How to Trip Rapid Review

Step 1: Select articles relevant to your search (remember the system is only optimised for single intervention studies)

Step 2: press

Step 3: review the result, and maybe amend the or if you know better! If we're unsure of the overall sentiment of the trial we will display the conclusion under the article title. We then require you to tell us what the correct sentiment is.

3,385 results for

Hemorrhoid

by
...
Latest & greatest
Alerts

Export results

Use check boxes to select individual results below

SmartSearch available

Trip's SmartSearch engine has discovered connected searches & results. Click to show

1. eXroid for internal haemorrhoids

eXroid for internal haemorrhoids eXroid for internal haemorrhoids Medtech innovation briefing Published: 10 December 2019 www.nice.org.uk/guidance/mib201 pathways Summary Summary The technology technology described in this briefing is eXroid. It uses electrotherapy to shrink internal haemorrhoids. The inno innovativ vative aspects e aspects are the treatment does not need general, regional or local anaesthesia. The intended place in ther place in therap apy y would be as instead of standard (...) care treatments (such as rubber band ligation, injection sclerotherapy, bipolar diathermy, haemorrhoidectomy or stapled haemorrhoidectomy) in people with internal haemorrhoids. The main points from the e main points from the evidence vidence summarised in this briefing are from 2 non-comparative studies including 157 adults in hospital. They show that eXroid can treat internal haemorrhoids effectively without any complications. K Ke ey uncertainties y uncertainties around the evidence or technology

2019 National Institute for Health and Clinical Excellence - Advice

2. Superior rectal artery embolisation for haemorrhoids

Superior rectal artery embolisation for haemorrhoids Superior rectal artery embolisation for Superior rectal artery embolisation for haemorrhoids haemorrhoids Interventional procedures guidance Published: 29 August 2018 nice.org.uk/guidance/ipg627 Y Y our responsibility our responsibility This guidance represents the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, healthcare professionals are expected to take this guidance fully (...) . Nothing in this guidance should be interpreted in a way that would be inconsistent with compliance with those duties. Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible. 1 1 Recommendations Recommendations 1.1 Current evidence on the safety and efficacy of superior rectal artery embolisation for haemorrhoids is inadequate

2018 National Institute for Health and Clinical Excellence - Interventional Procedures

3. Radiofrequency treatment for haemorrhoids

Radiofrequency treatment for haemorrhoids Radiofrequency treatment for haemorrhoids Radiofrequency treatment for haemorrhoids Interventional procedures guidance Published: 23 August 2017 nice.org.uk/guidance/ipg589 Y Y our responsibility our responsibility This guidance represents the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, healthcare professionals are expected to take this guidance fully into account. However (...) should be interpreted in a way that would be inconsistent with compliance with those duties. Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible. 1 1 Recommendations Recommendations 1.1 Current evidence on the safety and efficacy of radiofrequency treatment for haemorrhoids is inadequate in quantity and quality. Therefore

2017 National Institute for Health and Clinical Excellence - Interventional Procedures

4. Haemorrhoids

haemorrhoidopexy. Surgical haemorrhoidectomy may be considered for patients with large grade 3 hemorrhoids, but it is typically reserved for patients with grade 4 haemorrhoids. Complications include recurrence or worsening of symptoms, excessive bleeding, non-reducible prolapse, and, rarely, pelvic sepsis. Definition Haemorrhoidal cushions are normal anatomical structures located within the anal canal, usually occupying the left lateral and right anterior and posterior positions. As they enlarge, they can (...) Haemorrhoids Haemorrhoids - Symptoms, diagnosis and treatment | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search  Haemorrhoids Last reviewed: February 2019 Last updated: March 2018 Summary Haemorrhoids are vascular-rich connective tissue cushions located within the anal canal. Internal haemorrhoids lie proximal to the dentate line in the anal canal; external haemorrhoids are located distal to the dentate line. Haemorrhoidal disease presents as painless

