Randomized clinical trial of symptom control after stapled anopexy or diathermy excision for haemorrhoid prolapse (<i>Br J Surg</i> 2010; 97: 167–176)

Khan, Rehan; Jindal, V.; Kapoor, Sorabh; Panwar, Rajesh; Vk, Bansal; Kumar, Subodh; Misra, Mahesh C.

doi:10.1002/bjs.7144

Cited by 2 publications

(3 citation statements)

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“…The mean duration of surgery of 23 min in this treatment did not considerably differ from 25 min reported in conventional hemorrhoid surgery in a previous study [10]. In terms of patients' satisfaction score at 6 weeks after surgery, the score of +3.0 for this treatment was not considerably different from that of +2.3 reported for conventional hemorrhoidectomy in a previous study [7].…”

Section: Discussioncontrasting

confidence: 53%

“…In addition to the pain reduction by ALTA injection, we speculate that the reduced size (because resection was limited to the anal side from the dentate line) and decreased number (because resection was not performed when lesions did not have any external hemorrhoid component) of resection wounds also contributed to the reduced pain. Typically, most hemorrhoid surgeries involve the resection of three hemorrhoids [10]. However, only one patient in the present study received EHR3, whereas other patients who received treatment for three hemorrhoids likely underwent ALTA3 and EHR1 or ALTA3 and EHR2, which would have decreased the number of wounds to one or two instead of three.…”

Section: Discussionmentioning

confidence: 87%

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Initial experience with sclerotherapy with complementary minimum hemorrhoidectomy

Yano¹

2019

J Transl Sci

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Aim:The major problem after hemorrhoidectomy is postoperative pain. This study was designed to investigate the hypothesis that the pain will be reduced as the resection wound is smaller. Aluminum potassium sulphate and tannic acid (ALTA) injection sclerotherapy was performed on the internal hemorrhoid component and the external hemorrhoid component was resected.Methods: 59 patients with Grade 3 or 4 hemorrhoids who underwent ALTA sclerotherapy with complementary resection were included for the analysis. The patients were asked to record their pain for 3 days after surgery. Outcome measures included maximal pain score (0-10), time off work, and patient satisfaction score (-3 to +3). This is a prospective, observational and single arm study. Results:The median maximal pain score was 7.4 [interquartile range (IQR), 5.4-9.0], the median time off work was 3 days (IQR, 2-4 days), and the median patient satisfaction score was +3 (IQR, 2.5-3.0). Conclusion:Minimizing the extent of resection by performing thorough sclerotherapy may reduce pain a few days after surgery and expedite the return to work.

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Section: Discussioncontrasting

confidence: 53%

Section: Discussionmentioning

confidence: 87%

Initial experience with sclerotherapy with complementary minimum hemorrhoidectomy

Yano¹

2019

J Transl Sci

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“…However, studies from some general placenta aneuploidy studies revealed similar observations such as extensive scalloping, increased ramification of the main villous trunks, and increased syncytial budding [6,7], but some placenta morphology in these aneuploidy cases may be secondary to the gestation age or reduction in the villous circulation due to a cardiovascular defect. The secondary changes may include trophoblastic hypoplasia, stromal edema, cavitation, or reduced vascularization.…”

Section: Discussionmentioning

confidence: 98%

The placenta findings from an XYY abortus: a case report

Fan

2013

J Med Case Reports

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IntroductionThe placenta morphology from an XYY pregnancy abortus has not been reported in the medical literature. This case report consists of the first detailed documentation. The reported case is also highly unusual because the mother had two prior pregnancies with fetuses being confirmed to have Zellweger syndrome and one prior molar pregnancy.Case presentationA 43-year-old Caucasian woman presented for induction of labor secondary to diagnosis of XYY chromosomes by chorionic villus sample.ConclusionsThis is the first detailed observation of placenta morphology in an XYY abortus. Although not highly specific, the observation is very unique and should prompt further investigation of karyotyping of the fetus or infant because an XYY individual may be viable and grow to adulthood. The association of an XYY abortus and prior pregnancies with Zellweger syndrome and one prior molar pregnancy is also highly notable.

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Randomized clinical trial of symptom control after stapled anopexy or diathermy excision for haemorrhoid prolapse (Br J Surg 2010; 97: 167–176)

Cited by 2 publications

References 0 publications

Initial experience with sclerotherapy with complementary minimum hemorrhoidectomy

Initial experience with sclerotherapy with complementary minimum hemorrhoidectomy

The placenta findings from an XYY abortus: a case report

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