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Hemorrhoid Coagulation

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201. Modern treatments for internal haemorrhoids. (Full text)

Modern treatments for internal haemorrhoids. 9154017 1997 06 09 2008 11 20 0959-8138 314 7089 1997 Apr 26 BMJ (Clinical research ed.) BMJ Modern treatments for internal haemorrhoids. 1211-2 Pfenninger J L JL eng Editorial England BMJ 8900488 0959-8138 AIM IM BMJ. 1997 Oct 4;315(7112):881; author reply 882 9353518 BMJ. 1997 Oct 4;315(7112):881-2 9353519 Electrocoagulation Hemorrhoids therapy Humans Ligation Light Coagulation 1997 4 26 1997 4 26 0 1 1997 4 26 0 0 ppublish 9154017 PMC2126612

1997 BMJ : British Medical Journal PubMed

202. Comparison of hemorrhoidal treatment modalities: a meta-analysis

assigned by NLM MeSH Hemorrhoids /therapy; Humans; Ligation; Light Coagulation; Methods; Pain; Randomized Controlled Trials as Topic; Sclerotherapy AccessionNumber 11995001972 Date bibliographic record published 25/03/1996 Date abstract record published 25/03/1996 Record Status This is a critical abstract of a systematic review that meets the criteria for inclusion on DARE. Each critical abstract contains a brief summary of the review methods, results and conclusions followed by a detailed critical (...) Comparison of hemorrhoidal treatment modalities: a meta-analysis Comparison of hemorrhoidal treatment modalities: a meta-analysis Comparison of hemorrhoidal treatment modalities: a meta-analysis MacRae H M, McLeod R S Authors' objectives To assess the effectiveness of the various modes of therapy available for the treatment of symptomatic haemorrhoids. Searching MEDLINE was searched from 1966 to February 1994, using MESH terms and textwords. Reference lists of the articles retrieved were

1995 DARE.

203. Hemorrhoids (Full text)

Hemorrhoids Hemorrhoids are normal vascular structures underlying the distal rectal mucosa and anoderm. Symptomatic hemorrhoidal tissues located above the dentate line are referred to as internal hemorrhoids and produce bleeding and prolapse. Thrombosis in external hemorrhoids results in painful swelling. Symptomatic internal hemorrhoids that fail bowel management programs may be amenable to in-office treatment with rubber band ligation or infrared coagulation. Internal hemorrhoids that fail (...) to respond to these measures or complex internal and external hemorrhoidal disease may require a surgical hemorrhoidectomy, either open or closed. A stapled hemorrhoidopexy treats symptomatic internal hemorrhoids and should be employed with care and only after thorough training of the surgeon because of the risk of rare, severe complications. The choice of procedure should be based on the patient's symptoms, the extent of the hemorrhoidal disease, and the experience of the surgeon.

2007 Clinics in Colon and Rectal Surgery PubMed

204. A randomized trial of photocoagulation or injection sclerotherapy for the treatment of 1 degree and 2 degrees hemorrhoids. (PubMed)

Hemorrhoids therapy Humans Light Coagulation Random Allocation Sclerosing Solutions therapeutic use 1986 1 1 1986 1 1 0 1 1986 1 1 0 0 ppublish 3510111 (...) A randomized trial of photocoagulation or injection sclerotherapy for the treatment of 1 degree and 2 degrees hemorrhoids. 3510111 1986 01 24 2007 11 15 0012-3706 29 1 1986 Jan Diseases of the colon and rectum Dis. Colon Rectum A randomized trial of photocoagulation or injection sclerotherapy for the treatment of 1 degree and 2 degrees hemorrhoids. 83 Leicester R J RJ eng Clinical Trial Letter United States Dis Colon Rectum 0372764 0012-3706 0 Sclerosing Solutions IM Clinical Trials as Topic

1986 Diseases of the colon and rectum

205. [The surgical treatment of hemorrhoids: diathermocoagulation and traditional technics. A prospective randomized study]. (PubMed)

