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.

217 results for

Hemorrhoid Coagulation

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

61. Conventional versus LigaSure hemorrhoidectomy for patients with symptomatic Hemorrhoids. (PubMed)

Conventional versus LigaSure hemorrhoidectomy for patients with symptomatic Hemorrhoids. Hemorrhoidectomy is a frequently performed surgical procedure and associated with postprocedural pain. The use of the Ligasure could result in a decreased incidence of pain as coagulation with high frequency currency and active feedback control over the power output has minimal thermal spread and limited tissue charring.To compare patient tolerance focussing on pain following Ligasure and conventional (...) hemorrhoidectomy in patients with symptomatic hemorrhoids.A multi-database (MEDLINE, EMBASE, CENTRAL and CINAHL) systematic search was conducted. Key journals were handsearched. There was no restriction on language.Randomized controlled trials comparing hemorroidectomy using the Ligasure-technique with conventional diathermy techniques for symptomatic hemorrhoids in adult patients were included.Two reviewers independently extracted data, assessed trial quality and resolved discrepancies together with a third

2009 Cochrane database of systematic reviews (Online)

62. Clinical Practice Guideline for Ambulatory Anorectal Surgery

be made by the physician in light of all the circumstances presented by the individual patient. METHODOLOGY t hese guidelines are built on the last set of the american society of Colon and Rectal surgeons Practice Parameters for ambulatory anorectal surgery published in 2003. 1 an organized search of medline and the Cochrane library was performed. Key words used included “anorectal or rec- tal or rectum or anal or anus or colorectal or proctolog* or hemorrhoid* or haemorrhoid* or ano or ani (...) anorectal procedures are contemplated. 6 a wide variety of anorectal conditions including condyloma, fis- sure, abscess, fistula, hemorrhoids, pilonidal disease, and some tumors are amenable to ambulatory surgery. 12,13 ad - mission rates of 0.5% to 17% 14–16 and low perioperative morbidity and mortality 5,9,17 have been reported among studies reporting ambulatory anorectal surgery out- comes. t hese procedures have been found to be safe and efficacious with reductions in hospital charges of 25% to 50

2015 American Society of Colon and Rectal Surgeons

64. Management of Benign Anorectal Disorders

providers should make a diag- nosis of proctalgia fugax on the basis of a history of intermittent bouts of severe pain in the anal canal or lower rectum lasting less than 20 minutes (strong recommendation, low quality of evidence). 7. Gastr oen t e r o logists a n d other providers should exclude struc- tural causes of anorectal pain (e.g., anal fi ssure, hemorrhoids, cryptitis, malignancy) by imaging, endoscopy, or other appro- priate tests (strong recommendation, low quality of evidence

2014 American College of Gastroenterology

65. Alternative Energy Devices for Adults Undergoing General Surgery: A Review of Clinical-Effectiveness and Evidence-Based Guidelines

), ultrasonic energy (Harmonic Scalpel; Ethicon Endo-Surgery Inc, Cincinnati, Ohio) and electrothermal bipolar vessel sealing systems (Ligasure; Valley-Lab, Boulder, Colorado) have been developed. These technologies involve controlled alteration of tissue and vessels through the application of electrical, ultrasonic or electrothermal energy. Radiofrequency generates a field of ionized sodium molecules and ablates and coagulates soft tissue. Ultrasonic devices transfer energy to the tissue leading (...) to denaturation and coagulation of tissue protein. Electrothermal bipolar vessel sealing system delivers energy to denature tissue protein. 3 These technologies have been used in tissue ablation and blood coagulation for various surgical indications such as thyroidectomy, tonsillectomy, cholecystectomy, colorectal surgery, mastectomy and hemorrhoidectomy. 3 This report aims to review the clinical effectiveness of alternative energy devices for adults undergoing general surgery. The evidence-based guidelines

2013 Canadian Agency for Drugs and Technologies in Health - Rapid Review

67. Thoughts On Prolonged Bleeding Whilst Taking Baby Aspirin

of categorizing bleeding events, the BARC bleeding types. By far, the most common bleeding on aspirin is the kind I had: Type 1 BARC. Type 1: bleeding that is not actionable and does not cause the patient to seek unscheduled performance of studies, hospitalization, or treatment by a healthcare professional. Examples include, but are not limited to, bruising, hematoma, nosebleeds, or hemorrhoidal bleeding for which the patient does not seek medical attention. Type 1 bleeding may include episodes that lead (...) a rapid reversal drug for the blood thinning effect of warfarin (Kcentra for example), such drugs do not exist for aspirin or Eliquis type drugs (as far as I know). I do not have atrial fibrillation so “on label” the newer Eliquis drugs are not prescribed for people like me. However, these newer drugs could be prescribed “off label” to non a-fib patients. The newer drugs like Eliquis claim that the blood thinning effect is so precise that coagulation type measurements are not required. However, I have