2018 BMJ Best Practice

6. Guideline regarding treatment of haemorrhoids

option for each patient. The most widely used classification is the Goligher classification: haemorrhoidal prolapse through the proctoscope (grade I), haemorrhoidal piles prolapse during straining but reducing spontaneously (grade II), haemorrhoidal prolapse during straining but requiring manual reduction (grade III) and irreducible haemorrhoidal prolapse (grade IV) [11]. Other recent developed classifications are the PATE, the Single Pile Classification (SPC) and the classification by Lunniss et al (...) Guideline regarding treatment of haemorrhoids 1 European Society of ColoProctology (ESCP) Guideline for Haemorrhoidal Disease R.R. van Tol 1 , J. Kleijnen 2 , A.J.M. Watson 3 , J. Jongen 4 , D.F. Altomare 5 , N. Qvist 6 , T. Higuero 7 , J. Muris 8 , S.O. Breukink 1 1 Department of Surgery, Maastricht University Medical Centre +, 6202 AZ, Maastricht, the Netherlands 2 Care and Public Health Research Institute (CAPHRI), Maastricht University Medical Center +, 6202 AZ, Maastricht, The Netherlands

2019 Palliative Care Evidence Review Service (PaCERS)

7. Management of Hemorrhoids

, Martinez-Zapata MJ, et al. Meta- analysis of flavonoids for the treatment of haemorrhoids. Br J Surg. 2006;93:909–920. 18. MacRae HM, McLeod RS. Comparison of hemorrhoidal treatment modalities: a meta-analysis. Dis Colon Rectum. 1995;38:687–694. 19. El Nakeeb AM, Fikry AA, Omar WH, et al. Rubber band liga- tion for 750 cases of symptomatic hemorrhoids out of 2200 cases. World J Gastroenterol. 2008;14:6525–6530.Copyright © The American Society of Colon & Rectal Surgeons, Inc. Unauthorized reproduction (...) , Thaha MA, Rabindranath KS, Campbell KL, Steele RJ, Loudon MA. Rubber band ligation versus excisional haemorrhoidectomy for haemorrhoids. Cochrane Database of Syst Rev. 2005;(3):CD005034. 23. Iyer VS, Shrier I, Gordon PH. Long-term outcome of rubber band ligation for symptomatic primary and recurrent internal hemorrhoids. Dis Colon Rectum. 2004;47:1364–1370. 24. Guy RJ, Seow-Choen F. Septic complications after treatment of haemorrhoids. Br J Surg. 2003;90:147–156. 25. Adami B, Eckardt VF, Suermann RB

2018 American Society of Colon and Rectal Surgeons

8. Network meta-analysis of randomized controlled trials comparing the procedure for prolapse and hemorrhoids, Milligan-Morgan hemorrhoidectomy and tissue-selecting therapy stapler in the treatment of grade III and IV internal hemorrhoids(Meta-analysis). (Abstract)

Network meta-analysis of randomized controlled trials comparing the procedure for prolapse and hemorrhoids, Milligan-Morgan hemorrhoidectomy and tissue-selecting therapy stapler in the treatment of grade III and IV internal hemorrhoids(Meta-analysis). Hemorrhoids are one of the most common conditions in the world, and grade III and IV internal hemorrhoids are mainly treated with surgery. However, there are many different surgical methods, and many postoperative complications occur. Therefore (...) , we aimed to update and expand our previous work to compare the safety and efficacy of the procedure for prolapse and hemorrhoids (PPH), Milligan-Morgan hemorrhoidectomy (MMH) and tissue-selecting therapy stapler (TST) in the treatment of grade III and IV internal hemorrhoids.We performed a network meta-analysis. We searched the Cochrane library, Embase, PubMed, Medline, Web of Science, CNKI, Wangfang, and VIP databases up to May 20, 2019. All randomized controlled trials (RCTs) comparing PPH, MMH

2020 International journal of surgery (London, England)

9. Transanal hemorrhoidal dearterialization (THD) versus stapled hemorrhoidopexy (SH) in treatment of internal hemorrhoids: a systematic review and meta-analysis of randomized clinical trials. (Abstract)

Transanal hemorrhoidal dearterialization (THD) versus stapled hemorrhoidopexy (SH) in treatment of internal hemorrhoids: a systematic review and meta-analysis of randomized clinical trials. Although conventional hemorrhoidectomy proved effective in treatment of hemorrhoidal disease, postoperative pain remains a vexing problem. Alternatives to conventional hemorrhoidectomy as transanal hemorrhoidal dearterialization (THD) and stapled hemorrhoidopexy (SH) were described. The present meta-analysis (...) aimed to review the randomized trials that compared THD and SH to determine which technique is superior in terms of recurrence of hemorrhoids, complications, and postoperative pain.Electronic databases were searched for randomized trials that compared THD and SH for internal hemorrhoids. The PRISMA guidelines were followed when reporting this meta-analysis. The primary endpoint of the analysis was persistence or recurrence of hemorrhoidal disease. Secondary endpoints were postoperative pain

