategy for preventionOctober 2006 Volume 21 Issue 7 pp 676ndash682
Conclusion
Urinary retention is a common complicationafter anorectal surgery It is linked to severalrisk factors including increased intravenousfluids and postoperative pain Perioperativefluid restriction and adequate pain reliefappear to be effective in preventing urinaryretention
THANK YOU
Doppler-Guided Hemorrhoidal Artery Ligation An Alternative to HemorrhoidectomyGeorge Felice MD FRCS(Engl) PhD(Lond)Antonio Privitera MD MRCS(Edinb) Ernest Ellul MD FRCS(Edinb)Maria Klaumann MD
Dis Colon Rectum 2005 48 2090ndash2093
Conclusion
Doppler-guided ligation of the hemorrhoidalartery is a safe and effective alternative tohemorrhoidectomy and is associated withminimal discomfort and low risk ofcomplications
Effect of Glyceryl Trinitrate Ointment on PainControl After Hemorrhoidectomy A Meta-analysis of Randomized Controlled TrialsWorld J Surg 2016 Jan40(1)215-24 doi 101007s00268-015-3344-6Liu JW1 Lin CC2 Kiu KT3 Wang CY1 Tam KW4567
CONCLUSION
Topical application of glyceryl trinitrateeffectively relieves pain and promotes woundhealing after hemorrhoidectomy however thesubstantial headache incidence may limitextensive application
Prolonged Opioid-Sparing Pain Control after Hemorrhoidectomy with Liposome Bupivacaine Results from a Cohort of
95 PatientsAllen B Jetmore12 Douglas Hagen3
1Department of Surgery Overland Park Surgery Center Overland Park KS USA2Shawnee Mission Medical Center Shawnee Mission KS USA3Department of Anesthesia Anesthesia Associates of Kansas City Overland Park KS USAReceived 25 September 2015 accepted 16 January 2016 published 19 January 2016
A total of 266 mg20 mL of undiluted liposomebupivacaine was equally infiltrated into 4quadrants of the deep subcutaneous adiposetissue just outside the sphincter (ischiorectalspace) and beneath the incision lines
Postoperative analgesia for
hemorrhoidectomy with bilateral
pudendal blockade on an ambulatory
patient a controlled clinical studyLuiz Eduardo Imbelloni1 Eneida Maria Vieira2 Antonio Fernando Carneiro3
controlled clinical study J Coloproctol 201232(3) 291-296
At the end of the surgery The Pudendal Grouppatients received 20 mL levobupivacaine afterstimulation of pudendal nerves Bilateralblockade of pudendal nerves was performedwith the patient in lithotomy or ventraldecubitus position still under the effect ofspinal anesthesia
Efficacy of cholestyramine ointment in
reduction of postoperative pain and pain
during defecation after open
hemorrhoidectomy results of a
prospective single-center randomized
double-blind placebo-controlled trialWorld J Surg 2013 Mar37(3)657-62 doi 101007s00268-012-1895-
3 Ala S1 Eshghi F Enayatifard R Fazel P Rezaei B Hadianamrei R
CONCLUSIONS
Compared with placebo cholestyramineointment (15) reduced postoperative pain atrest and on defecation and consequentlylowered the analgesic requirement after openhemorrhoidectomy
Topical metronidazole can reduce pain aftersurgery and pain on defecation inpostoperative hemorrhoidectomyDis Colon Rectum 2008 Feb51(2)235-8 doi 101007s10350-007-9174-3 Epub 2008 Jan 4
CONCLUSION
These finding indicate that topical 10 percentmetronidazole significantly reduce posthemorrhoidectomy discomfort andpostoperative defecation pain is reducedcompared with that of the placebo controlgroup
Efficacy of metronidazole versus placebo inpain control after hemorrhoidectomy Resultsof a controlled clinical trial2015 Nov107(11)681-5 doi 1017235reed201539262015
Solorio-Loacutepez S1 Palomares-Chacoacuten UR2 Guerrero-Tariacuten JE2 Gonzaacutelez-Ojeda
CONCLUSION
Oral administration of metronidazole iseffective in pain management afterhemorrhoidectomy
Avoidance of Anal Stenosis After Hemorrhoidectomy
Preservation of sufficient intact anodermbetween excision sites generally considered atleast 1 cm of intact intervening anodermAdditionally limiting the number ofhemorrhoids excised in a given setting will alsohelp to limit the incidence of postoperativestenosis
Postoperative complications after procedurefor prolapsed hemorrhoids (PPH) and stapledtransanal rectal resection (STARR) proceduresTechniques in Coloproctology
March 2008 Volume 12 Issue 1 pp 7ndash19 | Cite as
Authors
Authors and affiliations
M Pescatori
G Gagliardi
Conclusion
Meticulous technique and an accurateselection of patients may decrease the risk ofadverse events
Post-hemorrhoidectomy Fecal Incontinence
Excisional hemorrhoidal surgery and its effect on anal continenceWorld J Gastroenterol 2012 Aug 14 18(30) 4059ndash4063
Yan-Dong Li Jia-He Xu Jian-Jiang Lin and Wei-Fang Zhu
Conclusion
However patients with preoperativecompromised continence may have furtherdeterioration of their continence henceMilligan-Morgan hemorrhoidectomy should beavoided in such patients
Fecal Urge Incontinence After Stapled Anopexiafor Prolapse and Hemorrhoids A Prospective Observational StudyArticle (PDF Available) in World Journal of Surgery 33(2)355-64 middot December 2008
Conclusion
Fecal urge incontinence is a self-limiting sideeffect that with which patients need to bemade familiar
Post-hemorrhoidectomy Secondary Hemorrhage
2005 Oct21(5)271-278 Korean Choi DH
Dr Chois Coloproctologic Clinic Pohang Korea
Conclusion
Occurs at home between the fourth andeighteenth postoperative day and takes placein 098 percent of hemorrhoidectomies
In the authors opinion post-hemorrhoidectomy secondary hemorrhageusually is not a preventable complication
Severe rectal bleeding following PPH-stapler procedure for haemorroidal diseaseM AMMENDOLA G SAMMARCO A CARPINO F FERRARI G VESCIO and R SACCO
2014 Nov-Dec 35(11-12) 290ndash292
Conclusion
Haemorrhage is the most important earlycomplication Bleeding tends to occur eitherimmediately after surgery or between thefourth and tenth days after surgery
Four factors may help to minimize the risk ofbleeding manual overstitching of the stapleline use of the PPH03 gun which has a smallerstaple closure and is more hemostatictightening the gun to the absolute limit anduse of a postoperative endoanal sponge
Postoperative urinary retention after surgeryfor benign anorectal disease potential riskfactors and strategy for preventionOctober 2006 Volume 21 Issue 7 pp 676ndash682
Conclusion
Urinary retention is a common complicationafter anorectal surgery It is linked to severalrisk factors including increased intravenousfluids and postoperative pain Perioperativefluid restriction and adequate pain reliefappear to be effective in preventing urinaryretention
THANK YOU
Conclusion
Doppler-guided ligation of the hemorrhoidalartery is a safe and effective alternative tohemorrhoidectomy and is associated withminimal discomfort and low risk ofcomplications
Effect of Glyceryl Trinitrate Ointment on PainControl After Hemorrhoidectomy A Meta-analysis of Randomized Controlled TrialsWorld J Surg 2016 Jan40(1)215-24 doi 101007s00268-015-3344-6Liu JW1 Lin CC2 Kiu KT3 Wang CY1 Tam KW4567
CONCLUSION
Topical application of glyceryl trinitrateeffectively relieves pain and promotes woundhealing after hemorrhoidectomy however thesubstantial headache incidence may limitextensive application
Prolonged Opioid-Sparing Pain Control after Hemorrhoidectomy with Liposome Bupivacaine Results from a Cohort of
95 PatientsAllen B Jetmore12 Douglas Hagen3
1Department of Surgery Overland Park Surgery Center Overland Park KS USA2Shawnee Mission Medical Center Shawnee Mission KS USA3Department of Anesthesia Anesthesia Associates of Kansas City Overland Park KS USAReceived 25 September 2015 accepted 16 January 2016 published 19 January 2016
A total of 266 mg20 mL of undiluted liposomebupivacaine was equally infiltrated into 4quadrants of the deep subcutaneous adiposetissue just outside the sphincter (ischiorectalspace) and beneath the incision lines
Postoperative analgesia for
hemorrhoidectomy with bilateral
pudendal blockade on an ambulatory
patient a controlled clinical studyLuiz Eduardo Imbelloni1 Eneida Maria Vieira2 Antonio Fernando Carneiro3
controlled clinical study J Coloproctol 201232(3) 291-296
At the end of the surgery The Pudendal Grouppatients received 20 mL levobupivacaine afterstimulation of pudendal nerves Bilateralblockade of pudendal nerves was performedwith the patient in lithotomy or ventraldecubitus position still under the effect ofspinal anesthesia
Efficacy of cholestyramine ointment in
reduction of postoperative pain and pain
during defecation after open
hemorrhoidectomy results of a
prospective single-center randomized
double-blind placebo-controlled trialWorld J Surg 2013 Mar37(3)657-62 doi 101007s00268-012-1895-
3 Ala S1 Eshghi F Enayatifard R Fazel P Rezaei B Hadianamrei R
CONCLUSIONS
Compared with placebo cholestyramineointment (15) reduced postoperative pain atrest and on defecation and consequentlylowered the analgesic requirement after openhemorrhoidectomy
Topical metronidazole can reduce pain aftersurgery and pain on defecation inpostoperative hemorrhoidectomyDis Colon Rectum 2008 Feb51(2)235-8 doi 101007s10350-007-9174-3 Epub 2008 Jan 4
CONCLUSION
These finding indicate that topical 10 percentmetronidazole significantly reduce posthemorrhoidectomy discomfort andpostoperative defecation pain is reducedcompared with that of the placebo controlgroup
Efficacy of metronidazole versus placebo inpain control after hemorrhoidectomy Resultsof a controlled clinical trial2015 Nov107(11)681-5 doi 1017235reed201539262015
Solorio-Loacutepez S1 Palomares-Chacoacuten UR2 Guerrero-Tariacuten JE2 Gonzaacutelez-Ojeda
CONCLUSION
Oral administration of metronidazole iseffective in pain management afterhemorrhoidectomy
Avoidance of Anal Stenosis After Hemorrhoidectomy
Preservation of sufficient intact anodermbetween excision sites generally considered atleast 1 cm of intact intervening anodermAdditionally limiting the number ofhemorrhoids excised in a given setting will alsohelp to limit the incidence of postoperativestenosis
Postoperative complications after procedurefor prolapsed hemorrhoids (PPH) and stapledtransanal rectal resection (STARR) proceduresTechniques in Coloproctology
March 2008 Volume 12 Issue 1 pp 7ndash19 | Cite as
Authors
Authors and affiliations
M Pescatori
G Gagliardi
Conclusion
Meticulous technique and an accurateselection of patients may decrease the risk ofadverse events
Post-hemorrhoidectomy Fecal Incontinence
Excisional hemorrhoidal surgery and its effect on anal continenceWorld J Gastroenterol 2012 Aug 14 18(30) 4059ndash4063
Yan-Dong Li Jia-He Xu Jian-Jiang Lin and Wei-Fang Zhu
Conclusion
However patients with preoperativecompromised continence may have furtherdeterioration of their continence henceMilligan-Morgan hemorrhoidectomy should beavoided in such patients