[The surgical treatment of hemorrhoids: diathermocoagulation and traditional technics. A prospective randomized study]. The operations to treat hemorrhoids of III and IV degree are numerous but classifiable into two groups: "closed" techniques such as Ferguson, Parks and Khubchandani, and "open" techniques such as Arnous-Parnaud of the most famous Milligan-Morgan. Recently the Anglo-Saxon school was proposed a technical variant to Milligan-Morgan operation: it involves diathermy excision (...) without peduncle ligature. This technique partly because of the coagulation of the pain receptor, partly because of the absence of "at risk" sutures in septic ground would involve a reduction in the postoperative pain. We have developed the following study to have a global valuation of these methodologies.From November 1993, 135 patients with haemorrhoids of III and IV degree have been recruited and grouped in 3 random groups: the patients of the I group have been subjected to closed hemorrhoidectomy

1997 Minerva chirurgica

206. Comparison of hemorrhoidal treatment modalities. A meta-analysis. (PubMed)

in response to treatment for all hemorrhoids (P = 0.005) as well as for hemorrhoids stratified by grade (Grades 1 to 2; P = 0.007; Grade 3 hemorrhoids, P = 0.042), with no difference in the complication rate (P = 0.35). Patients treated with sclerotherapy (P = 0.031) or infrared coagulation (P = 0.0014) were more likely to require further therapy than those treated with rubber band ligation, although pain was greater after rubber band ligation (P = 0.03 for sclerotherapy; P < 0.0001 for infrared (...) coagulation).Rubber band ligation is recommended as the initial mode of therapy for Grades 1 to 3 hemorrhoids. Although hemorrhoidectomy showed better response rates, it is associated with more complications and pain than rubber band ligation, thus should be reserved for patients who fail to respond to rubber band ligation.

1995 Diseases of the colon and rectum

207. Comparison of hemorrhoidal treatments: a meta-analysis. (Full text)

) and for hemorrhoids stratified by grade (grades 1 and 2, p = 0.007, grade 3, p = 0.042), with no difference in the complication rate (p = 0.35). Patients treated with sclerotherapy (p = 0.031) or infrared coagulation (p = 0.0014) were more likely to require further therapy than those treated with rubber-band ligation, although pain was greater after rubber-band ligation (p = 0.03 for sclerotherapy, p < 0.0001 for infrared coagulation).Rubber-band ligation is recommended as the initial mode of therapy for grades 1 (...) Comparison of hemorrhoidal treatments: a meta-analysis. To determine whether any method of hemorrhoid therapy has been shown to be superior in randomized trials.A meta-analysis of all randomized controlled trials assessing two or more treatment modalities for symptomatic hemorrhoids.Response to therapy, the need for further therapy, complications and pain.Eighteen trials were available for analysis. Hemorrhoidectomy was found to be significantly more effective than manual dilatation of the anus

1997 Canadian journal of surgery. Journal canadien de chirurgie PubMed

208. [Analytical review of multicenter studies with polycresulene for hemorrhoidal pathologies]. (PubMed)

[Analytical review of multicenter studies with polycresulene for hemorrhoidal pathologies]. Seven centres investigated the therapeutic efficacy and tolerability of policresulene associated to cinchocaine administered locally as ointment, suppositories or both formulations in 2287 patients with hemorrhoid pathology. The studies were conducted with a standardised protocol and case report forms and with the same score criteria for rating efficacy and tolerability according to the physicians (...) and the patients. Highly satisfactory results were achieved in 1904 patients (83.2%) according to the investigators criteria. Patients rated the outcome most satisfactory for 1881 cases (82.2%). The following were found to be the principal indications: external and internal hemorrhoids associated with bleeding, acute anal fissures, rhagades and perforated or incised perianal thrombosis, anal eczema and anal pruritus, proctitis and wound treatment after proctologic surgery. None of the investigators found any

