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At least 19 recordsLinked to original sources
PubMed1978

[Combined rubber band ligation and cryosurgery of hemorrhoids (author's transl)].

By means of the combined rubber band ligation and cryosurgery of hemorrhoids a good therapy result was achieved on more than 200 patients. For the treatment of not too large hemorrhoid nodes and confluent hemorrhoids the aspiration ligation is quite sufficient. In third degree hemorrhoids, particularly in large prolapsing hemorrhoids, the rubber band ligation should include also the cryodestruction. In some cases two or three weeks later the cryodestruction has to be carried out again, depending on the finding and stage progredience. The advantage of this combined method is that the treatment can be performed on outpatients, and without much pains it is an effective therapy in any kind of hemorrhoid ailments. In addition, the postoperative complaints are less than by using the cryosond only. The application of cryotherapy shows also good results in the case of marriscae and anal fissures.

Cryosurgery↗
PubMed1978

Modern management of hemorrhoids.

Hemorrhoids require therapy only when they cause symptoms. Early symptoms troubling the patient only occasionally are readily managed by dietary measures that increase the intake of fluids and fiber, such as bran, often supplemented by hydrophilic bulk-forming colloids, so that a bulky, soft stool is produced regularly. Rubber band ligation is the treatment of choice for small or moderate sized hemorrhoids with minimal prolapse, whether or not they bleed. Such bands should be applied to the mucosa at the anorectal junction and not directly to the hemorrhoidal tissue. Patients with large prolapsing or acutely thrombosed hemorrhoids are best managed by a closed type of hemorrhoidectomy. This technique is effective and safe and has great advantage with rapid healing and minimal postoperative care, which provides the patient with the maximum comfort. Complications are few and, in particular, anal stenosis or stricture is rare. Hemorrhoids occurring in association with other conditions require specific treatment only if they are responsible for symptoms in their own right, distinct from the associated condition. Other treatments discussed are effective but have particular disadvantages that make them unsuitable for routine use. Moreover, they offer no advances on the treatment regimens proposed.

Anal Canal↗
PubMed1978

[The importance of hemorrhoids in gynecology and obstetrics (author's transl)].

Hemorrhoids are of enough importance in gynecology and obstetrics that the gynecologist should be well versed in proctologic diagnosis and treatment. In the gynecological office practice about 19% of the patients and in the antenatal practice about 46% of the patients have hemorrhoids which require treatment. Prior to treatment an exact examination with the exclusion of carcinoma of the rectum is important. The indications for different modes of treatment are discussed. Minor hemorrhoids require only general and conservative measures. Recurrent and severe hemorrhoid problems require specific treatment. The specific treatment should be as tolerable for the patient as possible, have few recurrences and be economic regarding time and money. These requirements are best fulfilled by aspiration rubberband ligature or the combination of this ligature with cryotherapy.

Cryosurgery↗
PubMed1978

The relationship between carcinoma of the rectum and hemorrhoids.

The suspected positive correlation between rectal carcinoma and hemorrhoids was examined in a retrospective study. In patients older than 50 a significant positive correlation could be demonstrated between rectal carcinoma and hemorrhoids. In the group of hemorrhoid patients described it could not be shown that rectal carcinoma was more frequent than in the normal population. In patients older than 40 with hemorrhoids a rectoscopy is always recommended. In this material the colonic enema did not contribute any diagnostic information from which therapeutic consequences could be inferred.

Adult↗
PubMed1978

[Hemorrhoids: recognition and current therapeutic possibilities].

Up to 5% of the patients of a general practitioner have terminal bowel disease, most frequently hemorrhoids. Any patient who presents with ano-rectal discomfort or anal blood losses should undergo thorough proctologic examination including rectoscopy. Digital palpation is insufficient as only 10% of rectal carcinomas can be reached. The treatment of hemorrhoids should be started by instructing the patient on anal hygiene, to be followed only then by symptomatic application of creams or suppositories. If these symptomatic measures fail, treatment by injections is indicated. This method may be complicated by localized or extensive necrosis of the rectal mucosa, the cause of which is assumed to be an immunologic event resembling the Arthus phenomenon in which bacterial or possibly pharmacologic substances may act as antigens. Therefore, a method of provoking coagulation without using foreign substances was sought. Thermocoagulation by the infrared coagulator appears to be a suitable method: first experience tends show equal efficacy with coagulation by injection treatment. Prolapsing hemorrhoids are still treated by barron ligation. The precise management of each therapeutic approach is described.

