Nova Science, 2010. — 182 p.
Hemorrhoidal disease is the consequence of pathological changes of fibrovascular anal cushions producing symptoms. Symptomatic hemorrhoids may include bleeding, prolapse, pruritus, soiling, thrombosis and pain. Different invasive treatment modalities are explored, which vary from office treatment (rubber bands, sclerotherapy, infrared coagulation, cryotherapy) and surgical procedure (hemorrhoidectomy, stapled hemorrhoidopexy). Only 5-10% of patients require surgery. The authors of this book review and discuss recent innovations of post-hemorrhoidectomy pain control and wound healing. Stapled haemorrhoidopexy (SH) as an attractive alternative to conventional haemorrhoidectomy (CH) is looked at as well. In addition, new techniques (Doppler guided transanal haemorrhoidal dearterialisation) with new devices in order to attain improved patient satisfaction (THD and haemorrhoid laser procedure) is analyzed. Finally, anal ultra slow wave (USW), a manometric finding observed in some patients with hemorrhoids, is presented and its clinical relevance is discussed.
Hemorrhoids: Symptoms, Diagnosis and Treatments.
(Francesco Di Fabio, Philip H. Gordon, Cattedra di Chirurgia Generale, Department of Medical and Surgical Sciences, University of Brescia School of Medicine, Brescia, Italy, and others)
Treatment of Hemorrhoids.
(Marcello Picchio, Giuseppe Marino, Ettore Greco, Erasmo Spaziani, Department of Surgery, Hospital “P. Colombo”, Rome, Italy, and others)
Stapled Haemorhoidopexy: From Pathology to Clinical Outcome and Reinterventions.
(Pierpaolo Sileri, Stefano D’ Ugo, Vito M. Stolfi, Achille Gaspari, Department of Surgery, University of Rome Tor Vergata, Rome, Italy)
Hemorrhoidopexy using PPH (Procedure for Prolapse and Hemorrhoids).
(Manousos-Georgios Pramateftakis, Dimitrios Kanellos, Ioannis Kanellos, 4th Surgical Department, Aristotle University of Thessaloniki, Greece, and others)
Excision Hemorrhoidectomy – New Methods to Improve Outcomes of an Old Technique.
(Kok-Yang Tan, Francis Seow-Choen, Department of Surgery, Alexandra Hospital, Singapore, and others)
Videoanoscope Assisted Stapled Hemorhoidopexy: A Novel Procedure.
(Ali Dogan Bozdag, Third Surgical Clinic of Izmir Ataturk Training and Research Hospital, Izmir, Turkey)
New Option in the Treatment of Hemorrhoidal Disease: Doppler Guided Transanal Hemorrhoidal Dearterialisation.
(Ramón Cantero Cid, Section of Colorectal Surgery, Hospital Infanta Sofía, Madrid, Spain)
Anal Ultra Slow Wave: A Mysterious Manometric Finding with Hemorrhoids.
(Hiroyuki Kayaba, Department of Infection, Allergy, Clinical Immunology and Laboratory Medicine, Akita University Graduate School of Medicine, Akita, Japan)