2000 Acta gastroenterologica Latinoamericana

209. Radiofrequency coagulation versus rubber band ligation in early hemorrhoids: pain versus gain. (PubMed)

Radiofrequency coagulation versus rubber band ligation in early hemorrhoids: pain versus gain. Band ligation of internal hemorrhoids is a well-established and accepted office procedure. However, there are several reports focusing on problems associated with this technique, which is perceived by many to be risk-free. This randomized study is aimed to compare radiofrequency coagulation and rubber band ligation of hemorrhoids on the parameters of effectiveness and comfort.Eighty patients of 2nd (...) ). Recurrence rate was higher in radiofrequency coagulation group.Rubber band ligation is associated with significantly higher post treatment pain and discomfort. As against this, radiofrequency coagulation results in significantly less pain and post defecation discomfort. However, chances of recurrence of bleeding and prolapse of hemorrhoids are comparatively higher using radiofrequency coagulation of hemorrhoids.

2004 Medicina (Kaunas, Lithuania)

210. Prospective, randomized trial comparing diathermy excision and diathermy coagulation for symptomatic, prolapsed hemorrhoids. (PubMed)

Prospective, randomized trial comparing diathermy excision and diathermy coagulation for symptomatic, prolapsed hemorrhoids. This study was designed to compare diathermy excision and diathermy coagulation in the treatment of symptomatic prolapsed piles.Forty-five consecutive patients were randomly assigned to diathermy excision hemorrhoidectomy (Group A, n = 25) and diathermy coagulation (Group B, n = 20) under general anesthesia.The median duration of surgery was ten minutes for both groups (...) except that diathermy coagulation tended to leave some residual skin components of external hemorrhoid especially in very large prolapsed piles. Group A patients resumed work earlier (mean, 12 (range, 4-20) vs. 17 (11-21) days); however, this was not statistically significant ( P = 0.1).Diathermy coagulation of hemorrhoids is a simple technique and may be considered in suitable cases.

2004 Diseases of the colon and rectum

211. Ambulatory hemorrhoid therapy with radiofrequency coagulation. Clinical practice paper. (PubMed)

Ambulatory hemorrhoid therapy with radiofrequency coagulation. Clinical practice paper. Despite availability of numerous surgical and non-surgical options for the treatment of hemorrhoids like sclerotherapy, rubber band ligation, cryosurgery, infrared photocoagulation, bipolar diathermy, and electro coagulation, none of these therapies has been acclaimed as the ultimate. Coagulation of hemorrhoids using a radio-frequency device is a new therapy to be added to the list.In the present (...) retrospective study, the early and long -term effects of radiofrequency coagulation on patients presenting with hemorrhoids is described. An Ellman radiofrequency generator was used for this procedure. In a separate, randomized, and blinded study, a comparative evaluation was carried out between radiofrequency coagulation and rubber band ligation in terms of their effectiveness and patient comfort.Two hundred and forty patients with Grade I and II hemorrhoids were treated by radiofrequency coagulation

2005 Romanian journal of gastroenterology

212. Infrared coagulation versus rubber band ligation in early stage hemorrhoids. (PubMed)

Infrared coagulation versus rubber band ligation in early stage hemorrhoids. The ideal therapy for early stages of hemorrhoids is always debated. Some are more effective but are more painful, others are less painful but their efficacy is also lower. Thus, comfort or efficacy is a major concern. In the present randomized study, a comparison is made between infrared coagulation and rubber band ligation in terms of effectiveness and discomfort. One hundred patients with second degree bleeding (...) group (2-5 vs 0-3 on a visual analogue scale). Post-defecation pain was more intense with band ligation and so was rectal tenesmus (P = 0.0059). The patients in the infrared coagulation group resumed their duties earlier (2 vs 4 days, P = 0.03), but also had a higher recurrence or failure rate (P = 0.03). Thus, we conclude that band ligation, although more effective in controlling symptoms and obliterating hemorrhoids, is associated with more pain and discomfort to the patient. As infrared

2003 Brazilian journal of medical and biological research = Revista brasileira de pesquisas médicas e biológicas / Sociedade Brasileira de Biofísica ... [et al.]

