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Hemorrhoid Coagulation

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1. Clinical Practice Guidelines for the Management of Hemorrhoids

, and there is no strong scientific evidence regarding their long-term use. OFFICE TREATMENT 1. Most patients with grade I and II and select patients with grade III internal hemorrhoidal disease who fail medi- cal treatment can be effectively treated with office-based procedures, such as banding, sclerotherapy, and infrared coagulation (IRC). Hemorrhoid banding is typically the most effective option. Grade of Recommendation: Strong recommendation based on high-quality evidence, 1A. The goals of office-based procedures (...) Coagulation IRC involves the direct application of infrared waves re- sulting in protein necrosis within the hemorrhoid. This is most commonly used for grade I and II hemorrhoids. Although previous reports demonstrated high rates of re- currence, especially with grade III and IV hemorrhoids, 31 recent randomized studies have demonstrated outcomes similar to RBL. 32,33 The most recent RCT to evaluate IRC Copyright © The American Society of Colon & Rectal Surgeons, Inc. Unauthorized reproduction

2018 American Society of Colon and Rectal Surgeons

2. A Randomized Controlled Trial Comparing Laser Intra-Hemorrhoidal Coagulation and Milligan-Morgan Hemorrhoidectomy. (PubMed)

A Randomized Controlled Trial Comparing Laser Intra-Hemorrhoidal Coagulation and Milligan-Morgan Hemorrhoidectomy. To compare laser intra-hemorrhoidal coagulation with Milligan-Morgan (MM) hemorrhoidectomy.Patients with symptomatic grade II or III internal hemorrhoids according to the Goligher's classification (refractory to medical treatment) were enrolled in this double-blinded randomized controlled trial study. In the laser group, hemorrhoidal columns were coagulated using a 980-nanometer (...) coagulation with 980-nm diode laser reduces postoperative pain, intra-operative bleeding, and administered analgesics with a comparable resolution rate of hemorrhoid symptoms. However, for the patients who experience complications, such as hemorrhoidal thrombosis, the overall pain may be equivalent to or even worse than conventional hemorrhoidectomy.

2016 Journal of investigative surgery : the official journal of the Academy of Surgical Research

3. Hemorrhoid Coagulation

Hemorrhoid Coagulation Hemorrhoid Coagulation Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Hemorrhoid Coagulation Hemorrhoid (...) Coagulation Aka: Hemorrhoid Coagulation , Infrared Coagulation II. Indications Indicated for Grades I to III Most commonly used newer device Other uses s removal III. Advantages Quick and inexpensive No known of perineal Less painful than IV. Disadvantages Less effective on Grade III s Not effective on Grade IV s Failure rate is 4 fold over that of V. Initial Expense Device cost $2500 VI. Mechanism Probe causes ulceration, scarring, tethering of mucosa coagulated VII. Technique Insert Identify most

2018 FP Notebook

4. Comparative Analysis of Doppler Guided Hemorrhoidal Artery Ligation (DG-HAL) & Infrared Coagulation (IRC) in Management of Hemorrhoids. (PubMed)

Comparative Analysis of Doppler Guided Hemorrhoidal Artery Ligation (DG-HAL) & Infrared Coagulation (IRC) in Management of Hemorrhoids. Both Doppler-guided hemorrhoidal artery ligation (DG-HAL) and infrared coagulation (IRC) are well-established techniques in the management of hemorrhoids. The aim of the study is to compare the clinical outcomes of DG-HAL and IRC in the patients with grade 1 and 2 hemorrhoids. A total of 296 patients were registered for the study, but 51 patients were lost (...) in controlling symptoms of hemorrhoids, has lower post operative complication rate, and has lesser requirement of repeat procedure.

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2014 The Indian journal of surgery

5. Infrared coagulation for the treatment of internal hemorrhoids

Infrared coagulation for the treatment of internal hemorrhoids Infrared coagulation for the treatment of internal hemorrhoids Infrared coagulation for the treatment of internal hemorrhoids Record Status This is a bibliographic record of a published health technology assessment. No evaluation of the quality of this assessment has been made for the HTA database. Citation Infrared coagulation for the treatment of internal hemorrhoids. Lansdale: HAYES, Inc.. Healthcare Technology Brief Publication (...) hemorrhoids include sclerotherapy, bipolar diathermy, and infrared coagulation, also known as photocoagulation. Final publication URL The report may be purchased from: Indexing Status Subject indexing assigned by CRD MeSH Hemorrhoidss; Infrared Rays; Light Coagulation Language Published English Country of organisation United States English summary An English language summary is available. Address for correspondence HAYES, Inc., 157 S. Broad Street, Suite 200, Lansdale, PA 19446, USA. Tel: 215 855 0615

