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Hemorrhoid Coagulation

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261. Leech bites: massive bleeding, coagulation profile disorders, and severe anemia. (Abstract)

Leech bites: massive bleeding, coagulation profile disorders, and severe anemia. Leeches have been in use for centuries, especially in plastic and reconstructive surgery wound and flap healing, in venous insufficiencies, and in the treatment of many disorders such as hemorrhoids and varicosity. With this study, we aimed to discuss coagulation disorder due to uncontrolled leech bites, consequent excessive skin hemorrhage, and anemia requiring blood transfusion. A 65-year-old male patient (...) suspension. Bleeding stopped by decreasing after the transfusion of fresh frozen plasma. Although the complications due to leech injuries are rare, they may be an important cause of morbidity and mortality when an injury or prolonged bleeding in an internal region occurs. Prolonged skin hemorrhages rarely cause anemia, and deaths are caused by intractable hemorrhages. However, a coagulation disorder and consequent intractable hemorrhage have not been reported previously in the literature. In conclusion

2008 American Journal of Emergency Medicine

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

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 (...) , infrared coagulation, cryotherapy, diathermy, anal dilation, internal sphincterotomy and operative haemorrhoidectomy. Participants included in the review Patients receiving haemorrhoid therapy were included (n=1,952). Outcomes assessed in the review The outcomes assessed were response to therapy, need for further therapy, complications and pain. How were decisions on the relevance of primary studies made? Two reviewers examined the methods section of each of the articles and inclusion or exclusion from

1995 DARE.

263. Hemorrhoids Full Text available with Trip Pro

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

264. Haemorrhoids (Piles)

Haemorrhoids (Piles) Haemorrhoids (Piles). What causes piles and other information | Patient TOPICS Try our Symptom Checker TREATMENT RESOURCES Try our Symptom Checker PROFESSIONAL Upgrade to Patient Pro / / Search Haemorrhoids Piles Authored by , Reviewed by | Last edited 24 Jan 2017 | Certified by This article is for Medical Professionals Professional Reference articles are designed for health professionals to use. They are written by UK doctors and based on research evidence, UK and European (...) Guidelines. You may find the article more useful, or one of our other . In this article In This Article Haemorrhoids Piles In this article Haemorrhoids are abnormally enlarged vascular mucosal cushions in the anal canal. These mucosal cushions are 'normal findings' - they help to maintain anal continence [ ] . It is only when they become enlarged and start to cause symptoms that they become haemorrhoids. Haemorrhoids originate either above the dentate line (internal haemorrhoids) or below the dentate

2008 Mentor

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

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 Controlled trial quality: uncertain

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

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 (...) [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

1997 Minerva chirurgica Controlled trial quality: uncertain

267. Modern treatments for internal haemorrhoids. Full Text available with Trip Pro

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

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

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 Controlled trial quality: uncertain

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

[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 Controlled trial quality: uncertain

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

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. (...) 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

2004 Diseases of the colon and rectum Controlled trial quality: uncertain

271. Radiofrequency coagulation versus rubber band ligation in early hemorrhoids: pain versus gain. (Abstract)

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 (...) degree bleeding piles were randomized prospectively for band ligation (44 patients) or radiofrequency coagulation (36 patients) technique. Parameters measured included postoperative discomfort and pain, time taken to return to work, complications accompanying the procedure and recurrence rate.The post defecation pain was more severe with band ligation (p=0.01) and so was rectal tenesmus (p=0.01). The patients from radiofrequency coagulation group resumed their duties early (2 versus 5 days, p=0.05

2004 Medicina (Kaunas, Lithuania) Controlled trial quality: uncertain

272. Ambulatory hemorrhoid therapy with radiofrequency coagulation. Clinical practice paper. (Abstract)

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 Controlled trial quality: uncertain

273. Comparison of infrared coagulation and rubber band ligation for first and second degree haemorrhoids: a randomised prospective clinical trial. Full Text available with Trip Pro

Comparison of infrared coagulation and rubber band ligation for first and second degree haemorrhoids: a randomised prospective clinical trial. One hundred and thirty seven previously untreated out-patients with first and second degree haemorrhoids were allocated at random to treatment by infrared coagulation (n=66) or rubber band ligation (n=71). Complete follow up was obtained in 122 patients (60 who had undergone infrared coagulation (group 1), and 62 rubber band ligation (group 2 (...) )) at periods from three months to one year after completion of treatment. Infrared coagulation produced a satisfactory outcome in 51 patients (85%): 34 were rendered asymptomatic and 17 improved. Rubber band ligation produced a satisfactory outcome in 57 patients (92%): 33 were rendered asymptomatic and 24 improved. Both methods were equally effective in first and second degree haemorrhoids. The incidence of side effects, particularly discomfort, during and after treatment was significantly higher in those