Fecal Urge Incontinence After Stapled Anopexiafor Prolapse and Hemorrhoids A Prospective Observational StudyArticle (PDF Available) in World Journal of Surgery 33(2)355-64 middot December 2008
Conclusion
Fecal urge incontinence is a self-limiting sideeffect that with which patients need to bemade familiar
Post-hemorrhoidectomy Secondary Hemorrhage
2005 Oct21(5)271-278 Korean Choi DH
Dr Chois Coloproctologic Clinic Pohang Korea
Conclusion
Occurs at home between the fourth andeighteenth postoperative day and takes placein 098 percent of hemorrhoidectomies
In the authors opinion post-hemorrhoidectomy secondary hemorrhageusually is not a preventable complication
Severe rectal bleeding following PPH-stapler procedure for haemorroidal diseaseM AMMENDOLA G SAMMARCO A CARPINO F FERRARI G VESCIO and R SACCO
2014 Nov-Dec 35(11-12) 290ndash292
Conclusion
Haemorrhage is the most important earlycomplication Bleeding tends to occur eitherimmediately after surgery or between thefourth and tenth days after surgery
Four factors may help to minimize the risk ofbleeding manual overstitching of the stapleline use of the PPH03 gun which has a smallerstaple closure and is more hemostatictightening the gun to the absolute limit anduse of a postoperative endoanal sponge
Postoperative urinary retention after surgeryfor benign anorectal disease potential riskfactors and strategy for preventionOctober 2006 Volume 21 Issue 7 pp 676ndash682
Conclusion
Urinary retention is a common complicationafter anorectal surgery It is linked to severalrisk factors including increased intravenousfluids and postoperative pain Perioperativefluid restriction and adequate pain reliefappear to be effective in preventing urinaryretention
THANK YOU
Effect of Glyceryl Trinitrate Ointment on PainControl After Hemorrhoidectomy A Meta-analysis of Randomized Controlled TrialsWorld J Surg 2016 Jan40(1)215-24 doi 101007s00268-015-3344-6Liu JW1 Lin CC2 Kiu KT3 Wang CY1 Tam KW4567
CONCLUSION
Topical application of glyceryl trinitrateeffectively relieves pain and promotes woundhealing after hemorrhoidectomy however thesubstantial headache incidence may limitextensive application
Prolonged Opioid-Sparing Pain Control after Hemorrhoidectomy with Liposome Bupivacaine Results from a Cohort of
95 PatientsAllen B Jetmore12 Douglas Hagen3
1Department of Surgery Overland Park Surgery Center Overland Park KS USA2Shawnee Mission Medical Center Shawnee Mission KS USA3Department of Anesthesia Anesthesia Associates of Kansas City Overland Park KS USAReceived 25 September 2015 accepted 16 January 2016 published 19 January 2016
A total of 266 mg20 mL of undiluted liposomebupivacaine was equally infiltrated into 4quadrants of the deep subcutaneous adiposetissue just outside the sphincter (ischiorectalspace) and beneath the incision lines
Postoperative analgesia for
hemorrhoidectomy with bilateral
pudendal blockade on an ambulatory
patient a controlled clinical studyLuiz Eduardo Imbelloni1 Eneida Maria Vieira2 Antonio Fernando Carneiro3
controlled clinical study J Coloproctol 201232(3) 291-296
At the end of the surgery The Pudendal Grouppatients received 20 mL levobupivacaine afterstimulation of pudendal nerves Bilateralblockade of pudendal nerves was performedwith the patient in lithotomy or ventraldecubitus position still under the effect ofspinal anesthesia
Efficacy of cholestyramine ointment in
reduction of postoperative pain and pain
during defecation after open
hemorrhoidectomy results of a
prospective single-center randomized
double-blind placebo-controlled trialWorld J Surg 2013 Mar37(3)657-62 doi 101007s00268-012-1895-
3 Ala S1 Eshghi F Enayatifard R Fazel P Rezaei B Hadianamrei R
CONCLUSIONS
Compared with placebo cholestyramineointment (15) reduced postoperative pain atrest and on defecation and consequentlylowered the analgesic requirement after openhemorrhoidectomy
Topical metronidazole can reduce pain aftersurgery and pain on defecation inpostoperative hemorrhoidectomyDis Colon Rectum 2008 Feb51(2)235-8 doi 101007s10350-007-9174-3 Epub 2008 Jan 4
CONCLUSION
These finding indicate that topical 10 percentmetronidazole significantly reduce posthemorrhoidectomy discomfort andpostoperative defecation pain is reducedcompared with that of the placebo controlgroup
Efficacy of metronidazole versus placebo inpain control after hemorrhoidectomy Resultsof a controlled clinical trial2015 Nov107(11)681-5 doi 1017235reed201539262015
Solorio-Loacutepez S1 Palomares-Chacoacuten UR2 Guerrero-Tariacuten JE2 Gonzaacutelez-Ojeda
CONCLUSION
Oral administration of metronidazole iseffective in pain management afterhemorrhoidectomy
Avoidance of Anal Stenosis After Hemorrhoidectomy
Preservation of sufficient intact anodermbetween excision sites generally considered atleast 1 cm of intact intervening anodermAdditionally limiting the number ofhemorrhoids excised in a given setting will alsohelp to limit the incidence of postoperativestenosis
Postoperative complications after procedurefor prolapsed hemorrhoids (PPH) and stapledtransanal rectal resection (STARR) proceduresTechniques in Coloproctology
March 2008 Volume 12 Issue 1 pp 7ndash19 | Cite as
Authors
Authors and affiliations
M Pescatori
G Gagliardi
Conclusion
Meticulous technique and an accurateselection of patients may decrease the risk ofadverse events
Post-hemorrhoidectomy Fecal Incontinence
Excisional hemorrhoidal surgery and its effect on anal continenceWorld J Gastroenterol 2012 Aug 14 18(30) 4059ndash4063
Yan-Dong Li Jia-He Xu Jian-Jiang Lin and Wei-Fang Zhu
Conclusion
However patients with preoperativecompromised continence may have furtherdeterioration of their continence henceMilligan-Morgan hemorrhoidectomy should beavoided in such patients
Fecal Urge Incontinence After Stapled Anopexiafor Prolapse and Hemorrhoids A Prospective Observational StudyArticle (PDF Available) in World Journal of Surgery 33(2)355-64 middot December 2008
Conclusion
Fecal urge incontinence is a self-limiting sideeffect that with which patients need to bemade familiar
Post-hemorrhoidectomy Secondary Hemorrhage
2005 Oct21(5)271-278 Korean Choi DH
Dr Chois Coloproctologic Clinic Pohang Korea
Conclusion
Occurs at home between the fourth andeighteenth postoperative day and takes placein 098 percent of hemorrhoidectomies
In the authors opinion post-hemorrhoidectomy secondary hemorrhageusually is not a preventable complication
Severe rectal bleeding following PPH-stapler procedure for haemorroidal diseaseM AMMENDOLA G SAMMARCO A CARPINO F FERRARI G VESCIO and R SACCO
2014 Nov-Dec 35(11-12) 290ndash292
Conclusion
Haemorrhage is the most important earlycomplication Bleeding tends to occur eitherimmediately after surgery or between thefourth and tenth days after surgery
Four factors may help to minimize the risk ofbleeding manual overstitching of the stapleline use of the PPH03 gun which has a smallerstaple closure and is more hemostatictightening the gun to the absolute limit anduse of a postoperative endoanal sponge
Postoperative urinary retention after surgeryfor benign anorectal disease potential riskfactors and strategy for preventionOctober 2006 Volume 21 Issue 7 pp 676ndash682
Conclusion
Urinary retention is a common complicationafter anorectal surgery It is linked to severalrisk factors including increased intravenousfluids and postoperative pain Perioperativefluid restriction and adequate pain reliefappear to be effective in preventing urinaryretention
THANK YOU
CONCLUSION
Topical application of glyceryl trinitrateeffectively relieves pain and promotes woundhealing after hemorrhoidectomy however thesubstantial headache incidence may limitextensive application
Prolonged Opioid-Sparing Pain Control after Hemorrhoidectomy with Liposome Bupivacaine Results from a Cohort of
95 PatientsAllen B Jetmore12 Douglas Hagen3
1Department of Surgery Overland Park Surgery Center Overland Park KS USA2Shawnee Mission Medical Center Shawnee Mission KS USA3Department of Anesthesia Anesthesia Associates of Kansas City Overland Park KS USAReceived 25 September 2015 accepted 16 January 2016 published 19 January 2016
A total of 266 mg20 mL of undiluted liposomebupivacaine was equally infiltrated into 4quadrants of the deep subcutaneous adiposetissue just outside the sphincter (ischiorectalspace) and beneath the incision lines
Postoperative analgesia for
hemorrhoidectomy with bilateral
pudendal blockade on an ambulatory
patient a controlled clinical studyLuiz Eduardo Imbelloni1 Eneida Maria Vieira2 Antonio Fernando Carneiro3
controlled clinical study J Coloproctol 201232(3) 291-296
At the end of the surgery The Pudendal Grouppatients received 20 mL levobupivacaine afterstimulation of pudendal nerves Bilateralblockade of pudendal nerves was performedwith the patient in lithotomy or ventraldecubitus position still under the effect ofspinal anesthesia
Efficacy of cholestyramine ointment in
reduction of postoperative pain and pain
during defecation after open
hemorrhoidectomy results of a
prospective single-center randomized
double-blind placebo-controlled trialWorld J Surg 2013 Mar37(3)657-62 doi 101007s00268-012-1895-
3 Ala S1 Eshghi F Enayatifard R Fazel P Rezaei B Hadianamrei R
CONCLUSIONS
Compared with placebo cholestyramineointment (15) reduced postoperative pain atrest and on defecation and consequentlylowered the analgesic requirement after openhemorrhoidectomy
Topical metronidazole can reduce pain aftersurgery and pain on defecation inpostoperative hemorrhoidectomyDis Colon Rectum 2008 Feb51(2)235-8 doi 101007s10350-007-9174-3 Epub 2008 Jan 4
CONCLUSION
These finding indicate that topical 10 percentmetronidazole significantly reduce posthemorrhoidectomy discomfort andpostoperative defecation pain is reducedcompared with that of the placebo controlgroup
Efficacy of metronidazole versus placebo inpain control after hemorrhoidectomy Resultsof a controlled clinical trial2015 Nov107(11)681-5 doi 1017235reed201539262015
Solorio-Loacutepez S1 Palomares-Chacoacuten UR2 Guerrero-Tariacuten JE2 Gonzaacutelez-Ojeda
CONCLUSION
Oral administration of metronidazole iseffective in pain management afterhemorrhoidectomy
Avoidance of Anal Stenosis After Hemorrhoidectomy
Preservation of sufficient intact anodermbetween excision sites generally considered atleast 1 cm of intact intervening anodermAdditionally limiting the number ofhemorrhoids excised in a given setting will alsohelp to limit the incidence of postoperativestenosis