2010 Health Technology Assessment (HTA) Database.

6. New/Novel Oral Anicoagulants (NOACs): Coagulation Tests

New/Novel Oral Anicoagulants (NOACs): Coagulation Tests © 2016 Thrombosis Canada Page 1 of 1 NOVEL ORAL ANTICOAGULANTS (NOACS): MANAGEMENT OF BLEEDING OBJECTIVE: To assist clinicians in the management of bleeding in patients receiving direct oral anticoagulants (NOACs). BACKGROUND: Two oral Factor Xa inhibitors (apixaban and rivaroxaban) and an oral thrombin inhibitor (dabigatran) are approved for clinical use in Canada based on findings from large randomized trials. Like all other (...) anticoagulants, bleeding is the major complication of therapy. Specific antidotes for these drugs are expected to be available soon. Studies of successful reversal strategies using non-specific products in patients with bleeding have not been reported. Appropriate management in all cases of bleeding requires a systematic approach to assessing the competing risks and consequences of bleeding and thrombosis. MANAGEMENT OF BLEEDING EPISODES Minor Bleeding e.g. anterior epistaxis, hemorrhoid bleeding

2016 Thrombosis Interest Group of Canada

7. Rethinking What We Know About Hemorrhoids. (PubMed)

for hemorrhoids, but not proven. Symptoms commonly attributed to hemorrhoids include bleeding, pain, pruritus, fecal seepage, prolapse, and mucus discharge. Research has found that these symptoms were equally reported by patients with and without hemorrhoids. Medical therapies for hemorrhoids have not been formally studied except for fiber where the results have been inconsistent. A number of office-based interventions such as rubber band ligation and infrared coagulation are widely used and economically (...) Rethinking What We Know About Hemorrhoids. Although hemorrhoids are responsible for considerable economic cost and personal suffering, they have received surprisingly little research attention. In the United States, hemorrhoids are the third most common outpatient gastrointestinal diagnosis with nearly 4 million office and emergency department visits annually. The etiology of hemorrhoids is speculative. A low-fiber diet and constipation have historically been thought to increase the risk

2018 Clinical Gastroenterology and Hepatology

8. Randomized Trial :Hemorrhoidal Pedicle Ligation vs Laser vs Open Hemorrhoidectomy

of life; To assess late outcomes (after one year) of the procedures: late functional results (continence) and recurrence of symptoms and haemorrhoids. Study design This is a multi-center, double-blind, prospective RCT comparing three different modalities for treatment of symptomatic 2 ° to 3 ° haemorrhoids: open haemorrhoidectomy, intrahaemorrhoidal laser coagulation and haemorrhoidal artery ligation. Condition or disease Intervention/treatment Phase Hemorrhoids Second Degree Hemorrhoids Third Degree (...) Randomized Trial :Hemorrhoidal Pedicle Ligation vs Laser vs Open Hemorrhoidectomy Randomized Trial :Hemorrhoidal Pedicle Ligation vs Laser vs Open Hemorrhoidectomy - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding

2018 Clinical Trials

9. Effectiveness & Safety of Neofitoroid® in Hemorrhoidal Disease

non‐pharmacological (as Sclerotherapy, Rubber band ligation, Infrared Coagulation, Radiofrequency Ablation, Cryotherapy) or surgical treatment in the 31 days post enrollment . Discomfort score related to the hemorrhoidal disease ≥ 30 measured through a 0‐100 Visual Analog Scale VAS (from "no symptoms" to "overwhelming symptoms") at screening. Women of childbearing potential undergone a negative pregnancy test. Informed consent documentation signed and dated confirming that the patient has been (...) Effectiveness & Safety of Neofitoroid® in Hemorrhoidal Disease Effectiveness & Safety of Neofitoroid® in Hemorrhoidal Disease - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Effectiveness & Safety

2018 Clinical Trials

10. Doppler-guided or Non Doppler-guided Arterial Ligation and Mucopexy for Third Degree Hemorrhoids: That is the Question

, Older Adult) Sexes Eligible for Study: All Accepts Healthy Volunteers: No Criteria Inclusion Criteria: Symptomatic grade III hemorrhoids according to Goligher No other source of anal bleeding than hemorrhoids Written informed consent Exclusion Criteria: Any previous hemorrhoid surgery Participants expressing clear preference for one of the interventions Pregnancy Inability to understand the informed consent Oral anticoagulants of congenital defects of the coagulation Patients with immunodepression (...) Doppler-guided or Non Doppler-guided Arterial Ligation and Mucopexy for Third Degree Hemorrhoids: That is the Question Doppler-guided or Non Doppler-guided Arterial Ligation and Mucopexy for Third Degree Hemorrhoids: That is the Question - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum

2018 Clinical Trials

11. The non-surgical management for hemorrhoidal disease. A systematic review. (PubMed)

The non-surgical management for hemorrhoidal disease. A systematic review. The non-surgical treatments for hemorrhoids are cost and time-saving techniques usually performed in patients suffering early hemorrhoidal disease. The most used are rubber band ligation (RBL), injection sclerotherapy (IS), and infrared coagulation (IRC). We performed a systematic review in order to evaluate: do these procedures really help to avoid further more aggressive treatments? What are the common harms? What (...) are the rare harms? How many recurrences there are? A total of 21 RCTs were included in this review: 12 on RBL, 4 on IRC and 5 on IS. In RBL bleeding stops in up to 90% and III degree hemorrhoids improves in 78%-83.8%. IV degree prolapse should have a more invasive treatment. The commonest complications are bleeding and pain (8-80%). IRC related improvement is 78%, 51% and 22% for I, II and III degree. Post-operative pain occurs in 15-100% and post-operative bleeding ranges from 15% to 44%. Recurrence rate

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2017 Il Giornale di chirurgia

12. Multicenter Prospective Trial on Hemorrhoids

Multicenter Prospective Trial on Hemorrhoids Multicenter Prospective Trial on Hemorrhoids - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Multicenter Prospective Trial on Hemorrhoids The safety (...) by (Responsible Party): George Angelos, Stony Brook University Study Details Study Description Go to Brief Summary: This study will compare Ferguson hemorrhoidectomy and THD in terms of one-year recurrence in a large population (N=492). Recurrence is defined as prolapsing internal hemorrhoids at physical examination performed by a colorectal surgeon. Condition or disease Intervention/treatment Hemorrhoids Device: Transanal hemorrhoid dearterialization Procedure: Ferguson hemorrhoidectomy Detailed Description

2017 Clinical Trials

13. Management of Hemorrhoids

relatively well tolerated, causing minimal pain and discomfort. However, patients shouldunderstandtheyallhaveavariablerecurrencerate andmayrequirerepeatedapplications. 13–15 Rubber Band Ligation. Rubber band ligation is a com- monlyusedandeffectivewayoftreatingsymptomaticin- ternal hemorrhoids. In a meta-analysis of 18 randomized prospective studies, rubber band ligation was superior to injection sclerotherapy and infrared coagulation in the treatment of grades I, II, and III hemorrhoids in terms (...) notedtobebeneficialincomparisonwithforcepsligation intermsofpaintolerance,useofanalgesics,andintrapro- cedural bleeding. 18 However, both methods are accept- able, because, in general, banding is very well tolerated. The most common complications are postband anorectal pain, rectal bleeding, thrombosed external hemorrhoids, and vasovagal symptoms, which have been reported in 1%to3%ofpatients. 19,20 Acarefulanddetailedhistory should be specifically obtained from the patient in regard to the presence of coagulation disorders, either intrinsic

2013 American Society of Colon and Rectal Surgeons

14. Ultroid hemorrhoid management system (Ultroid Technologies Inc.)

hemorrhoids include sclerotherapy, bipolar electrocoagulation, and infrared coagulation, also known as photocoagulation. Final publication URL The report may be purchased from: Indexing Status Subject indexing assigned by CRD MeSH Hemorrhoidss Language Published English Country of organisation United States English summary An English language summary is available. Address for correspondence HAYES, Inc., 157 S. Broad Street, Suite 200, Lansdale, PA 19446, USA. Tel: 215 855 0615; Fax: 215 855 5218 Email (...) Ultroid hemorrhoid management system (Ultroid Technologies Inc.) Ultroid hemorrhoid management system (Ultroid Technologies Inc.) Ultroid hemorrhoid management system (Ultroid Technologies Inc.) Record Status This is a bibliographic record of a published health technology assessment. No evaluation of the quality of this assessment has been made for the HTA database. Citation Ultroid hemorrhoid management system (Ultroid Technologies Inc.) Lansdale: HAYES, Inc.. Healthcare Technology Brief