2018 The Skeptical Cardiologist

68. A Study Evaluating the Mass Balance of Micro-dose[14C]HSK3486 Emulsion Injection in Healthy Adults

) between 35.5-37.1 °C; respiratory rate between 12-24 breaths/min; blood oxygen saturation when inhaling ≥ 96% (inclusive); Normal major organ function, e.g. routine blood test, blood biochemistry, routine urinalysis, feces and fecal occult blood test, and blood coagulation are all normal, or abnormal with no clinical significance as judged by the investigators; Subjects who voluntarily sign the informed consent form, able to communicate well with the investigator and complete all trial procedures (...) a past or current history of respiratory disease, including: obstructive pulmonary disease, asthma, or a history of bronchospasm requiring treatment within 3 months prior to screening; acute respiratory infections within 1 week prior to screening, with significant fever, wheezing, nasal congestion, and coughing. D Subjects who have a past or current history of gastrointestinal disease, including: gastroesophageal reflux, hemorrhoids or perianal disease with fecal blood, habitual constipation

2018 Clinical Trials

69. A Study Evaluating the Mass Balance of [14C]HSK3486 Emulsion Injection in Healthy Adults.

) between 35.5-37.1 °C; respiratory rate between 12-24 breaths/min; blood oxygen saturation when inhaling ≥ 96% (inclusive); Normal major organ function, e.g. routine blood test, blood biochemistry, routine urinalysis, feces and fecal occult blood test, and blood coagulation are all normal, or abnormal with no clinical significance as judged by the investigators; Subjects who voluntarily sign the informed consent form, able to communicate well with the investigator and complete all trial procedures (...) a past or current history of respiratory disease, including: obstructive pulmonary disease, asthma, or a history of bronchospasm requiring treatment within 3 months prior to screening; acute respiratory infections within 1 week prior to screening, with significant fever, wheezing, nasal congestion, and coughing. D Subjects who have a past or current history of gastrointestinal disease, including: gastroesophageal reflux, hemorrhoids or perianal disease with fecal blood, habitual constipation

2018 Clinical Trials

70. Simple Continuous, Subcuticular and Interrupted Skin Suturing of Episiotomy and 2nd-degree Perineal Tears

. For general information, Layout table for eligibility information Ages Eligible for Study: Child, Adult, Older Adult Sexes Eligible for Study: Female Accepts Healthy Volunteers: No Criteria Inclusion Criteria: Normal vaginal delivery. At term (37 40 weeks ). Live baby. Vertex presentation Exclusion Criteria: Third and fourth degree perineal tear. Instrumental vaginal delivery. Previous perineal surgery. Anaemia with hemoglobin level < 9 g/dl. Diabetes mellitus. Coagulation abnormalities. Postpartum (...) hemorrhage. Delivery conducted outside Woman HealthHospital. Breech delivery. Body mass index >35 kg/m2. Local infectious lesions. Anal fissures or hemorrhoid. Contacts and Locations Go to No Contacts or Locations Provided More Information Go to Layout table for additonal information Responsible Party: Ahmed Mohamed Abbas, Principal investigator, Assiut University ClinicalTrials.gov Identifier: Other Study ID Numbers: SCIE First Posted: August 2, 2018 Last Update Posted: August 2, 2018 Last Verified

2018 Clinical Trials

71. Haemorrhoids

care treatment. Secondary care treatments for haemorrhoids may be non-surgical or surgical, depending on the severity of symptoms and the degree of prolapse. Non-surgical treatments include rubber band ligation, injection sclerotherapy, infrared coagulation/photocoagulation, and bipolar diathermy and direct-current electrotherapy. Surgical treatments include haemorrhoidectomy, stapled haemorrhoidectomy, and haemorrhoidal artery ligation. Have I got the right topic? Have I got the right topic? From (...) in oil is injected into the submucosa of the rectum, around the pedicles of the haemorrhoids. It induces a fibrotic reaction which obliterates the haemorrhoidal vessels, causing atrophy of the haemorrhoids. Provides short-term benefit in most people. Complications include pelvic infection and erectile dysfunction due to incorrectly sited injections (rare). Infrared coagulation/photocoagulation: This involves using infrared energy to produce an area of submucosal fibrosis leading to mucosal fixation