Postoperative complications after procedurefor prolapsed hemorrhoids (PPH) and stapledtransanal rectal resection (STARR) proceduresTechniques in Coloproctology
March 2008 Volume 12 Issue 1 pp 7ndash19 | Cite as
Authors
Authors and affiliations
M Pescatori
G Gagliardi
Conclusion
Meticulous technique and an accurateselection of patients may decrease the risk ofadverse events
Post-hemorrhoidectomy Fecal Incontinence
Excisional hemorrhoidal surgery and its effect on anal continenceWorld J Gastroenterol 2012 Aug 14 18(30) 4059ndash4063
Yan-Dong Li Jia-He Xu Jian-Jiang Lin and Wei-Fang Zhu
Conclusion
However patients with preoperativecompromised continence may have furtherdeterioration of their continence henceMilligan-Morgan hemorrhoidectomy should beavoided in such patients
Fecal Urge Incontinence After Stapled Anopexiafor Prolapse and Hemorrhoids A Prospective Observational StudyArticle (PDF Available) in World Journal of Surgery 33(2)355-64 middot December 2008
Conclusion
Fecal urge incontinence is a self-limiting sideeffect that with which patients need to bemade familiar
Post-hemorrhoidectomy Secondary Hemorrhage
2005 Oct21(5)271-278 Korean Choi DH
Dr Chois Coloproctologic Clinic Pohang Korea
Conclusion
Occurs at home between the fourth andeighteenth postoperative day and takes placein 098 percent of hemorrhoidectomies
In the authors opinion post-hemorrhoidectomy secondary hemorrhageusually is not a preventable complication
Severe rectal bleeding following PPH-stapler procedure for haemorroidal diseaseM AMMENDOLA G SAMMARCO A CARPINO F FERRARI G VESCIO and R SACCO
2014 Nov-Dec 35(11-12) 290ndash292
Conclusion
Haemorrhage is the most important earlycomplication Bleeding tends to occur eitherimmediately after surgery or between thefourth and tenth days after surgery
Four factors may help to minimize the risk ofbleeding manual overstitching of the stapleline use of the PPH03 gun which has a smallerstaple closure and is more hemostatictightening the gun to the absolute limit anduse of a postoperative endoanal sponge
Postoperative urinary retention after surgeryfor benign anorectal disease potential riskfactors and strategy for preventionOctober 2006 Volume 21 Issue 7 pp 676ndash682
Conclusion
Urinary retention is a common complicationafter anorectal surgery It is linked to severalrisk factors including increased intravenousfluids and postoperative pain Perioperativefluid restriction and adequate pain reliefappear to be effective in preventing urinaryretention
THANK YOU
Prolonged Opioid-Sparing Pain Control after Hemorrhoidectomy with Liposome Bupivacaine Results from a Cohort of
95 PatientsAllen B Jetmore12 Douglas Hagen3
1Department of Surgery Overland Park Surgery Center Overland Park KS USA2Shawnee Mission Medical Center Shawnee Mission KS USA3Department of Anesthesia Anesthesia Associates of Kansas City Overland Park KS USAReceived 25 September 2015 accepted 16 January 2016 published 19 January 2016
A total of 266 mg20 mL of undiluted liposomebupivacaine was equally infiltrated into 4quadrants of the deep subcutaneous adiposetissue just outside the sphincter (ischiorectalspace) and beneath the incision lines
Postoperative analgesia for
hemorrhoidectomy with bilateral
pudendal blockade on an ambulatory
patient a controlled clinical studyLuiz Eduardo Imbelloni1 Eneida Maria Vieira2 Antonio Fernando Carneiro3
controlled clinical study J Coloproctol 201232(3) 291-296
At the end of the surgery The Pudendal Grouppatients received 20 mL levobupivacaine afterstimulation of pudendal nerves Bilateralblockade of pudendal nerves was performedwith the patient in lithotomy or ventraldecubitus position still under the effect ofspinal anesthesia
Efficacy of cholestyramine ointment in
reduction of postoperative pain and pain
during defecation after open
hemorrhoidectomy results of a
prospective single-center randomized
double-blind placebo-controlled trialWorld J Surg 2013 Mar37(3)657-62 doi 101007s00268-012-1895-
3 Ala S1 Eshghi F Enayatifard R Fazel P Rezaei B Hadianamrei R
CONCLUSIONS
Compared with placebo cholestyramineointment (15) reduced postoperative pain atrest and on defecation and consequentlylowered the analgesic requirement after openhemorrhoidectomy
Topical metronidazole can reduce pain aftersurgery and pain on defecation inpostoperative hemorrhoidectomyDis Colon Rectum 2008 Feb51(2)235-8 doi 101007s10350-007-9174-3 Epub 2008 Jan 4
CONCLUSION
These finding indicate that topical 10 percentmetronidazole significantly reduce posthemorrhoidectomy discomfort andpostoperative defecation pain is reducedcompared with that of the placebo controlgroup
Efficacy of metronidazole versus placebo inpain control after hemorrhoidectomy Resultsof a controlled clinical trial2015 Nov107(11)681-5 doi 1017235reed201539262015
Solorio-Loacutepez S1 Palomares-Chacoacuten UR2 Guerrero-Tariacuten JE2 Gonzaacutelez-Ojeda
CONCLUSION
Oral administration of metronidazole iseffective in pain management afterhemorrhoidectomy
Avoidance of Anal Stenosis After Hemorrhoidectomy
Preservation of sufficient intact anodermbetween excision sites generally considered atleast 1 cm of intact intervening anodermAdditionally limiting the number ofhemorrhoids excised in a given setting will alsohelp to limit the incidence of postoperativestenosis
Postoperative complications after procedurefor prolapsed hemorrhoids (PPH) and stapledtransanal rectal resection (STARR) proceduresTechniques in Coloproctology
March 2008 Volume 12 Issue 1 pp 7ndash19 | Cite as
Authors
Authors and affiliations
M Pescatori
G Gagliardi
Conclusion
Meticulous technique and an accurateselection of patients may decrease the risk ofadverse events
Post-hemorrhoidectomy Fecal Incontinence
Excisional hemorrhoidal surgery and its effect on anal continenceWorld J Gastroenterol 2012 Aug 14 18(30) 4059ndash4063
Yan-Dong Li Jia-He Xu Jian-Jiang Lin and Wei-Fang Zhu
Conclusion
However patients with preoperativecompromised continence may have furtherdeterioration of their continence henceMilligan-Morgan hemorrhoidectomy should beavoided in such patients
Fecal Urge Incontinence After Stapled Anopexiafor Prolapse and Hemorrhoids A Prospective Observational StudyArticle (PDF Available) in World Journal of Surgery 33(2)355-64 middot December 2008
Conclusion
Fecal urge incontinence is a self-limiting sideeffect that with which patients need to bemade familiar
Post-hemorrhoidectomy Secondary Hemorrhage
2005 Oct21(5)271-278 Korean Choi DH
Dr Chois Coloproctologic Clinic Pohang Korea
Conclusion
Occurs at home between the fourth andeighteenth postoperative day and takes placein 098 percent of hemorrhoidectomies
In the authors opinion post-hemorrhoidectomy secondary hemorrhageusually is not a preventable complication
Severe rectal bleeding following PPH-stapler procedure for haemorroidal diseaseM AMMENDOLA G SAMMARCO A CARPINO F FERRARI G VESCIO and R SACCO
2014 Nov-Dec 35(11-12) 290ndash292
Conclusion
Haemorrhage is the most important earlycomplication Bleeding tends to occur eitherimmediately after surgery or between thefourth and tenth days after surgery
Four factors may help to minimize the risk ofbleeding manual overstitching of the stapleline use of the PPH03 gun which has a smallerstaple closure and is more hemostatictightening the gun to the absolute limit anduse of a postoperative endoanal sponge
Postoperative urinary retention after surgeryfor benign anorectal disease potential riskfactors and strategy for preventionOctober 2006 Volume 21 Issue 7 pp 676ndash682
Conclusion
Urinary retention is a common complicationafter anorectal surgery It is linked to severalrisk factors including increased intravenousfluids and postoperative pain Perioperativefluid restriction and adequate pain reliefappear to be effective in preventing urinaryretention
THANK YOU
A total of 266 mg20 mL of undiluted liposomebupivacaine was equally infiltrated into 4quadrants of the deep subcutaneous adiposetissue just outside the sphincter (ischiorectalspace) and beneath the incision lines
Postoperative analgesia for
hemorrhoidectomy with bilateral
pudendal blockade on an ambulatory
patient a controlled clinical studyLuiz Eduardo Imbelloni1 Eneida Maria Vieira2 Antonio Fernando Carneiro3
controlled clinical study J Coloproctol 201232(3) 291-296
At the end of the surgery The Pudendal Grouppatients received 20 mL levobupivacaine afterstimulation of pudendal nerves Bilateralblockade of pudendal nerves was performedwith the patient in lithotomy or ventraldecubitus position still under the effect ofspinal anesthesia
Efficacy of cholestyramine ointment in
reduction of postoperative pain and pain
during defecation after open
hemorrhoidectomy results of a
prospective single-center randomized
double-blind placebo-controlled trialWorld J Surg 2013 Mar37(3)657-62 doi 101007s00268-012-1895-
3 Ala S1 Eshghi F Enayatifard R Fazel P Rezaei B Hadianamrei R
CONCLUSIONS
Compared with placebo cholestyramineointment (15) reduced postoperative pain atrest and on defecation and consequentlylowered the analgesic requirement after openhemorrhoidectomy
Topical metronidazole can reduce pain aftersurgery and pain on defecation inpostoperative hemorrhoidectomyDis Colon Rectum 2008 Feb51(2)235-8 doi 101007s10350-007-9174-3 Epub 2008 Jan 4
CONCLUSION
These finding indicate that topical 10 percentmetronidazole significantly reduce posthemorrhoidectomy discomfort andpostoperative defecation pain is reducedcompared with that of the placebo controlgroup
Efficacy of metronidazole versus placebo inpain control after hemorrhoidectomy Resultsof a controlled clinical trial2015 Nov107(11)681-5 doi 1017235reed201539262015
Solorio-Loacutepez S1 Palomares-Chacoacuten UR2 Guerrero-Tariacuten JE2 Gonzaacutelez-Ojeda
CONCLUSION
Oral administration of metronidazole iseffective in pain management afterhemorrhoidectomy
Avoidance of Anal Stenosis After Hemorrhoidectomy
Preservation of sufficient intact anodermbetween excision sites generally considered atleast 1 cm of intact intervening anodermAdditionally limiting the number ofhemorrhoids excised in a given setting will alsohelp to limit the incidence of postoperativestenosis
Postoperative complications after procedurefor prolapsed hemorrhoids (PPH) and stapledtransanal rectal resection (STARR) proceduresTechniques in Coloproctology
March 2008 Volume 12 Issue 1 pp 7ndash19 | Cite as
Authors
Authors and affiliations
M Pescatori
G Gagliardi
Conclusion
Meticulous technique and an accurateselection of patients may decrease the risk ofadverse events
Post-hemorrhoidectomy Fecal Incontinence
Excisional hemorrhoidal surgery and its effect on anal continenceWorld J Gastroenterol 2012 Aug 14 18(30) 4059ndash4063