213. [Effect of diode laser coagulation treatment on grade III internal hemorrhoids]. (PubMed)

[Effect of diode laser coagulation treatment on grade III internal hemorrhoids]. To evaluate the curative effects of diode laser coagulation on grade III internal hemorrhoids.From March 2004 to December 2004, 86 patients with grade III internal hemorrhoids were divided into two groups, received laser coagulation (laser group, n=46) or received hemorrhoidectomy (control group, n=40). Complications, symptom relief, pain scores and satisfaction scores were compared between the two groups six (...) ).Diode laser coagulation can be considered as a safe and effective procedure for the treatment of grade III hemorrhoids.

2005 Zhonghua wei chang wai ke za zhi = Chinese journal of gastrointestinal surgery

214. Early results of the treatment of internal hemorrhoid disease by infrared coagulation and elastic banding: a prospective randomized cross-over trial. (PubMed)

Early results of the treatment of internal hemorrhoid disease by infrared coagulation and elastic banding: a prospective randomized cross-over trial. Rubber band ligation (RBL) is probably the most commonly performed nonsurgical therapy for hemorrhoidal disease. Infrared coagulation (IRC) is one of the most recent advances based on the use of "heat". Recent studies have demonstrated similar efficacy for both modalities. This prospective randomized crossover trial compared IRC and RBL for pain (...) , complications, effectiveness, and patient satisfaction and preference in the treatment of internal hemorrhoids (IH).Patients were randomized to receive either RBL (Group A) or IRC (Group B) for treatment of the first hemorrhoid; in a second procedure two weeks later, patients underwent the other procedure on the second hemorrhoid, thereby serving as their own control. The procedure preferred by the patient was employed two weeks later for the third hemorrhoid. Post-treatment pain was evaluated on a visual

2006 Techniques in coloproctology

215. [Alternative therapeutic methods in the ambulatory treatment of hemorrhoids: observations with infrared coagulation]. (PubMed)

[Alternative therapeutic methods in the ambulatory treatment of hemorrhoids: observations with infrared coagulation]. The author reports his observations gained by different ambulatory treatments of haemorrhoids. A total of 1537 patients with different degree internal haemorrhoids were randomly treated by rubber band ligation, sclero cryo therapy and infrared coagulation. The five years results and review of international literature suggest that infrared coagulation among the known procedures

1994 Orvosi hetilap

216. Infrared coagulation: a new treatment for hemorrhoids. (PubMed)

Infrared coagulation: a new treatment for hemorrhoids. Many methods, which have effectively reduced the number of patients requiring hospital admission, have been described for the outpatient treatment of hemorrhoids. However, complications have been reported, and the methods are often associated with unpleasant side effects. In 1977 Neiger et al. described a new method that used infrared coagulation, which produced minimal side effects. The authors have conducted a prospective, randomized (...) trial to evaluate infrared coagulation compared with more traditional methods of treatment. The authors' results show that it may be more effective than injection sclerotherapy in treating non-prolapsing hemorrhoids and that it compares favorably with rubber band ligation in most prolapsing hemorrhoids. No complications occurred, and significantly fewer patients experienced pain after infrared coagulation (P = less than 0.001).

1982 Diseases of the colon and rectum

217. Optimal nonsurgical treatment of hemorrhoids: a comparative analysis of infrared coagulation, rubber band ligation, and injection sclerotherapy. (PubMed)

Optimal nonsurgical treatment of hemorrhoids: a comparative analysis of infrared coagulation, rubber band ligation, and injection sclerotherapy. Despite an abundance of nonsurgical hemorrhoid therapies, none has been consistently more efficacious. By combining data from multiple clinical trials in a meta-analysis, the present study compared the efficacy and complications of infrared coagulation, injection sclerotherapy, and rubber band ligation to determine the optimal nonoperative hemorrhoid (...) ligation demonstrated greater long-term efficacy, it was associated with a significantly higher incidence of posttreatment pain. In contrast, infrared coagulation was associated with both fewer and less severe complications. Thus, when all factors are considered, infrared coagulation may in fact be the optimal nonoperative hemorrhoid treatment.

1992 The American journal of gastroenterology

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