2020 International journal of colorectal disease

10. Hemorrhoidal artery ligation with Doppler guidance vs digital guidance for grade II-III hemorrhoidal disease treatment: Study protocol clinical trial (SPIRIT Compliant). (Full text)

Hemorrhoidal artery ligation with Doppler guidance vs digital guidance for grade II-III hemorrhoidal disease treatment: Study protocol clinical trial (SPIRIT Compliant). Hemorrhoidal artery ligation (HAL) with Doppler guidance and suture fixation of hemorrhoidal nodes (RAR) is a popular minimally invasive technique for hemorrhoidal disease (HD) treatment which uses an ultrasound probe to detect hemorrhoidal arteries for further ligation. We hypothesized that ultrasound guidance has (...) no advantages over manual hemorrhoidal arteries detection for HD treatment.The aim is to compare the results of HAL-RAR procedure in patients with stage II-III HD with Doppler and manual HA detection.In this ongoing randomized, controlled, single center clinical study 204 patients randomly divides into group A (HAL-RAR with Doppler US navigation) and group B (HAL with manual HA detection and mucopexy) are planned to be included. The primary endpoint was recurrence of any symptoms of HD; secondary endpoints

2020 Medicine PubMed abstract

11. Comparison of the effect of Myrtus communis herbal and anti-hemorrhoid ointments on the hemorrhoid symptoms and quality of life in postpartum women with grade I and II internal hemorrhoid: A triple-blinded randomized controlled clinical trial. (Abstract)

Comparison of the effect of Myrtus communis herbal and anti-hemorrhoid ointments on the hemorrhoid symptoms and quality of life in postpartum women with grade I and II internal hemorrhoid: A triple-blinded randomized controlled clinical trial. Introduction Due to the effects of hemorrhoids on physical and mental health, this study aimed to compare the effect of Myrtus communis herbal and anti-hemorrhoid ointments on symptoms of hemorrhoid and quality of life (primary outcomes) and satisfaction (...) of the treatment and side effects (secondary outcomes). Methods This triple-blind randomized controlled trial was performed on women with grade I and II hemorrhoid referring to health centers in Tehran, Iran, in 2017. Individuals were randomly assigned to two groups of 67 people through block randomization method. The intervention group received the Myrtus communis herbal ointment and the control group received anti-hemorrhoid ointment twice a day, every 12 ± 2 h, an applicator of the drug through the rectum

2019 Journal of complementary & integrative medicine Controlled trial quality: uncertain

12. Ultroid 2.0 for internal haemorrhoids

Ultroid 2.0 for internal haemorrhoids Ultroid 2.0 for internal haemorrhoids | Advice | NICE Ultroid 2.0 for internal haemorrhoids Medtech innovation briefing [MIB75] Published date: July 2016 Advice This medtech innovation briefing is temporarily unavailable, please contact for further information. Explore © NICE [year]. All rights reserved. Subject to .

2016 National Institute for Health and Clinical Excellence - Advice

13. Cost-Effectiveness of Haemorrhoidal Artery Ligation versus Rubber Band Ligation for the Treatment of Grade II–III Haemorrhoids: Analysis Using Evidence from the HubBLe Trial (Full text)

Cost-Effectiveness of Haemorrhoidal Artery Ligation versus Rubber Band Ligation for the Treatment of Grade II–III Haemorrhoids: Analysis Using Evidence from the HubBLe Trial Haemorrhoids are a common condition, with nearly 30,000 procedures carried out in England in 2014/15, and result in a significant quality-of-life burden to patients and a financial burden to the healthcare system. This study examined the cost effectiveness of haemorrhoidal artery ligation (HAL) compared with rubber band (...) results were presented in terms of incremental cost per QALY gained and cost per recurrence avoided. Extrapolation analysis for 3 years beyond the trial follow-up, two subgroup analyses (by grade of haemorrhoids and recurrence following RBL at baseline), and various sensitivity analyses were undertaken.In the primary base-case within-trial analysis, the incremental total mean cost per patient for HAL compared with RBL was £1027 (95% confidence interval [CI] £782-£1272, p < 0.001). The incremental