Yan-Dong Li Jia-He Xu Jian-Jiang Lin and Wei-Fang Zhu
Conclusion
However patients with preoperativecompromised continence may have furtherdeterioration of their continence henceMilligan-Morgan hemorrhoidectomy should beavoided in such patients
Fecal Urge Incontinence After Stapled Anopexiafor Prolapse and Hemorrhoids A Prospective Observational StudyArticle (PDF Available) in World Journal of Surgery 33(2)355-64 middot December 2008
Conclusion
Fecal urge incontinence is a self-limiting sideeffect that with which patients need to bemade familiar
Post-hemorrhoidectomy Secondary Hemorrhage
2005 Oct21(5)271-278 Korean Choi DH
Dr Chois Coloproctologic Clinic Pohang Korea
Conclusion
Occurs at home between the fourth andeighteenth postoperative day and takes placein 098 percent of hemorrhoidectomies
In the authors opinion post-hemorrhoidectomy secondary hemorrhageusually is not a preventable complication
Severe rectal bleeding following PPH-stapler procedure for haemorroidal diseaseM AMMENDOLA G SAMMARCO A CARPINO F FERRARI G VESCIO and R SACCO
2014 Nov-Dec 35(11-12) 290ndash292
Conclusion
Haemorrhage is the most important earlycomplication Bleeding tends to occur eitherimmediately after surgery or between thefourth and tenth days after surgery
Four factors may help to minimize the risk ofbleeding manual overstitching of the stapleline use of the PPH03 gun which has a smallerstaple closure and is more hemostatictightening the gun to the absolute limit anduse of a postoperative endoanal sponge
Postoperative urinary retention after surgeryfor benign anorectal disease potential riskfactors and strategy for preventionOctober 2006 Volume 21 Issue 7 pp 676ndash682
Conclusion
Urinary retention is a common complicationafter anorectal surgery It is linked to severalrisk factors including increased intravenousfluids and postoperative pain Perioperativefluid restriction and adequate pain reliefappear to be effective in preventing urinaryretention
THANK YOU
Postoperative analgesia for
hemorrhoidectomy with bilateral
pudendal blockade on an ambulatory
patient a controlled clinical studyLuiz Eduardo Imbelloni1 Eneida Maria Vieira2 Antonio Fernando Carneiro3
controlled clinical study J Coloproctol 201232(3) 291-296
At the end of the surgery The Pudendal Grouppatients received 20 mL levobupivacaine afterstimulation of pudendal nerves Bilateralblockade of pudendal nerves was performedwith the patient in lithotomy or ventraldecubitus position still under the effect ofspinal anesthesia
Efficacy of cholestyramine ointment in
reduction of postoperative pain and pain
during defecation after open
hemorrhoidectomy results of a
prospective single-center randomized
double-blind placebo-controlled trialWorld J Surg 2013 Mar37(3)657-62 doi 101007s00268-012-1895-
3 Ala S1 Eshghi F Enayatifard R Fazel P Rezaei B Hadianamrei R
CONCLUSIONS
Compared with placebo cholestyramineointment (15) reduced postoperative pain atrest and on defecation and consequentlylowered the analgesic requirement after openhemorrhoidectomy
Topical metronidazole can reduce pain aftersurgery and pain on defecation inpostoperative hemorrhoidectomyDis Colon Rectum 2008 Feb51(2)235-8 doi 101007s10350-007-9174-3 Epub 2008 Jan 4
CONCLUSION
These finding indicate that topical 10 percentmetronidazole significantly reduce posthemorrhoidectomy discomfort andpostoperative defecation pain is reducedcompared with that of the placebo controlgroup
Efficacy of metronidazole versus placebo inpain control after hemorrhoidectomy Resultsof a controlled clinical trial2015 Nov107(11)681-5 doi 1017235reed201539262015
Solorio-Loacutepez S1 Palomares-Chacoacuten UR2 Guerrero-Tariacuten JE2 Gonzaacutelez-Ojeda
CONCLUSION
Oral administration of metronidazole iseffective in pain management afterhemorrhoidectomy
Avoidance of Anal Stenosis After Hemorrhoidectomy
Preservation of sufficient intact anodermbetween excision sites generally considered atleast 1 cm of intact intervening anodermAdditionally limiting the number ofhemorrhoids excised in a given setting will alsohelp to limit the incidence of postoperativestenosis
Postoperative complications after procedurefor prolapsed hemorrhoids (PPH) and stapledtransanal rectal resection (STARR) proceduresTechniques in Coloproctology
March 2008 Volume 12 Issue 1 pp 7ndash19 | Cite as
Authors
Authors and affiliations
M Pescatori
G Gagliardi
Conclusion
Meticulous technique and an accurateselection of patients may decrease the risk ofadverse events
Post-hemorrhoidectomy Fecal Incontinence
Excisional hemorrhoidal surgery and its effect on anal continenceWorld J Gastroenterol 2012 Aug 14 18(30) 4059ndash4063
Yan-Dong Li Jia-He Xu Jian-Jiang Lin and Wei-Fang Zhu
Conclusion
However patients with preoperativecompromised continence may have furtherdeterioration of their continence henceMilligan-Morgan hemorrhoidectomy should beavoided in such patients
Fecal Urge Incontinence After Stapled Anopexiafor Prolapse and Hemorrhoids A Prospective Observational StudyArticle (PDF Available) in World Journal of Surgery 33(2)355-64 middot December 2008
Conclusion
Fecal urge incontinence is a self-limiting sideeffect that with which patients need to bemade familiar
Post-hemorrhoidectomy Secondary Hemorrhage
2005 Oct21(5)271-278 Korean Choi DH
Dr Chois Coloproctologic Clinic Pohang Korea
Conclusion
Occurs at home between the fourth andeighteenth postoperative day and takes placein 098 percent of hemorrhoidectomies
In the authors opinion post-hemorrhoidectomy secondary hemorrhageusually is not a preventable complication
Severe rectal bleeding following PPH-stapler procedure for haemorroidal diseaseM AMMENDOLA G SAMMARCO A CARPINO F FERRARI G VESCIO and R SACCO
2014 Nov-Dec 35(11-12) 290ndash292
Conclusion
Haemorrhage is the most important earlycomplication Bleeding tends to occur eitherimmediately after surgery or between thefourth and tenth days after surgery
Four factors may help to minimize the risk ofbleeding manual overstitching of the stapleline use of the PPH03 gun which has a smallerstaple closure and is more hemostatictightening the gun to the absolute limit anduse of a postoperative endoanal sponge
Postoperative urinary retention after surgeryfor benign anorectal disease potential riskfactors and strategy for preventionOctober 2006 Volume 21 Issue 7 pp 676ndash682
Conclusion
Urinary retention is a common complicationafter anorectal surgery It is linked to severalrisk factors including increased intravenousfluids and postoperative pain Perioperativefluid restriction and adequate pain reliefappear to be effective in preventing urinaryretention
THANK YOU
At the end of the surgery The Pudendal Grouppatients received 20 mL levobupivacaine afterstimulation of pudendal nerves Bilateralblockade of pudendal nerves was performedwith the patient in lithotomy or ventraldecubitus position still under the effect ofspinal anesthesia
Efficacy of cholestyramine ointment in
reduction of postoperative pain and pain
during defecation after open
hemorrhoidectomy results of a
prospective single-center randomized
double-blind placebo-controlled trialWorld J Surg 2013 Mar37(3)657-62 doi 101007s00268-012-1895-
3 Ala S1 Eshghi F Enayatifard R Fazel P Rezaei B Hadianamrei R
CONCLUSIONS
Compared with placebo cholestyramineointment (15) reduced postoperative pain atrest and on defecation and consequentlylowered the analgesic requirement after openhemorrhoidectomy
Topical metronidazole can reduce pain aftersurgery and pain on defecation inpostoperative hemorrhoidectomyDis Colon Rectum 2008 Feb51(2)235-8 doi 101007s10350-007-9174-3 Epub 2008 Jan 4
CONCLUSION
These finding indicate that topical 10 percentmetronidazole significantly reduce posthemorrhoidectomy discomfort andpostoperative defecation pain is reducedcompared with that of the placebo controlgroup
Efficacy of metronidazole versus placebo inpain control after hemorrhoidectomy Resultsof a controlled clinical trial2015 Nov107(11)681-5 doi 1017235reed201539262015
Solorio-Loacutepez S1 Palomares-Chacoacuten UR2 Guerrero-Tariacuten JE2 Gonzaacutelez-Ojeda
CONCLUSION
Oral administration of metronidazole iseffective in pain management afterhemorrhoidectomy
Avoidance of Anal Stenosis After Hemorrhoidectomy
Preservation of sufficient intact anodermbetween excision sites generally considered atleast 1 cm of intact intervening anodermAdditionally limiting the number ofhemorrhoids excised in a given setting will alsohelp to limit the incidence of postoperativestenosis
Postoperative complications after procedurefor prolapsed hemorrhoids (PPH) and stapledtransanal rectal resection (STARR) proceduresTechniques in Coloproctology
March 2008 Volume 12 Issue 1 pp 7ndash19 | Cite as
Authors
Authors and affiliations
M Pescatori
G Gagliardi
Conclusion
Meticulous technique and an accurateselection of patients may decrease the risk ofadverse events
Post-hemorrhoidectomy Fecal Incontinence
Excisional hemorrhoidal surgery and its effect on anal continenceWorld J Gastroenterol 2012 Aug 14 18(30) 4059ndash4063
Yan-Dong Li Jia-He Xu Jian-Jiang Lin and Wei-Fang Zhu
Conclusion
However patients with preoperativecompromised continence may have furtherdeterioration of their continence henceMilligan-Morgan hemorrhoidectomy should beavoided in such patients
Fecal Urge Incontinence After Stapled Anopexiafor Prolapse and Hemorrhoids A Prospective Observational StudyArticle (PDF Available) in World Journal of Surgery 33(2)355-64 middot December 2008
Conclusion
Fecal urge incontinence is a self-limiting sideeffect that with which patients need to bemade familiar
Post-hemorrhoidectomy Secondary Hemorrhage
2005 Oct21(5)271-278 Korean Choi DH
Dr Chois Coloproctologic Clinic Pohang Korea
Conclusion
Occurs at home between the fourth andeighteenth postoperative day and takes placein 098 percent of hemorrhoidectomies
In the authors opinion post-hemorrhoidectomy secondary hemorrhageusually is not a preventable complication
Severe rectal bleeding following PPH-stapler procedure for haemorroidal diseaseM AMMENDOLA G SAMMARCO A CARPINO F FERRARI G VESCIO and R SACCO
2014 Nov-Dec 35(11-12) 290ndash292
Conclusion
Haemorrhage is the most important earlycomplication Bleeding tends to occur eitherimmediately after surgery or between thefourth and tenth days after surgery
Four factors may help to minimize the risk ofbleeding manual overstitching of the stapleline use of the PPH03 gun which has a smallerstaple closure and is more hemostatictightening the gun to the absolute limit anduse of a postoperative endoanal sponge