2016 NICE Clinical Knowledge Summaries

72. A Study Comparing the Sodium Picosulfate, Magnesium Oxide and Anhydrous Citric Acid Oral Solution With PREPOPIK® for Colon Cleansing in Preparation for Colonoscopy

level of consciousness or inability to swallow without aspiration Any prior colorectal surgery, excluding appendectomy, hemorrhoid surgery, or prior endoscopic procedures Upper gastrointestinal surgery (gastrectomy, gastric banding, gastric by-pass) Uncontrolled angina and/or myocardial infarction (MI) within last three months, congestive heart failure (CHF), uncontrolled hypertension, or ascites Severely reduced renal function (<30 mL/min/1.73 m2) Pregnant or lactating women Any clinically relevant (...) abnormal findings in medical history, physical examination, vital signs, ECG, clinical chemistry, hematology, coagulation, or urinalysis at Screening Visit 1 Rhabdomyolysis Chronic nausea and vomiting Hypermagnesemia Undergoing treatment with Lithium 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 to this study by its

2017 Clinical Trials

73. A Study to Evaluate the Safety and Effectiveness of the Left Atrial Appendage Closure Therapy Using BSJ003W

intervention for control (excluding dental/nasal/skin/hemorrhoid), Bleeding requiring intravenous vasoactive agents Type 3c: Intracranial hemorrhage (does not include microbleeds or hemorrhagic transformation, does include intraspinal), Subcategories confirmed by autopsy or imaging or lumbar puncture Intraocular bleed compromising vision Type 5: fatal bleeding Type 5a: Probable fatal bleeding; no autopsy or imaging confirmation but clinically suspicious Type 5b: Definite fatal bleeding; overt bleeding (...) has documented paroxysmal, persistent or permanent non-valvular atrial fibrillation The subject has a calculated CHA2DS2-VASc score of 2 or greater and is recommended for long-term oral anti-coagulation therapy The subject is deemed by their physicians to be suitable for anticoagulant therapy and have an appropriate rationale to seek a non-pharmacologic alternative to warfarin The subject is eligible to come off warfarin therapy if the LAA (left atrial appendage) is sealed (i.e. the subject has

2017 Clinical Trials

74. Prognostic Value of Copeptin for Infarct Size and Prognosis in Patients With ST-elevation Myocardial Infarction

dental/nasal/skin/hemorrhoid) Bleeding requiring intravenous vasoactive agents;Type 3c Intracranial hemorrhage (does not include microbleeds or hemorrhagic transformation, does include intraspinal) Subcategories confirmed by autopsy or imaging or lumbar puncture Intraocular bleed compromising vision Type 5: fatal bleeding Type 5a Probable fatal bleeding; no autopsy or imaging confirmation but clinically suspicious Type 5b Definite fatal bleeding; overt bleeding or autopsy or imaging confirmation (...) Infarction ST Elevation Myocardial Infarction Diabetes Insipidus Ischemia Pathologic Processes Necrosis Myocardial Ischemia Heart Diseases Cardiovascular Diseases Vascular Diseases Kidney Diseases Urologic Diseases Pituitary Diseases Endocrine System Diseases Arginine Vasopressin Hemostatics Coagulants Vasoconstrictor Agents Antidiuretic Agents Natriuretic Agents Physiological Effects of Drugs

2017 Clinical Trials

75. Transverse Colostomy for Refractory Hemorrhagic Chronic Radiation Proctitis: a Prospective Cohort Study

coagulation (APC) or topical formalin. We proposed this prospective cohort study, to assess the efficacy and safety of colostomy in treating refractory hemorrhagic CRP with moderate to severe anemia, to provide higher-quality evidence of colostomy in these patients. Condition or disease Intervention/treatment Phase Chronic Radiation Proctitis Rectal Bleeding Colostomy Stoma Anemia Procedure: Transverse colostomy Not Applicable Detailed Description: Chronic radiation proctitis (CRP) is a common (...) complication after radiotherapy of pelvic malignancies, accounting for 5%-20% of cases. Rectal bleeding is the most common symptom, which accounts for > 80% of CRP patients. Mild to moderate bleeding can be controlled by medical agents like sucralfate, endoscopic argon plasma coagulation (APC) or topical formalin. Severe and refractory bleeding is still problematic and refractory to these above medical treatments. Our previous retrospective study found that colostomy obtained a higher rate of bleeding

2017 Clinical Trials

76. A Safety and Efficacy Trial of Circumferential Anal Canal Radiofrequency Ablation for High-Grade Anal Intraepithelial Neoplasia Using the BARRXâ„¢ Anorectal Wand