2017 PharmacoEconomics open Controlled trial quality: predicted high PubMed abstract

14. Hemorrhoids - Guidelines for Prescribing Rectal Hydrocortisone Combination Products

. Available from: https://www.e-therapeutics.ca. Subscription required. Thornton S. Hemorrhoids. Medscape . http://emedicine.medscape.com/article/775407-overview. Updated November 3, 2014. Accessed September 1, 2015. Altomare DF, Giannini I. Pharmacological treatment of hemorrhoids: a narrative review. Expert Opin Pharmacother . 2013;14(17 ):2343-9. doi:10.1517/14656566.2013.836181 . Buntzen S, Christensen P, Khalid A, et al. Diagnosis and treatment of haemorrhoids . Dan Med J . 2013;60(12):C4754. http (...) Hemorrhoids - Guidelines for Prescribing Rectal Hydrocortisone Combination Products Hemorrhoids - Guidelines for Prescribing Rectal Hydrocortisone Combination Products - medSask Home - College of Pharmacy and Nutrition - University of Saskatchewan Toggle Menu Search the U of S Search Hemorrhoids - Guidelines for Prescribing Rectal Hydrocortisone Combination Products Hemorrhoids are vascular cushions in the anal canal and are a normal part of human anatomy These cushions or plexus normally help

2017 medSask

15. Hemorrhoidal disease and chronic venous insufficiency: concomitance or coincidence; results of the CHORUS study (Chronic venous and HemORrhoidal diseases evalUation and Scientific research). (Full text)

Hemorrhoidal disease and chronic venous insufficiency: concomitance or coincidence; results of the CHORUS study (Chronic venous and HemORrhoidal diseases evalUation and Scientific research). The CHORUS study (Chronic venous and HemORrhoidal diseases evalUation and Scientific research) was conducted to provide data on patients presenting with hemorrhoidal disease (HD) in clinical practice, and to explore the frequency with which it coexists with chronic venous disease (CVD) and shared risk (...) factors.This international, non-interventional study enrolled adult patients attending a consultation for hemorrhoidal complaints. The questionnaire completed by physicians established the subjects' demographic and lifestyle characteristics and collected information on HD grade and symptoms and signs of CVD.A total of 5617 patients were analyzed. Symptoms commonly reported were: bleeding (71.8%), pain (67.4%), swelling (55.0%), itching (44.1%) and prolapse (36.2%). Multivariate analysis revealed

2019 Journal of gastroenterology and hepatology PubMed abstract

16. Transanal hemorrhoidal dearterialization versus Milligan-Morgan hemorrhoidectomy in grade III/IV hemorrhoids. (Abstract)

Transanal hemorrhoidal dearterialization versus Milligan-Morgan hemorrhoidectomy in grade III/IV hemorrhoids. Grade III-IV hemorrhoids require surgical treatment. The Milligan Morgan hemorrhoidectomy (MM) - still considered the gold standard - is now flanked by less invasive surgical methods such as Procedure for Prolapse and Hemorroids (PPH) and Transanal Hemorroidal Dearterialization (THD). The authors wanted to compare in a prospective, randomized trial the MM hemorrhoidectomy and the THD (...) in the treatment of grade III-IV hemorrhoids.Between January 2010 and March 2013 they were recruited 87 patients with grade III-IV hemorrhoids. All patients did not previously undergo surgical treatment. From the time of recruitment, for a period of six months the patients evaluated the extent of the symptoms of which were suffering expressing in simple and subjective questionare how hemorrhoidal disease accounted on their social life and wellness. After six months of the 52 patients with grade III hemorrhoids

2019 Annali italiani di chirurgia Controlled trial quality: uncertain

17. Short-Term Outcomes of Transanal Hemorrhoidal Dearterialization With Mucopexy Versus Vessel-Sealing Device Hemorrhoidectomy for Grade III to IV Hemorrhoids: A Prospective Randomized Multicenter Trial: THDLIGA-RCT. (Abstract)