Postoperative urinary retention after surgeryfor benign anorectal disease potential riskfactors and strategy for preventionOctober 2006 Volume 21 Issue 7 pp 676ndash682
Conclusion
Urinary retention is a common complicationafter anorectal surgery It is linked to severalrisk factors including increased intravenousfluids and postoperative pain Perioperativefluid restriction and adequate pain reliefappear to be effective in preventing urinaryretention
THANK YOU
Efficacy of cholestyramine ointment in
reduction of postoperative pain and pain
during defecation after open
hemorrhoidectomy results of a
prospective single-center randomized
double-blind placebo-controlled trialWorld J Surg 2013 Mar37(3)657-62 doi 101007s00268-012-1895-
3 Ala S1 Eshghi F Enayatifard R Fazel P Rezaei B Hadianamrei R
CONCLUSIONS
Compared with placebo cholestyramineointment (15) reduced postoperative pain atrest and on defecation and consequentlylowered the analgesic requirement after openhemorrhoidectomy
Topical metronidazole can reduce pain aftersurgery and pain on defecation inpostoperative hemorrhoidectomyDis Colon Rectum 2008 Feb51(2)235-8 doi 101007s10350-007-9174-3 Epub 2008 Jan 4
CONCLUSION
These finding indicate that topical 10 percentmetronidazole significantly reduce posthemorrhoidectomy discomfort andpostoperative defecation pain is reducedcompared with that of the placebo controlgroup
Efficacy of metronidazole versus placebo inpain control after hemorrhoidectomy Resultsof a controlled clinical trial2015 Nov107(11)681-5 doi 1017235reed201539262015
Solorio-Loacutepez S1 Palomares-Chacoacuten UR2 Guerrero-Tariacuten JE2 Gonzaacutelez-Ojeda
CONCLUSION
Oral administration of metronidazole iseffective in pain management afterhemorrhoidectomy
Avoidance of Anal Stenosis After Hemorrhoidectomy
Preservation of sufficient intact anodermbetween excision sites generally considered atleast 1 cm of intact intervening anodermAdditionally limiting the number ofhemorrhoids excised in a given setting will alsohelp to limit the incidence of postoperativestenosis
Postoperative complications after procedurefor prolapsed hemorrhoids (PPH) and stapledtransanal rectal resection (STARR) proceduresTechniques in Coloproctology
March 2008 Volume 12 Issue 1 pp 7ndash19 | Cite as
Authors
Authors and affiliations
M Pescatori
G Gagliardi
Conclusion
Meticulous technique and an accurateselection of patients may decrease the risk ofadverse events
Post-hemorrhoidectomy Fecal Incontinence
Excisional hemorrhoidal surgery and its effect on anal continenceWorld J Gastroenterol 2012 Aug 14 18(30) 4059ndash4063
Yan-Dong Li Jia-He Xu Jian-Jiang Lin and Wei-Fang Zhu
Conclusion
However patients with preoperativecompromised continence may have furtherdeterioration of their continence henceMilligan-Morgan hemorrhoidectomy should beavoided in such patients
Fecal Urge Incontinence After Stapled Anopexiafor Prolapse and Hemorrhoids A Prospective Observational StudyArticle (PDF Available) in World Journal of Surgery 33(2)355-64 middot December 2008
Conclusion
Fecal urge incontinence is a self-limiting sideeffect that with which patients need to bemade familiar
Post-hemorrhoidectomy Secondary Hemorrhage
2005 Oct21(5)271-278 Korean Choi DH
Dr Chois Coloproctologic Clinic Pohang Korea
Conclusion
Occurs at home between the fourth andeighteenth postoperative day and takes placein 098 percent of hemorrhoidectomies
In the authors opinion post-hemorrhoidectomy secondary hemorrhageusually is not a preventable complication
Severe rectal bleeding following PPH-stapler procedure for haemorroidal diseaseM AMMENDOLA G SAMMARCO A CARPINO F FERRARI G VESCIO and R SACCO
2014 Nov-Dec 35(11-12) 290ndash292
Conclusion
Haemorrhage is the most important earlycomplication Bleeding tends to occur eitherimmediately after surgery or between thefourth and tenth days after surgery
Four factors may help to minimize the risk ofbleeding manual overstitching of the stapleline use of the PPH03 gun which has a smallerstaple closure and is more hemostatictightening the gun to the absolute limit anduse of a postoperative endoanal sponge
Postoperative urinary retention after surgeryfor benign anorectal disease potential riskfactors and strategy for preventionOctober 2006 Volume 21 Issue 7 pp 676ndash682
Conclusion
Urinary retention is a common complicationafter anorectal surgery It is linked to severalrisk factors including increased intravenousfluids and postoperative pain Perioperativefluid restriction and adequate pain reliefappear to be effective in preventing urinaryretention
THANK YOU
CONCLUSIONS
Compared with placebo cholestyramineointment (15) reduced postoperative pain atrest and on defecation and consequentlylowered the analgesic requirement after openhemorrhoidectomy
Topical metronidazole can reduce pain aftersurgery and pain on defecation inpostoperative hemorrhoidectomyDis Colon Rectum 2008 Feb51(2)235-8 doi 101007s10350-007-9174-3 Epub 2008 Jan 4
CONCLUSION
These finding indicate that topical 10 percentmetronidazole significantly reduce posthemorrhoidectomy discomfort andpostoperative defecation pain is reducedcompared with that of the placebo controlgroup
Efficacy of metronidazole versus placebo inpain control after hemorrhoidectomy Resultsof a controlled clinical trial2015 Nov107(11)681-5 doi 1017235reed201539262015
Solorio-Loacutepez S1 Palomares-Chacoacuten UR2 Guerrero-Tariacuten JE2 Gonzaacutelez-Ojeda
CONCLUSION
Oral administration of metronidazole iseffective in pain management afterhemorrhoidectomy
Avoidance of Anal Stenosis After Hemorrhoidectomy
Preservation of sufficient intact anodermbetween excision sites generally considered atleast 1 cm of intact intervening anodermAdditionally limiting the number ofhemorrhoids excised in a given setting will alsohelp to limit the incidence of postoperativestenosis
Postoperative complications after procedurefor prolapsed hemorrhoids (PPH) and stapledtransanal rectal resection (STARR) proceduresTechniques in Coloproctology
March 2008 Volume 12 Issue 1 pp 7ndash19 | Cite as
Authors
Authors and affiliations
M Pescatori
G Gagliardi
Conclusion
Meticulous technique and an accurateselection of patients may decrease the risk ofadverse events
Post-hemorrhoidectomy Fecal Incontinence
Excisional hemorrhoidal surgery and its effect on anal continenceWorld J Gastroenterol 2012 Aug 14 18(30) 4059ndash4063
Yan-Dong Li Jia-He Xu Jian-Jiang Lin and Wei-Fang Zhu
Conclusion
However patients with preoperativecompromised continence may have furtherdeterioration of their continence henceMilligan-Morgan hemorrhoidectomy should beavoided in such patients
Fecal Urge Incontinence After Stapled Anopexiafor Prolapse and Hemorrhoids A Prospective Observational StudyArticle (PDF Available) in World Journal of Surgery 33(2)355-64 middot December 2008
Conclusion
Fecal urge incontinence is a self-limiting sideeffect that with which patients need to bemade familiar
Post-hemorrhoidectomy Secondary Hemorrhage
2005 Oct21(5)271-278 Korean Choi DH
Dr Chois Coloproctologic Clinic Pohang Korea
Conclusion
Occurs at home between the fourth andeighteenth postoperative day and takes placein 098 percent of hemorrhoidectomies
In the authors opinion post-hemorrhoidectomy secondary hemorrhageusually is not a preventable complication
Severe rectal bleeding following PPH-stapler procedure for haemorroidal diseaseM AMMENDOLA G SAMMARCO A CARPINO F FERRARI G VESCIO and R SACCO
2014 Nov-Dec 35(11-12) 290ndash292
Conclusion
Haemorrhage is the most important earlycomplication Bleeding tends to occur eitherimmediately after surgery or between thefourth and tenth days after surgery
Four factors may help to minimize the risk ofbleeding manual overstitching of the stapleline use of the PPH03 gun which has a smallerstaple closure and is more hemostatictightening the gun to the absolute limit anduse of a postoperative endoanal sponge
Postoperative urinary retention after surgeryfor benign anorectal disease potential riskfactors and strategy for preventionOctober 2006 Volume 21 Issue 7 pp 676ndash682
Conclusion
Urinary retention is a common complicationafter anorectal surgery It is linked to severalrisk factors including increased intravenousfluids and postoperative pain Perioperativefluid restriction and adequate pain reliefappear to be effective in preventing urinaryretention
THANK YOU
Topical metronidazole can reduce pain aftersurgery and pain on defecation inpostoperative hemorrhoidectomyDis Colon Rectum 2008 Feb51(2)235-8 doi 101007s10350-007-9174-3 Epub 2008 Jan 4
CONCLUSION
These finding indicate that topical 10 percentmetronidazole significantly reduce posthemorrhoidectomy discomfort andpostoperative defecation pain is reducedcompared with that of the placebo controlgroup
Efficacy of metronidazole versus placebo inpain control after hemorrhoidectomy Resultsof a controlled clinical trial2015 Nov107(11)681-5 doi 1017235reed201539262015
Solorio-Loacutepez S1 Palomares-Chacoacuten UR2 Guerrero-Tariacuten JE2 Gonzaacutelez-Ojeda
CONCLUSION
Oral administration of metronidazole iseffective in pain management afterhemorrhoidectomy
Avoidance of Anal Stenosis After Hemorrhoidectomy
Preservation of sufficient intact anodermbetween excision sites generally considered atleast 1 cm of intact intervening anodermAdditionally limiting the number ofhemorrhoids excised in a given setting will alsohelp to limit the incidence of postoperativestenosis
Postoperative complications after procedurefor prolapsed hemorrhoids (PPH) and stapledtransanal rectal resection (STARR) proceduresTechniques in Coloproctology
March 2008 Volume 12 Issue 1 pp 7ndash19 | Cite as
Authors
Authors and affiliations
M Pescatori
G Gagliardi
Conclusion
Meticulous technique and an accurateselection of patients may decrease the risk ofadverse events
Post-hemorrhoidectomy Fecal Incontinence
Excisional hemorrhoidal surgery and its effect on anal continenceWorld J Gastroenterol 2012 Aug 14 18(30) 4059ndash4063
Yan-Dong Li Jia-He Xu Jian-Jiang Lin and Wei-Fang Zhu
Conclusion
However patients with preoperativecompromised continence may have furtherdeterioration of their continence henceMilligan-Morgan hemorrhoidectomy should beavoided in such patients
Fecal Urge Incontinence After Stapled Anopexiafor Prolapse and Hemorrhoids A Prospective Observational StudyArticle (PDF Available) in World Journal of Surgery 33(2)355-64 middot December 2008
Conclusion
Fecal urge incontinence is a self-limiting sideeffect that with which patients need to bemade familiar
Post-hemorrhoidectomy Secondary Hemorrhage
2005 Oct21(5)271-278 Korean Choi DH
Dr Chois Coloproctologic Clinic Pohang Korea
Conclusion
