de Hingh, "Pain after conventional versus Ligasure haemorrhoidectomy
. A meta-analysis," International Journal of Surgery, vol.
Randomized clinical trial comparing LigaSure haemorrhoidectomy
with open diathermy-haemorrhoidectomy Tech Coloproctol 2008; 12: 93-97.
Eu et al., "Prospective randomized study of bacteraemia in diathermy and stapled haemorrhoidectomy
," British Journal of Surgery, vol.
Hemorrhoids, a varicose condition is one of the commonest illnesses which causes per rectal bleeding.1 The main effective and ultimate treatment for 3rd or 4th degree haemorrhoids is Haemorrhoidectomy
.2 Numerous other procedures have also been practiced, varying from open or closed sharp excision, laser therapy, ultrasonic scalpel dissection to stapled Hemorrhoidectomy.3-6
Chan, "Randomized clinical trial of Haemorrhoidectomy
under a mixture of local anaesthesia versus general anaesthesia," British Journal of Surgery, vol.
Prospective randomised study of urgent haemorrhoidectomy
compared with non-operative treatment in the management of prolapsed thrombosed internal haemorrhoids.
A new modification for closure of haemorrhoidectomy
Although, diet bowel regulation, or elastic ligation will alleviate most symptoms of internal haemorrhoids, occasionally, an excisional haemorrhoidectomy
will be necessary.
The patient that developed rectal bleeding following a haemorrhoidectomy
had a preoperative coagulation screen that was both recommended and indicated; the patient was on warfarin for atrial fibrillation.
4th degree haemorrhoids or history of previous haemorrhoidectomy
, sclerotherapy or cryotherapy were excluded from the study along with patients with haemorrhoidal complications such as complete prolapse, gangrene, thrombosis and associated fissures or fistula, perianal abscess or colitis.
Persistent pain and faecal urgency after stapled haemorrhoidectomy
A sample of procedures for which data are available include knee surgery, shoulder angioplasty, transurethral prostate resection, tubal ligation, hernia repair, skin lesion excision, adult tonsillectomy, hysterectomy, haemorrhoidectomy
, rhinoplasty, bunionectomy, cataract extraction, varicose vein surgery, glaucoma procedures, and tymanoplasty.