1983 British medical journal (Clinical research ed.) Controlled trial quality: uncertain

274. Infrared coagulation: a new treatment for hemorrhoids. (Abstract)

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 Controlled trial quality: uncertain

275. A prospective study of infrared coagulation, injection and rubber band ligation in the treatment of haemorrhoids. (Abstract)

A prospective study of infrared coagulation, injection and rubber band ligation in the treatment of haemorrhoids. One hundred patients with non-prolapsing and one hundred with prolapsing haemorrhoids were allocated to receive conventional treatment (CT) by injection sclerotherapy or rubber band ligation, or infrared photocoagulation (IRC). Significantly more patients with nonprolapsing haemorrhoids were symptom free after IRC (81%) than CT (59%) at three months. (Chi2 = 4.4, p = 0.05 (...) ). There was no significant difference in the outcome at 1 or 4 years. Likewise for prolapsing haemorrhoids, there was no significant difference in the outcome of IRC or CT at 3 months, one or 4 years. However, recurrence of prolapse was more common after IRC (54%) than rubber band ligation (RBL) (27%) at 1 year (Chi2 = 3.46, p less than 0.1). IRC was significantly less painful than CT (p less than 0.001). IRC is a safe, rapid, non-invasive alternative to CT, which is acceptable to the patient and give similar results

1990 International journal of colorectal disease Controlled trial quality: uncertain

276. Prospective randomised comparison of current coagulation and injection sclerotherapy for the outpatient treatment of haemorrhoids. (Abstract)

Prospective randomised comparison of current coagulation and injection sclerotherapy for the outpatient treatment of haemorrhoids. The feasibility and early results of a new technique of outpatient proctoscopic coagulation of haemorrhoids by means of an electronic probe (Ultroid, Microvasive Inc., USA) were evaluated in comparison to conventional injection sclerotherapy. Age, symptom and sex-matched groups were analysed before and 6 weeks after outpatient treatment, using scoring systems (n (...) by the same method again due to discomfort. Significant benefits were achieved by both modes of treatment after 6 weeks. The early cure rates for bleeding were 84% for sclerotherapy and 64% for coagulation (p = 0.2) and for prolapse 56% and 44% respectively (p = 0.72). Injection sclerotherapy is preferable to Ultroid coagulation for the outpatient treatment of haemorrhoids because it is a quicker, less tedious and more comfortable procedure with equally effective early results.

1991 International journal of colorectal disease Controlled trial quality: uncertain

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

[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 (...) its proper application is economic, suitable and alternative possibility in the treatment of haemorrhoids.

1994 Orvosi hetilap Controlled trial quality: uncertain

278. Infrared coagulation versus rubber band ligation in early stage hemorrhoids. (Abstract)

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 (...) piles were randomized prospectively to either rubber band ligation (N = 54) or infrared coagulation (N = 46). Parameters measured included postoperative discomfort and pain, time to return to work, relief in incidence of bleeding, and recurrence rate. The mean age was 38 years (range 19-68 years). The mean duration of disease was 17.5 months (range 12 to 34 months). The number of male patients was double that of females. Postoperative pain during the first week was more intense in the band ligation

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

279. A randomized controlled trial of rubber band ligation versus infra-red coagulation in the treatment of internal haemorrhoids. (Abstract)

A randomized controlled trial of rubber band ligation versus infra-red coagulation in the treatment of internal haemorrhoids. Despite the presence of numerous non-surgical therapies for the treatment of haemorrhoids, none of these therapies has clearly been proven to be superior. The effectiveness and patient tolerance of rubber band ligation (RBL) and infra-red coagulation (IRC) in the treatment of haemorrhoids was assessed.Prospective randomized trial.Academic hospital (tertiary care).A total (...) of 133 consecutive patients (73 males, 60 females, mean age 48 years (range 19-82)) with internal haemorrhoids, and without concomitant anorectal disease, were randomized to rubber band ligation (RBL, n = 65) or infra-red coagulation (IRC, n = 68).Rubber band ligation or infra-red coagulation was performed in one or more sessions with four-week intervals until symptoms had resolved. Treatment outcome and side-effects were assessed after each treatment session and one month after the last treatment

2000 European journal of gastroenterology & hepatology Controlled trial quality: uncertain

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