Occurs at home between the fourth andeighteenth postoperative day and takes placein 098 percent of hemorrhoidectomies
In the authors opinion post-hemorrhoidectomy secondary hemorrhageusually is not a preventable complication
Severe rectal bleeding following PPH-stapler procedure for haemorroidal diseaseM AMMENDOLA G SAMMARCO A CARPINO F FERRARI G VESCIO and R SACCO
2014 Nov-Dec 35(11-12) 290ndash292
Conclusion
Haemorrhage is the most important earlycomplication Bleeding tends to occur eitherimmediately after surgery or between thefourth and tenth days after surgery
Four factors may help to minimize the risk ofbleeding manual overstitching of the stapleline use of the PPH03 gun which has a smallerstaple closure and is more hemostatictightening the gun to the absolute limit anduse of a postoperative endoanal sponge
Postoperative urinary retention after surgeryfor benign anorectal disease potential riskfactors and strategy for preventionOctober 2006 Volume 21 Issue 7 pp 676ndash682
Conclusion
Urinary retention is a common complicationafter anorectal surgery It is linked to severalrisk factors including increased intravenousfluids and postoperative pain Perioperativefluid restriction and adequate pain reliefappear to be effective in preventing urinaryretention
THANK YOU
CONCLUSION
These finding indicate that topical 10 percentmetronidazole significantly reduce posthemorrhoidectomy discomfort andpostoperative defecation pain is reducedcompared with that of the placebo controlgroup
Efficacy of metronidazole versus placebo inpain control after hemorrhoidectomy Resultsof a controlled clinical trial2015 Nov107(11)681-5 doi 1017235reed201539262015
Solorio-Loacutepez S1 Palomares-Chacoacuten UR2 Guerrero-Tariacuten JE2 Gonzaacutelez-Ojeda
CONCLUSION
Oral administration of metronidazole iseffective in pain management afterhemorrhoidectomy
Avoidance of Anal Stenosis After Hemorrhoidectomy
Preservation of sufficient intact anodermbetween excision sites generally considered atleast 1 cm of intact intervening anodermAdditionally limiting the number ofhemorrhoids excised in a given setting will alsohelp to limit the incidence of postoperativestenosis
Postoperative complications after procedurefor prolapsed hemorrhoids (PPH) and stapledtransanal rectal resection (STARR) proceduresTechniques in Coloproctology
March 2008 Volume 12 Issue 1 pp 7ndash19 | Cite as
Authors
Authors and affiliations
M Pescatori
G Gagliardi
Conclusion
Meticulous technique and an accurateselection of patients may decrease the risk ofadverse events
Post-hemorrhoidectomy Fecal Incontinence
Excisional hemorrhoidal surgery and its effect on anal continenceWorld J Gastroenterol 2012 Aug 14 18(30) 4059ndash4063
Yan-Dong Li Jia-He Xu Jian-Jiang Lin and Wei-Fang Zhu
Conclusion
However patients with preoperativecompromised continence may have furtherdeterioration of their continence henceMilligan-Morgan hemorrhoidectomy should beavoided in such patients
Fecal Urge Incontinence After Stapled Anopexiafor Prolapse and Hemorrhoids A Prospective Observational StudyArticle (PDF Available) in World Journal of Surgery 33(2)355-64 middot December 2008
Conclusion
Fecal urge incontinence is a self-limiting sideeffect that with which patients need to bemade familiar
Post-hemorrhoidectomy Secondary Hemorrhage
2005 Oct21(5)271-278 Korean Choi DH
Dr Chois Coloproctologic Clinic Pohang Korea
Conclusion
Occurs at home between the fourth andeighteenth postoperative day and takes placein 098 percent of hemorrhoidectomies
In the authors opinion post-hemorrhoidectomy secondary hemorrhageusually is not a preventable complication
Severe rectal bleeding following PPH-stapler procedure for haemorroidal diseaseM AMMENDOLA G SAMMARCO A CARPINO F FERRARI G VESCIO and R SACCO
2014 Nov-Dec 35(11-12) 290ndash292
Conclusion
Haemorrhage is the most important earlycomplication Bleeding tends to occur eitherimmediately after surgery or between thefourth and tenth days after surgery
Four factors may help to minimize the risk ofbleeding manual overstitching of the stapleline use of the PPH03 gun which has a smallerstaple closure and is more hemostatictightening the gun to the absolute limit anduse of a postoperative endoanal sponge
Postoperative urinary retention after surgeryfor benign anorectal disease potential riskfactors and strategy for preventionOctober 2006 Volume 21 Issue 7 pp 676ndash682
Conclusion
Urinary retention is a common complicationafter anorectal surgery It is linked to severalrisk factors including increased intravenousfluids and postoperative pain Perioperativefluid restriction and adequate pain reliefappear to be effective in preventing urinaryretention
THANK YOU
Efficacy of metronidazole versus placebo inpain control after hemorrhoidectomy Resultsof a controlled clinical trial2015 Nov107(11)681-5 doi 1017235reed201539262015
Solorio-Loacutepez S1 Palomares-Chacoacuten UR2 Guerrero-Tariacuten JE2 Gonzaacutelez-Ojeda
CONCLUSION
Oral administration of metronidazole iseffective in pain management afterhemorrhoidectomy
Avoidance of Anal Stenosis After Hemorrhoidectomy
Preservation of sufficient intact anodermbetween excision sites generally considered atleast 1 cm of intact intervening anodermAdditionally limiting the number ofhemorrhoids excised in a given setting will alsohelp to limit the incidence of postoperativestenosis
Postoperative complications after procedurefor prolapsed hemorrhoids (PPH) and stapledtransanal rectal resection (STARR) proceduresTechniques in Coloproctology
March 2008 Volume 12 Issue 1 pp 7ndash19 | Cite as
Authors
Authors and affiliations
M Pescatori
G Gagliardi
Conclusion
Meticulous technique and an accurateselection of patients may decrease the risk ofadverse events
Post-hemorrhoidectomy Fecal Incontinence
Excisional hemorrhoidal surgery and its effect on anal continenceWorld J Gastroenterol 2012 Aug 14 18(30) 4059ndash4063
Yan-Dong Li Jia-He Xu Jian-Jiang Lin and Wei-Fang Zhu
Conclusion
However patients with preoperativecompromised continence may have furtherdeterioration of their continence henceMilligan-Morgan hemorrhoidectomy should beavoided in such patients
Fecal Urge Incontinence After Stapled Anopexiafor Prolapse and Hemorrhoids A Prospective Observational StudyArticle (PDF Available) in World Journal of Surgery 33(2)355-64 middot December 2008
Conclusion
Fecal urge incontinence is a self-limiting sideeffect that with which patients need to bemade familiar
Post-hemorrhoidectomy Secondary Hemorrhage
2005 Oct21(5)271-278 Korean Choi DH
Dr Chois Coloproctologic Clinic Pohang Korea
Conclusion
Occurs at home between the fourth andeighteenth postoperative day and takes placein 098 percent of hemorrhoidectomies
In the authors opinion post-hemorrhoidectomy secondary hemorrhageusually is not a preventable complication
Severe rectal bleeding following PPH-stapler procedure for haemorroidal diseaseM AMMENDOLA G SAMMARCO A CARPINO F FERRARI G VESCIO and R SACCO
2014 Nov-Dec 35(11-12) 290ndash292
Conclusion
Haemorrhage is the most important earlycomplication Bleeding tends to occur eitherimmediately after surgery or between thefourth and tenth days after surgery
Four factors may help to minimize the risk ofbleeding manual overstitching of the stapleline use of the PPH03 gun which has a smallerstaple closure and is more hemostatictightening the gun to the absolute limit anduse of a postoperative endoanal sponge
Postoperative urinary retention after surgeryfor benign anorectal disease potential riskfactors and strategy for preventionOctober 2006 Volume 21 Issue 7 pp 676ndash682
Conclusion
Urinary retention is a common complicationafter anorectal surgery It is linked to severalrisk factors including increased intravenousfluids and postoperative pain Perioperativefluid restriction and adequate pain reliefappear to be effective in preventing urinaryretention
THANK YOU
CONCLUSION
Oral administration of metronidazole iseffective in pain management afterhemorrhoidectomy
Avoidance of Anal Stenosis After Hemorrhoidectomy
Preservation of sufficient intact anodermbetween excision sites generally considered atleast 1 cm of intact intervening anodermAdditionally limiting the number ofhemorrhoids excised in a given setting will alsohelp to limit the incidence of postoperativestenosis
Postoperative complications after procedurefor prolapsed hemorrhoids (PPH) and stapledtransanal rectal resection (STARR) proceduresTechniques in Coloproctology
March 2008 Volume 12 Issue 1 pp 7ndash19 | Cite as
Authors
Authors and affiliations
M Pescatori
G Gagliardi
Conclusion
Meticulous technique and an accurateselection of patients may decrease the risk ofadverse events
Post-hemorrhoidectomy Fecal Incontinence
Excisional hemorrhoidal surgery and its effect on anal continenceWorld J Gastroenterol 2012 Aug 14 18(30) 4059ndash4063
Yan-Dong Li Jia-He Xu Jian-Jiang Lin and Wei-Fang Zhu
Conclusion
However patients with preoperativecompromised continence may have furtherdeterioration of their continence henceMilligan-Morgan hemorrhoidectomy should beavoided in such patients
Fecal Urge Incontinence After Stapled Anopexiafor Prolapse and Hemorrhoids A Prospective Observational StudyArticle (PDF Available) in World Journal of Surgery 33(2)355-64 middot December 2008
Conclusion
Fecal urge incontinence is a self-limiting sideeffect that with which patients need to bemade familiar
Post-hemorrhoidectomy Secondary Hemorrhage
2005 Oct21(5)271-278 Korean Choi DH
Dr Chois Coloproctologic Clinic Pohang Korea
Conclusion
Occurs at home between the fourth andeighteenth postoperative day and takes placein 098 percent of hemorrhoidectomies
In the authors opinion post-hemorrhoidectomy secondary hemorrhageusually is not a preventable complication
Severe rectal bleeding following PPH-stapler procedure for haemorroidal diseaseM AMMENDOLA G SAMMARCO A CARPINO F FERRARI G VESCIO and R SACCO
2014 Nov-Dec 35(11-12) 290ndash292
Conclusion
Haemorrhage is the most important earlycomplication Bleeding tends to occur eitherimmediately after surgery or between thefourth and tenth days after surgery
Four factors may help to minimize the risk ofbleeding manual overstitching of the stapleline use of the PPH03 gun which has a smallerstaple closure and is more hemostatictightening the gun to the absolute limit anduse of a postoperative endoanal sponge
Postoperative urinary retention after surgeryfor benign anorectal disease potential riskfactors and strategy for preventionOctober 2006 Volume 21 Issue 7 pp 676ndash682
Conclusion