Short-Term Outcomes of Transanal Hemorrhoidal Dearterialization With Mucopexy Versus Vessel-Sealing Device Hemorrhoidectomy for Grade III to IV Hemorrhoids: A Prospective Randomized Multicenter Trial: THDLIGA-RCT. Transanal hemorrhoidal dearterialization with mucopexy and vessel-sealing device hemorrhoidectomy seems to reduce postoperative pain compared with classic excisional hemorrhoidectomy, but whether one of them is superior remains unclear.We compared transanal hemorrhoidal (...) dearterialization with mucopexy and vessel-sealing device hemorrhoidectomy.This was a multicenter, randomized controlled trial.The study was conducted at 6 Spanish centers.Patients aged ≥18 years with grade III to IV hemorrhoids were included.Patients were randomly assigned to transanal hemorrhoidal dearterialization with mucopexy (n = 39) or vessel-sealing device hemorrhoidectomy (n = 41).Primary outcome was the mean postoperative number of days in which patients needed nonsteroidal anti-inflammatory drugs

2019 Diseases of the Colon & Rectum Controlled trial quality: predicted high

18. Doppler-guided transanal hemorrhoidal dearterilization versus conventional hemorrhoidectomy for treatment of hemorrhoids - early and long-term postoperative results. (Full text)

Doppler-guided transanal hemorrhoidal dearterilization versus conventional hemorrhoidectomy for treatment of hemorrhoids - early and long-term postoperative results. A variety of effective methods for treatment of hemorrhoids has been proposed. In recent years, there has been an increasing number of studies comparing transanal hemorrhoidal dearterilization (THD) and conventional hemorrhoidectomy (CH), but the focus of most studies has been about the early postoperative results. The data about (...) long-term outcomes is still limited. We aimed to compare Doppler-guided THD and CH with regard to early and long-term postoperative results.The conducted prospective research included 287 patients who underwent CH (167 cases) or Doppler-guided THD with mycopexy (120 patients) between November 2010 and December 2015. Information on hemorrhoidal stage, demographic data, presenting symptoms, complications, duration of hospital stay, postoperative pain, patients' satisfaction and follow-up were

2019 BMC Surgery PubMed abstract

19. Stapled Hemorrhoidectomy Versus Transanal Hemorrhoidal Dearterialization in the Treatment of Hemorrhoids: An Updated Meta-Analysis. (Abstract)

Stapled Hemorrhoidectomy Versus Transanal Hemorrhoidal Dearterialization in the Treatment of Hemorrhoids: An Updated Meta-Analysis. This meta-analysis aimed to compare the clinical outcomes of stapled hemorrhoidectomy (SH) and transanal hemorrhoidal dearterialization (THD) for treating hemorrhoidal disease. Randomized control trials (RCTs) comparing SH with THD were searched in databases, including MEDLINE, PubMed, Web of Science, EMBASE, and the Cochrane Library database. Nine RCTs, with 1077 (...) patients, were included in this meta-analysis. Nine RCTs, with 1077 patients, were included in this meta-analysis. The bleeding rate in the SH patient group was higher than that in the THD group. No significant difference was detected between SH and THD in terms of operating time, postoperative pain, hospital time, and return-to-work time. The total recurrence rate was higher in the THD group than in the SH group. In conclusion, SH and THD are effective for treating hemorrhoids. SH produces better

2019 Surgical laparoscopy, endoscopy & percutaneous techniques

20. Stapled Hemorrhoidectomy Versus Transanal Hemorrhoidal Dearterialization in the Treatment of Hemorrhoids: An Updated Meta-analysis: Erratum. (Full text)

Stapled Hemorrhoidectomy Versus Transanal Hemorrhoidal Dearterialization in the Treatment of Hemorrhoids: An Updated Meta-analysis: Erratum. 31593051 2019 11 19 1534-4908 29 5 2019 10 Surgical laparoscopy, endoscopy & percutaneous techniques Surg Laparosc Endosc Percutan Tech Stapled Hemorrhoidectomy Versus Transanal Hemorrhoidal Dearterialization in the Treatment of Hemorrhoids: An Updated Meta-analysis: Erratum. 416 10.1097/SLE.0000000000000685 eng Journal Article Published Erratum United

2019 Surgical laparoscopy, endoscopy & percutaneous techniques PubMed abstract

To help you find the content you need quickly, you can filter your results via the categories on the right-hand side >>>>