The use of sclerotherapy with polidocanol foam in the treatment of second‐degree haemorrhoidal disease – a video vignette

2018 ◽  
Author(s):  
P. Lobascio ◽  
M. Minafra ◽  
R. Laforgia ◽  
C. Giove ◽  
M. Trompetto ◽  
...  
Keyword(s):  
Haemorrhoidal Disease ◽  
Video Vignette ◽  
Second Degree

Video Vignette: Laser Haemorrhoidoplasty Procedure (LHP) for grade II haemorrhoidal disease in a man complaining of only blood in stool.

2021 ◽  
Author(s):  
T.N. Garmanova ◽  
D.R. Markaryan ◽  
Y.E. Kitsenko ◽  
A.M. Lukianov ◽  
P.V. Tsarkov
Keyword(s):  
Haemorrhoidal Disease ◽  
Grade Ii ◽  
Video Vignette

Step‐by‐step open excisional haemorrhoidectomy for grade IV circular haemorrhoidal disease – a video vignette

2020 ◽  
Vol 22 (10) ◽  
pp. 1452-1453
Author(s):  
S. K. Efetov ◽  
Y. S. Medkova ◽  
Y. E. Kitsenko ◽  
K. Ong ◽  
I. A. Tulina ◽  
...  
Keyword(s):  
Haemorrhoidal Disease ◽  
Video Vignette

Classifications and Clinical Assessment of Haemorrhoids:The Proctologist’s Corner

2020 ◽  
Vol 15 ◽  
Author(s):  
Arcangelo Picciariello ◽  
Petr Tsarkov ◽  
Vincenzo Papagni ◽  
Sergey Efetov ◽  
Daniel Markaryan ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Clinical Evaluation ◽  
Clinical Assessment ◽  
Adult Population ◽  
Preoperative Assessment ◽  
Classification Systems ◽  
Patient Treatment ◽  
Benign Condition ◽  
Haemorrhoidal Disease ◽  
Therapeutic Choice

BACKGROUND: Haemorrhoidal disease (HD) is a benign condition affecting a considerable part of adult population. HD can be considered a social and economic burden with high impact on patient lifestyle. Several new techniques and devices have been proposed for HD treatment; however, preoperative assessment is essential and the use of classification system is recommended. METHODS: In the last two decades many studies described the preoperative assessment and several attempts of classification for HD. This review focuses on the most relevant studies found in literature where classification systems and clinical evaluation with differential diagnosis have been evaluated. RESULTS: The knowledge of classification systems and differential diagnosis for HD has been shown to play a central role in the clinical assessment and in the best treatment choice. Although there are new challenging techniques and devices for HD treatment, a preoperative assessment is always mandatory. CONCLUSION: Preoperative clinical evaluation is essential for HD patient treatment and outcome. Classification systems are useful for the therapeutic choice and for researches on new medical or surgical treatments. In fact, the international guidelines advise several therapeutic options depending on the severity of the HD.

Anatomy, Physiology and Pathophysiology of Haemorrhoids

2020 ◽  
Vol 15 ◽  
Author(s):  
Francesco Pata ◽  
Alessandro Sgrò ◽  
Francesco Ferrara ◽  
Vincenzo Vigorita ◽  
Gaetano Gallo ◽  
...  
Keyword(s):  
Anal Canal ◽  
Dentate Line ◽  
Cochrane Library ◽  
Systematic Research ◽  
Literature Searching ◽  
Patient History ◽  
Haemorrhoidal Disease ◽  
Faecal Continence ◽  
Vascular Component ◽  
Key Events

Background: Haemorrhoidal disease (HD) is a frequent anal disorder and one of the most common findings identified at colorectal clinic. This article aims to provide an overview of the anatomy, physiology and pathophysiology of haemorrhoids and haemorrhoidal disease. Introduction: Internal haemorrhoids are vascular cushions located in the anal canal, above the dentate line and covered by columnar epithelium. They contribute to the faecal continence and to the sensitivity of the anal canal. The enlargement and/or sliding of haemorrhoidal tissue produce symptoms and complications, the so-called haemorrhoidal disease. Method: A systematic research was realized, looking at the best evidence in literature , searching PubMed, Embase, Cochrane library and most renowned text of colorectal surgery from January 1980 to January 2020. Result: Aetiology and pathophysiology of HD are still controversial, but multifactorial. Disruption of stromal scaffolding, enlargement of vascular component, elevated anal pressure and rectal redundancy represent key events in the development and complications of the disease. Local inflammation may play also a role. Goligher’s classification remains the most widely used. A careful patient history and examination are paramount to diagnose HD, excluding other anal or colonic pathologies. Conclusion: Several aspects of etiopathogenesis and pathophysiology remain controversial. Further studies are needed to obtain a better understanding of the disease.

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