Urinary retention is a common complicationafter anorectal surgery It is linked to severalrisk factors including increased intravenousfluids and postoperative pain Perioperativefluid restriction and adequate pain reliefappear to be effective in preventing urinaryretention
THANK YOU
Avoidance of Anal Stenosis After Hemorrhoidectomy
Preservation of sufficient intact anodermbetween excision sites generally considered atleast 1 cm of intact intervening anodermAdditionally limiting the number ofhemorrhoids excised in a given setting will alsohelp to limit the incidence of postoperativestenosis
Postoperative complications after procedurefor prolapsed hemorrhoids (PPH) and stapledtransanal rectal resection (STARR) proceduresTechniques in Coloproctology
March 2008 Volume 12 Issue 1 pp 7ndash19 | Cite as
Authors
Authors and affiliations
M Pescatori
G Gagliardi
Conclusion
Meticulous technique and an accurateselection of patients may decrease the risk ofadverse events
Post-hemorrhoidectomy Fecal Incontinence
Excisional hemorrhoidal surgery and its effect on anal continenceWorld J Gastroenterol 2012 Aug 14 18(30) 4059ndash4063
Yan-Dong Li Jia-He Xu Jian-Jiang Lin and Wei-Fang Zhu
Conclusion
However patients with preoperativecompromised continence may have furtherdeterioration of their continence henceMilligan-Morgan hemorrhoidectomy should beavoided in such patients
Fecal Urge Incontinence After Stapled Anopexiafor Prolapse and Hemorrhoids A Prospective Observational StudyArticle (PDF Available) in World Journal of Surgery 33(2)355-64 middot December 2008
Conclusion
Fecal urge incontinence is a self-limiting sideeffect that with which patients need to bemade familiar
Post-hemorrhoidectomy Secondary Hemorrhage
2005 Oct21(5)271-278 Korean Choi DH
Dr Chois Coloproctologic Clinic Pohang Korea
Conclusion
Occurs at home between the fourth andeighteenth postoperative day and takes placein 098 percent of hemorrhoidectomies
In the authors opinion post-hemorrhoidectomy secondary hemorrhageusually is not a preventable complication
Severe rectal bleeding following PPH-stapler procedure for haemorroidal diseaseM AMMENDOLA G SAMMARCO A CARPINO F FERRARI G VESCIO and R SACCO
2014 Nov-Dec 35(11-12) 290ndash292
Conclusion
Haemorrhage is the most important earlycomplication Bleeding tends to occur eitherimmediately after surgery or between thefourth and tenth days after surgery
Four factors may help to minimize the risk ofbleeding manual overstitching of the stapleline use of the PPH03 gun which has a smallerstaple closure and is more hemostatictightening the gun to the absolute limit anduse of a postoperative endoanal sponge
Postoperative urinary retention after surgeryfor benign anorectal disease potential riskfactors and strategy for preventionOctober 2006 Volume 21 Issue 7 pp 676ndash682
Conclusion
Urinary retention is a common complicationafter anorectal surgery It is linked to severalrisk factors including increased intravenousfluids and postoperative pain Perioperativefluid restriction and adequate pain reliefappear to be effective in preventing urinaryretention
THANK YOU
Postoperative complications after procedurefor prolapsed hemorrhoids (PPH) and stapledtransanal rectal resection (STARR) proceduresTechniques in Coloproctology
March 2008 Volume 12 Issue 1 pp 7ndash19 | Cite as
Authors
Authors and affiliations
M Pescatori
G Gagliardi
Conclusion
Meticulous technique and an accurateselection of patients may decrease the risk ofadverse events
Post-hemorrhoidectomy Fecal Incontinence
Excisional hemorrhoidal surgery and its effect on anal continenceWorld J Gastroenterol 2012 Aug 14 18(30) 4059ndash4063
Yan-Dong Li Jia-He Xu Jian-Jiang Lin and Wei-Fang Zhu
Conclusion
However patients with preoperativecompromised continence may have furtherdeterioration of their continence henceMilligan-Morgan hemorrhoidectomy should beavoided in such patients
Fecal Urge Incontinence After Stapled Anopexiafor Prolapse and Hemorrhoids A Prospective Observational StudyArticle (PDF Available) in World Journal of Surgery 33(2)355-64 middot December 2008
Conclusion
Fecal urge incontinence is a self-limiting sideeffect that with which patients need to bemade familiar
Post-hemorrhoidectomy Secondary Hemorrhage
2005 Oct21(5)271-278 Korean Choi DH
Dr Chois Coloproctologic Clinic Pohang Korea
Conclusion
Occurs at home between the fourth andeighteenth postoperative day and takes placein 098 percent of hemorrhoidectomies
In the authors opinion post-hemorrhoidectomy secondary hemorrhageusually is not a preventable complication
Severe rectal bleeding following PPH-stapler procedure for haemorroidal diseaseM AMMENDOLA G SAMMARCO A CARPINO F FERRARI G VESCIO and R SACCO
2014 Nov-Dec 35(11-12) 290ndash292
Conclusion
Haemorrhage is the most important earlycomplication Bleeding tends to occur eitherimmediately after surgery or between thefourth and tenth days after surgery
Four factors may help to minimize the risk ofbleeding manual overstitching of the stapleline use of the PPH03 gun which has a smallerstaple closure and is more hemostatictightening the gun to the absolute limit anduse of a postoperative endoanal sponge
Postoperative urinary retention after surgeryfor benign anorectal disease potential riskfactors and strategy for preventionOctober 2006 Volume 21 Issue 7 pp 676ndash682
Conclusion
Urinary retention is a common complicationafter anorectal surgery It is linked to severalrisk factors including increased intravenousfluids and postoperative pain Perioperativefluid restriction and adequate pain reliefappear to be effective in preventing urinaryretention
THANK YOU
Conclusion
Meticulous technique and an accurateselection of patients may decrease the risk ofadverse events
Post-hemorrhoidectomy Fecal Incontinence
Excisional hemorrhoidal surgery and its effect on anal continenceWorld J Gastroenterol 2012 Aug 14 18(30) 4059ndash4063
Yan-Dong Li Jia-He Xu Jian-Jiang Lin and Wei-Fang Zhu
Conclusion
However patients with preoperativecompromised continence may have furtherdeterioration of their continence henceMilligan-Morgan hemorrhoidectomy should beavoided in such patients
Fecal Urge Incontinence After Stapled Anopexiafor Prolapse and Hemorrhoids A Prospective Observational StudyArticle (PDF Available) in World Journal of Surgery 33(2)355-64 middot December 2008
Conclusion
Fecal urge incontinence is a self-limiting sideeffect that with which patients need to bemade familiar
Post-hemorrhoidectomy Secondary Hemorrhage
2005 Oct21(5)271-278 Korean Choi DH
Dr Chois Coloproctologic Clinic Pohang Korea
Conclusion
Occurs at home between the fourth andeighteenth postoperative day and takes placein 098 percent of hemorrhoidectomies
In the authors opinion post-hemorrhoidectomy secondary hemorrhageusually is not a preventable complication
Severe rectal bleeding following PPH-stapler procedure for haemorroidal diseaseM AMMENDOLA G SAMMARCO A CARPINO F FERRARI G VESCIO and R SACCO
2014 Nov-Dec 35(11-12) 290ndash292
Conclusion
Haemorrhage is the most important earlycomplication Bleeding tends to occur eitherimmediately after surgery or between thefourth and tenth days after surgery
Four factors may help to minimize the risk ofbleeding manual overstitching of the stapleline use of the PPH03 gun which has a smallerstaple closure and is more hemostatictightening the gun to the absolute limit anduse of a postoperative endoanal sponge
Postoperative urinary retention after surgeryfor benign anorectal disease potential riskfactors and strategy for preventionOctober 2006 Volume 21 Issue 7 pp 676ndash682
Conclusion
Urinary retention is a common complicationafter anorectal surgery It is linked to severalrisk factors including increased intravenousfluids and postoperative pain Perioperativefluid restriction and adequate pain reliefappear to be effective in preventing urinaryretention
THANK YOU
Post-hemorrhoidectomy Fecal Incontinence
Excisional hemorrhoidal surgery and its effect on anal continenceWorld J Gastroenterol 2012 Aug 14 18(30) 4059ndash4063
Yan-Dong Li Jia-He Xu Jian-Jiang Lin and Wei-Fang Zhu
Conclusion
However patients with preoperativecompromised continence may have furtherdeterioration of their continence henceMilligan-Morgan hemorrhoidectomy should beavoided in such patients
Fecal Urge Incontinence After Stapled Anopexiafor Prolapse and Hemorrhoids A Prospective Observational StudyArticle (PDF Available) in World Journal of Surgery 33(2)355-64 middot December 2008
Conclusion
Fecal urge incontinence is a self-limiting sideeffect that with which patients need to bemade familiar
Post-hemorrhoidectomy Secondary Hemorrhage
2005 Oct21(5)271-278 Korean Choi DH
Dr Chois Coloproctologic Clinic Pohang Korea
Conclusion
Occurs at home between the fourth andeighteenth postoperative day and takes placein 098 percent of hemorrhoidectomies
In the authors opinion post-hemorrhoidectomy secondary hemorrhageusually is not a preventable complication
Severe rectal bleeding following PPH-stapler procedure for haemorroidal diseaseM AMMENDOLA G SAMMARCO A CARPINO F FERRARI G VESCIO and R SACCO
2014 Nov-Dec 35(11-12) 290ndash292
Conclusion
Haemorrhage is the most important earlycomplication Bleeding tends to occur eitherimmediately after surgery or between thefourth and tenth days after surgery
Four factors may help to minimize the risk ofbleeding manual overstitching of the stapleline use of the PPH03 gun which has a smallerstaple closure and is more hemostatictightening the gun to the absolute limit anduse of a postoperative endoanal sponge
Postoperative urinary retention after surgeryfor benign anorectal disease potential riskfactors and strategy for preventionOctober 2006 Volume 21 Issue 7 pp 676ndash682
Conclusion
Urinary retention is a common complicationafter anorectal surgery It is linked to severalrisk factors including increased intravenousfluids and postoperative pain Perioperativefluid restriction and adequate pain reliefappear to be effective in preventing urinaryretention
THANK YOU
Conclusion
However patients with preoperativecompromised continence may have furtherdeterioration of their continence henceMilligan-Morgan hemorrhoidectomy should beavoided in such patients
Fecal Urge Incontinence After Stapled Anopexiafor Prolapse and Hemorrhoids A Prospective Observational StudyArticle (PDF Available) in World Journal of Surgery 33(2)355-64 middot December 2008
Conclusion
Fecal urge incontinence is a self-limiting sideeffect that with which patients need to bemade familiar
Post-hemorrhoidectomy Secondary Hemorrhage
2005 Oct21(5)271-278 Korean Choi DH
Dr Chois Coloproctologic Clinic Pohang Korea
Conclusion
Occurs at home between the fourth andeighteenth postoperative day and takes placein 098 percent of hemorrhoidectomies