Wand. The generator and wand are cleared by the FDA for human use and the wand is specifically cleared for treatment of anal neoplasia. The present FDA indication for use statement is: "The Barrx™ catheters are indicated for use in the coagulation of bleeding and non-bleeding sites in the gastrointestinal tract including, but not limited to, the esophagus. Indications include esophageal ulcers, Mallory-Weiss tears, arteriovenous malformations, angiomata, Barrett's esophagus, Dieulafoy lesions (...) the trial History of ablation or resection therapy within the ETZ within 3 months prior to the 0 month RFA visit (other than cauterization or excision of condylomata) History of topical therapy (e.g. Imiquimod, 5-FU, Trichloroacetic acid) within the ETZ within 3 months prior to the 0 month RFA visit Hemorrhoids > grade III Fecal incontinence Concurrent disease requiring systemic immunosuppression therapy Concurrent malignancy requiring systemic therapy Life expectancy < 2 years Contacts and Locations Go

2017 Clinical Trials

77. Management and outcome of gastrointestinal bleeding in patients taking oral anticoagulants or antiplatelet drugs. (PubMed)

by comparing cases of gastrointestinal bleeding associated with NOAC, VKA, or antiplatelet therapy.All major gastrointestinal bleeding events documented in the prospective Dresden NOAC registry were identified, and bleeding location, lesion type, endoscopic treatment, use of blood and coagulation factor transfusion, length of stay, and in-hospital mortality were compared with historical data from a large cohort of consecutive gastrointestinal bleeding patients.In the 143 NOAC therapy cases, upper (...) , hemorrhoid bleeding was the predominant lesion type for lower gastrointestinal tract bleeding with NOAC therapy, with a rate of 33.3%, compared with 10.6% with VKA therapy and 8.7% with antiplatelet therapy. NOAC-associated gastrointestinal bleeding resulted in comparatively low resource consumption, shorter hospitalization, and low in-hospital mortality (1.6%) compared with gastrointestinal bleeding historically seen with use of VKAs (in-hospital mortality 5.6%) or antiplatelet agents (in-hospital

2017 Journal of gastroenterology

78. Evaluation of the Technique LHP (Laser HemorrhoidoPlasty) in Haemorrhoidal Prolapse Mini Invasive Surgery

hemorrhoid prolapse grade 2 and 3 accepting participation Exclusion Criteria: hemorrhoid prolapse grade 1 and 4 other proctological pathology previous surgery of prolapsus with anti coagulant treatment Intestinal chronic inflammatory disease age < 18 pregnancy 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 to this study (...) : February 27, 2018 Sponsor: Groupe Hospitalier Paris Saint Joseph Information provided by (Responsible Party): Groupe Hospitalier Paris Saint Joseph Study Details Study Description Go to Brief Summary: Hemorrhoids surgery technics evolved during the past 20 years. Recently a new one using laser have been developped. It aims at reducing the blood flow towards hemorroïdal plexuses by photocoagulating with a fiber laser the terminal branches of the superior rectal artery. The aim is to evaluate

2017 Clinical Trials

79. Comparing Early Versus Elective Colonoscopy

Frame: 0-4 day ] SRH based on colonoscopic visualization of lesions, such as diverticulosis, tumor, ulcer, hemorrhoid, angioectasia, and polyps exhibiting active bleeding, a visible vessel, or an adherent clot. Secondary Outcome Measures : Success rate of endoscopic treatment [ Time Frame: 0-4 day ] Success rate will be defined as the number achieving hemostasis per total number of attempts at endoscopic hemostasis during colonoscopy examination. Need for additional endoscopic examinations [ Time (...) or blood transfusion. Patients who have undergone total colectomy. Patients with suspected disseminated intravascular coagulation. Patients with end-stage malignant disease. Patients with severe cardiac failure. Patients with active thrombosis. Patients with severe respiratory failure. Pregnant patients. 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

2017 Clinical Trials

80. Traditional Chinese Medicine (TCM) Colon Dialysis Treats Non-dialysis End-Stage Kidney Disease

therapy; 3. no gastrointestinal diseases (including ulcerative colitis, irritable bowel syndrome, inflammation, cancer, infection, bleeding, etc.) in the past 1 year; 4.not associated with rectal-related disorders (hemorrhoids, anal fistula, rectal cancer, cancer, infection, bleeding, etc.); 5.Sign informed consent. Exclusion Criteria: 1. having used antibiotics, hormones, immunosuppressive, probiotics and laxatives in past three months; 2. pregnant or lactating patients; 3.cannot cooperate (...) or tolerate colonic dialysis treatment; 4.combined with active stage of malignant tumors, cardiovascular, respiratory system, decompensated liver cirrhosis or blood system diseases (including coagulation disorders, hematopoietic dysfunction, etc.) and other serious primary disease; 5. recent merger of patients with infectious diseases; 6.having known to be allergic to some drugs in the study. Contacts and Locations Go to Information from the National Library of Medicine To learn more about this study, you

2017 Clinical Trials

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