Electrocoagulation↗
PubMed1979

[Elastic ligature in the treatment of hemorrhoids (author's transl)].

The authors report their experience with 57 patients suffering from first, second, and third-degree hemorrhoids. Elastic ligature of internal hemorrhoid nodules was done ambulatorily with good results and no important complications. From these results, and considering the ease of the procedure, the authors agree with other experts that this method of treating hemorrhoids may become more and more popular.

Follow-Up Studies↗
PubMedDate not supplied

The outpatient management of acute hemorrhoidal disease.

A procedure for the outpatient management of acute hemorrhoidal disease is presented. Treatment, using local anesthesia with hyaluronidase, is directed to (1) relieve pain, (2) decrease edema, (3) treat appropriately the internal hemorrhoidal disease, and (4) treat the external thrombosis if present. Adequate treatment of the acute disease will, in a significant proportion of patients, avoid further surgical intervention. Eperience with results of this modality of treatment in patients is presented.

Acute Disease↗
PubMed1979

[Electroexcision method of treating hemorrhoids in the acute period].

Electroexcision of hemorrhoidal nodes was performed in 71 patients with hemorrhoids in the acute phase complicated with anorectal thrombosis, ulceration and hemorrhage. The stages of surgery are described. Data of coagulograms, expediency of the local durant analgesia in the postoperation period are presented. The method is radical, bloodless. It allows shortening the time of stationary treatment and the duration of disability. All the operated patients showed good near and late results.

Acute Disease↗
PubMed1977

[Phleboarchitectonics of hemorrhoids].

Complex histological and injection methods, including roentgenovasography and morphometry, in different age group persons in intraoperative and autopsy materials, total of 333 observations (225 cases with hemorroid and 108 control cases) have demonstrated direct relations of rectal arteries and veins with cavernous bodies of the rectum at sites of the selected localization of internal hemorrhoidal nodes (predominantly at the 2d--4th and 8--10th hour divisions on a clock-face). It was shown that insufficiency of locking mechanisms of portacaval and arteriolar-venular anastomoses of rectal cavernous bodies resulting from impeded blood outflow and hypervolemia underlie the structural basis of hemorrhoid pathogenesis.

Adolescent↗
PubMed1978

Modified Buie amputation for extensive hemorrhoidal disease.

Radical anal surgery of the type described for complicated hemorrhoidal and mucosal prolapse has good to excellent anatomic and functional results in 90 per cent of patients. This has been demonstrated in a group of 100 consecutive patients followed for an average of more than two years.

Adult↗
PubMed1978

Hemorrhoids, fistulae and fissures: office and hospital management--a critical review.

We have tried to present a comprehensive survey of present-day management of hemorrhoids, fistulae and fissures, be it in the office or in the hospital. There is great socioeconomic pressure lately for cost-containment, which is apt to effect better medical judgment in the selection of type and place of management. Minor operations can and should be done, as always, on an outpatient basis. General anesthesia is not a minor matter and hemorrhoidectomy is not a minor operation. The major function of outpatient service in the management of anal disease is that of accurate and comprehensive diagnosis. Hundreds of patients come to us only because they fear cancer and it is not enough for us to hunt for and treat the vague little disorders of which they complain. The incidence of cancer of the colon rectum in this country just recently has slightly surpassed that of lung cancer. Adjuvant treatments (e.g., chemotherapy, radiotherapy, immunotherapy and their combinations) are promising but still in the investigational stage. Early diagnosis is our finest weapon with subsequent surgical management. The challenge and responsibility for early diagnosis of colorectal cancer is ours alone. We must first recognize it and then meet it firmly and squarely. We must feel for (digital rectal), look for (sigmoidoscopy), and search for (barium enema x-ray examination) colorectal cancer in all of our patients regardless of the insignificance of anal symptoms and anal findings. Our countrymen fear cancer. We have the devices to allay their fears or to cure their cancers if they are found early enough. We have a straightforward moral commitment and a national trust.

Ambulatory Care↗
PubMed1979

Urgent hemorrhoidectomy for hemorrhoidal thrombosis.

Sixty-five patients underwent hemorrhoidectomies for acute thrombosis. All biopsy specimens contained intravascular thrombi. Early postoperative complications included urinary difficulties and bleeding. Late postoperative complications included anal stenosis.

Acute Disease↗
PubMed1977

[Hemorrhoids].

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Hemorrhoids↗