2011 Health Technology Assessment (HTA) Database.

15. Rubber band ligation of hemorrhoids: A guide for complications (PubMed)

Rubber band ligation of hemorrhoids: A guide for complications Rubber band ligation is one of the most important, cost-effective and commonly used treatments for internal hemorrhoids. Different technical approaches were developed mainly to improve efficacy and safety. The technique can be employed using an endoscope with forward-view or retroflexion or without an endoscope, using a suction elastic band ligator or a forceps ligator. Single or multiple ligations can be performed in a single (...) session. Local anaesthetic after ligation can also be used to reduce the post-procedure pain. Mild bleeding, pain, vaso-vagal symptoms, slippage of bands, priapism, difficulty in urination, anal fissure, and chronic longitudinal ulcers are normally considered minor complications, more frequently encountered. Massive bleeding, thrombosed hemorrhoids, severe pain, urinary retention needing catheterization, pelvic sepsis and death are uncommon major complications. Mild pain after rubber band ligation

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2016 World journal of gastrointestinal surgery

16. Transanal hemorrhoidal dearterialization (THD): a safe procedure for the anticoagulated patient? (PubMed)

previously reported. Here, we report our preliminary results of patients who underwent THD while on anticoagulation.During a 53-month period (February 2009-July 2015), patients with symptomatic hemorrhoids refractory to medical management who underwent surgical treatment with THD were retrospectively reviewed. The subset of patients who underwent THD while anticoagulated was compared to a cohort of patient who were not taking anticoagulation and who otherwise demonstrated normal coagulation profiles (...) Transanal hemorrhoidal dearterialization (THD): a safe procedure for the anticoagulated patient? Approximately one in five persons living in the USA is maintained on oral anticoagulation. It has typically been recommended that anticoagulation be withheld prior to hemorrhoidal procedures. Transanal hemorrhoidal dearterialization (THD) is a minimally invasive treatment for symptomatic hemorrhoids, and outcomes with patients on anticoagulation who have undergone this procedure have not been

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2016 Techniques in coloproctology

17. Calcium Dobesilate vs Flavonoids for the Treatment of Early Hemorrhoidal Disease

Calcium Dobesilate vs Flavonoids for the Treatment of Early Hemorrhoidal Disease Calcium Dobesilate vs Flavonoids for the Treatment of Early Hemorrhoidal Disease - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding (...) more. Calcium Dobesilate vs Flavonoids for the Treatment of Early Hemorrhoidal Disease The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT02782455 Recruitment Status : Completed First Posted : May 25, 2016 Last Update Posted : December 25, 2018 Sponsor: Services Hospital, Lahore Information provided

2016 Clinical Trials

18. Safety and Efficacy of Hydrocortisone and Lidocaine Treatment of Grade I and II Hemorrhoids

, OTC and prescription hemorrhoid products, among others. Subject has a current history of an uncorrected coagulation defect or concurrently uses anticoagulants (except aspirin or non-steroidals). Subject has any skin pathology or condition that could interfere with the evaluation of the test products or requires the use of interfering topical, systemic or surgical therapy. Subject has known hypersensitivity or previous allergic reaction to any of the active or inactive components of the test (...) Safety and Efficacy of Hydrocortisone and Lidocaine Treatment of Grade I and II Hemorrhoids Safety and Efficacy of Hydrocortisone and Lidocaine Treatment of Grade I and II Hemorrhoids - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more

2016 Clinical Trials

19. HET Bipolar System: Validation of Outpatient Hemorrhoid Treatment

for symptomatic hemorrhoids using the HET device Exclusion Criteria: All patients not included in Inclusion Criteria Patients with inflammatory bowel disease, malignancy, anal fissures and those who are subject to anti-coagulation therapy with any drug other than aspirin. Contacts and Locations Go to Information from the National Library of Medicine To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor. Please refer (...) HET Bipolar System: Validation of Outpatient Hemorrhoid Treatment HET Bipolar System: Validation of Outpatient Hemorrhoid Treatment - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. HET Bipolar System

2016 Clinical Trials

20. Management of disseminated intravascular coagulation in a patient with hepatic angiosarcoma: A case report. (PubMed)

Management of disseminated intravascular coagulation in a patient with hepatic angiosarcoma: A case report. Hepatic angiosarcoma is a rare endothelial cell tumor that may lead to concurrent consumptive coagulopathies including disseminated intravascular coagulation (DIC). This report details a multifaceted approach to managing DIC in a patient with advanced-stage hepatic angiosarcoma, which continued to progress after a brief response to taxane-based chemotherapy.A 55-year-old man with a recent (...) history of hemorrhoids and hemarthroses presented with acute rectal bleeding. He was found to have concurrent hepatomegaly, abnormal liver function tests, anemia, thrombocytopenia, and coagulopathy.DIC in the setting of hepatic angiosarcoma.The patient's acute bleeding in the setting of DIC was controlled with a combination of antifibrinolytic agents to prevent clot breakdown, heparin products to prevent deposition of new clot, and romiplostim to increase platelet production. His angiosarcoma

2018 Medicine

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