This study assessed the effectiveness of a topical preparation of Aloe vera in reducing pain and improving symptoms following
hemorrhoidectomy.
Consider rubber band ligation A systematic review of 3 poor-quality trials comparing rubber band ligation with excisional
hemorrhoidectomy in patients with grade III hemorrhoids found that excisional
hemorrhoidectomy produced better long-term symptom control but more immediate postoperative complications of anal stenosis and hemorrhage.
Stapled hemorrhoidopexy and Milligan Morgan
hemorrhoidectomy in the cure of fourth-degree hemorrhoids: Long term evaluation and clinical results.
The patient, a 38-year-old man, is asymptomatic 3 months after
hemorrhoidectomy.
Staple
hemorrhoidectomy is an operator dependent technique involving cost issues as well4.
(10) Several randomized trials have demonstrated that the PPH is associated with low postoperative pain, low analgesic consumption, short length of surgery, early return to normal activities, and high patient satisfaction rates compared with traditional
hemorrhoidectomy because the surgical staple line is situated above the dentate line, where there is no pain sensory receptor.
Local anaesthesia versus spinal anaesthesia for
hemorrhoidectomy. AAMJ 2014;12(4)Suppl 2.
There are two especially well known surgical modalities for
hemorrhoidectomy: open (Milligan-Morgan) (4) and closed (Ferguson) (5).
first described the Doppler guided Transanal Hemorrhoidal Dearterialization (THD) procedure, it has gained acceptance as a popular non-excisional
hemorrhoidectomy operation.
Suspicion of anal stenosis is heightened by a history of
hemorrhoidectomy, Crohn's disease, or laxative abuse [2, 4].
In some patients after
Hemorrhoidectomy, sphincter injury can occur.