In the authors opinion post-hemorrhoidectomy secondary hemorrhageusually is not a preventable complication
Severe rectal bleeding following PPH-stapler procedure for haemorroidal diseaseM AMMENDOLA G SAMMARCO A CARPINO F FERRARI G VESCIO and R SACCO
2014 Nov-Dec 35(11-12) 290ndash292
Conclusion
Haemorrhage is the most important earlycomplication Bleeding tends to occur eitherimmediately after surgery or between thefourth and tenth days after surgery
Four factors may help to minimize the risk ofbleeding manual overstitching of the stapleline use of the PPH03 gun which has a smallerstaple closure and is more hemostatictightening the gun to the absolute limit anduse of a postoperative endoanal sponge
Postoperative urinary retention after surgeryfor benign anorectal disease potential riskfactors and strategy for preventionOctober 2006 Volume 21 Issue 7 pp 676ndash682
Conclusion
Urinary retention is a common complicationafter anorectal surgery It is linked to severalrisk factors including increased intravenousfluids and postoperative pain Perioperativefluid restriction and adequate pain reliefappear to be effective in preventing urinaryretention
THANK YOU
Fecal Urge Incontinence After Stapled Anopexiafor Prolapse and Hemorrhoids A Prospective Observational StudyArticle (PDF Available) in World Journal of Surgery 33(2)355-64 middot December 2008
Conclusion
Fecal urge incontinence is a self-limiting sideeffect that with which patients need to bemade familiar
Post-hemorrhoidectomy Secondary Hemorrhage
2005 Oct21(5)271-278 Korean Choi DH
Dr Chois Coloproctologic Clinic Pohang Korea
Conclusion
Occurs at home between the fourth andeighteenth postoperative day and takes placein 098 percent of hemorrhoidectomies
In the authors opinion post-hemorrhoidectomy secondary hemorrhageusually is not a preventable complication
Severe rectal bleeding following PPH-stapler procedure for haemorroidal diseaseM AMMENDOLA G SAMMARCO A CARPINO F FERRARI G VESCIO and R SACCO
2014 Nov-Dec 35(11-12) 290ndash292
Conclusion
Haemorrhage is the most important earlycomplication Bleeding tends to occur eitherimmediately after surgery or between thefourth and tenth days after surgery
Four factors may help to minimize the risk ofbleeding manual overstitching of the stapleline use of the PPH03 gun which has a smallerstaple closure and is more hemostatictightening the gun to the absolute limit anduse of a postoperative endoanal sponge
Postoperative urinary retention after surgeryfor benign anorectal disease potential riskfactors and strategy for preventionOctober 2006 Volume 21 Issue 7 pp 676ndash682
Conclusion
Urinary retention is a common complicationafter anorectal surgery It is linked to severalrisk factors including increased intravenousfluids and postoperative pain Perioperativefluid restriction and adequate pain reliefappear to be effective in preventing urinaryretention
THANK YOU
Conclusion
Fecal urge incontinence is a self-limiting sideeffect that with which patients need to bemade familiar
Post-hemorrhoidectomy Secondary Hemorrhage
2005 Oct21(5)271-278 Korean Choi DH
Dr Chois Coloproctologic Clinic Pohang Korea
Conclusion
Occurs at home between the fourth andeighteenth postoperative day and takes placein 098 percent of hemorrhoidectomies
In the authors opinion post-hemorrhoidectomy secondary hemorrhageusually is not a preventable complication
Severe rectal bleeding following PPH-stapler procedure for haemorroidal diseaseM AMMENDOLA G SAMMARCO A CARPINO F FERRARI G VESCIO and R SACCO
2014 Nov-Dec 35(11-12) 290ndash292
Conclusion
Haemorrhage is the most important earlycomplication Bleeding tends to occur eitherimmediately after surgery or between thefourth and tenth days after surgery
Four factors may help to minimize the risk ofbleeding manual overstitching of the stapleline use of the PPH03 gun which has a smallerstaple closure and is more hemostatictightening the gun to the absolute limit anduse of a postoperative endoanal sponge
Postoperative urinary retention after surgeryfor benign anorectal disease potential riskfactors and strategy for preventionOctober 2006 Volume 21 Issue 7 pp 676ndash682
Conclusion
Urinary retention is a common complicationafter anorectal surgery It is linked to severalrisk factors including increased intravenousfluids and postoperative pain Perioperativefluid restriction and adequate pain reliefappear to be effective in preventing urinaryretention
THANK YOU
Post-hemorrhoidectomy Secondary Hemorrhage
2005 Oct21(5)271-278 Korean Choi DH
Dr Chois Coloproctologic Clinic Pohang Korea
Conclusion
Occurs at home between the fourth andeighteenth postoperative day and takes placein 098 percent of hemorrhoidectomies
In the authors opinion post-hemorrhoidectomy secondary hemorrhageusually is not a preventable complication
Severe rectal bleeding following PPH-stapler procedure for haemorroidal diseaseM AMMENDOLA G SAMMARCO A CARPINO F FERRARI G VESCIO and R SACCO
2014 Nov-Dec 35(11-12) 290ndash292
Conclusion
Haemorrhage is the most important earlycomplication Bleeding tends to occur eitherimmediately after surgery or between thefourth and tenth days after surgery
Four factors may help to minimize the risk ofbleeding manual overstitching of the stapleline use of the PPH03 gun which has a smallerstaple closure and is more hemostatictightening the gun to the absolute limit anduse of a postoperative endoanal sponge
Postoperative urinary retention after surgeryfor benign anorectal disease potential riskfactors and strategy for preventionOctober 2006 Volume 21 Issue 7 pp 676ndash682
Conclusion
Urinary retention is a common complicationafter anorectal surgery It is linked to severalrisk factors including increased intravenousfluids and postoperative pain Perioperativefluid restriction and adequate pain reliefappear to be effective in preventing urinaryretention
THANK YOU
Conclusion
Occurs at home between the fourth andeighteenth postoperative day and takes placein 098 percent of hemorrhoidectomies
In the authors opinion post-hemorrhoidectomy secondary hemorrhageusually is not a preventable complication
Severe rectal bleeding following PPH-stapler procedure for haemorroidal diseaseM AMMENDOLA G SAMMARCO A CARPINO F FERRARI G VESCIO and R SACCO
2014 Nov-Dec 35(11-12) 290ndash292
Conclusion
Haemorrhage is the most important earlycomplication Bleeding tends to occur eitherimmediately after surgery or between thefourth and tenth days after surgery
Four factors may help to minimize the risk ofbleeding manual overstitching of the stapleline use of the PPH03 gun which has a smallerstaple closure and is more hemostatictightening the gun to the absolute limit anduse of a postoperative endoanal sponge
Postoperative urinary retention after surgeryfor benign anorectal disease potential riskfactors and strategy for preventionOctober 2006 Volume 21 Issue 7 pp 676ndash682
Conclusion
Urinary retention is a common complicationafter anorectal surgery It is linked to severalrisk factors including increased intravenousfluids and postoperative pain Perioperativefluid restriction and adequate pain reliefappear to be effective in preventing urinaryretention
THANK YOU
Severe rectal bleeding following PPH-stapler procedure for haemorroidal diseaseM AMMENDOLA G SAMMARCO A CARPINO F FERRARI G VESCIO and R SACCO
2014 Nov-Dec 35(11-12) 290ndash292
Conclusion
Haemorrhage is the most important earlycomplication Bleeding tends to occur eitherimmediately after surgery or between thefourth and tenth days after surgery
Four factors may help to minimize the risk ofbleeding manual overstitching of the stapleline use of the PPH03 gun which has a smallerstaple closure and is more hemostatictightening the gun to the absolute limit anduse of a postoperative endoanal sponge
Postoperative urinary retention after surgeryfor benign anorectal disease potential riskfactors and strategy for preventionOctober 2006 Volume 21 Issue 7 pp 676ndash682
Conclusion
Urinary retention is a common complicationafter anorectal surgery It is linked to severalrisk factors including increased intravenousfluids and postoperative pain Perioperativefluid restriction and adequate pain reliefappear to be effective in preventing urinaryretention
THANK YOU
Conclusion
Haemorrhage is the most important earlycomplication Bleeding tends to occur eitherimmediately after surgery or between thefourth and tenth days after surgery
Four factors may help to minimize the risk ofbleeding manual overstitching of the stapleline use of the PPH03 gun which has a smallerstaple closure and is more hemostatictightening the gun to the absolute limit anduse of a postoperative endoanal sponge
Postoperative urinary retention after surgeryfor benign anorectal disease potential riskfactors and strategy for preventionOctober 2006 Volume 21 Issue 7 pp 676ndash682
Conclusion
Urinary retention is a common complicationafter anorectal surgery It is linked to severalrisk factors including increased intravenousfluids and postoperative pain Perioperativefluid restriction and adequate pain reliefappear to be effective in preventing urinaryretention
THANK YOU
Four factors may help to minimize the risk ofbleeding manual overstitching of the stapleline use of the PPH03 gun which has a smallerstaple closure and is more hemostatictightening the gun to the absolute limit anduse of a postoperative endoanal sponge
Postoperative urinary retention after surgeryfor benign anorectal disease potential riskfactors and strategy for preventionOctober 2006 Volume 21 Issue 7 pp 676ndash682
Conclusion
Urinary retention is a common complicationafter anorectal surgery It is linked to severalrisk factors including increased intravenousfluids and postoperative pain Perioperativefluid restriction and adequate pain reliefappear to be effective in preventing urinaryretention
THANK YOU
Postoperative urinary retention after surgeryfor benign anorectal disease potential riskfactors and strategy for preventionOctober 2006 Volume 21 Issue 7 pp 676ndash682
Conclusion
Urinary retention is a common complicationafter anorectal surgery It is linked to severalrisk factors including increased intravenousfluids and postoperative pain Perioperativefluid restriction and adequate pain reliefappear to be effective in preventing urinaryretention
THANK YOU
Conclusion
Urinary retention is a common complicationafter anorectal surgery It is linked to severalrisk factors including increased intravenousfluids and postoperative pain Perioperativefluid restriction and adequate pain reliefappear to be effective in preventing urinaryretention
THANK YOU
THANK YOU