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>Journals >Cirujano General >Year 2011, Issue S1


Correa RJM, Bahena-Aponte JA
Enfermedad hemorroidal: Avances y controversias. Artículo de revisión
Cir Gen 2011; 33 (S1)

Language: Español
References: 11
Page: 90-92
PDF: 4. Kb.


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ABSTRACT

Hemorrhoids are one of the most common conditions to affect humans, having been mentioned many centurias ago.
Patients with hemorrhoidal disease may experience any of the following symptoms: bleeding, a painful mass, anal swelling, discomfort, discharge, hygiene problems, soiling, and pruritus. The most frequent complaint is painless bleeding, which usually appears early in the course of the disease.
Preventive medicine plays an important role when addressing this issue. Nonoperative measures can be offered to patients with mild symptoms or minimally symptomatic hemorrhoids. When dietary modifications and nonsurgical treatments fail to improve symptoms, surgical therapy should be considered. Surgical treatment should be individually tailored to each patient according to the degree of symptoms, coexisting anorectal diseases, and the degree of external anorectal component of the disease.


Key words: Stapled hemorrhoidopexy, hemorrhoids, surgical hemorrhoidectomy.


REFERENCIAS

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  2. Hass PA, Schmattz S, Fox TA Jr. The prevalence of haemorrhoids. Dis Colon Rectum 1983; 26: 435-9.

  3. Correa-Rovelo JM, Tellez O, Morán S, Bahena-Aponte JA y cols. Mucosectomía rectal con engrapadora para el tratamiento quirúrgico de la enfermedad hemorroidal: estudio prospectivo de 160 pacientes. Rev Gastroenterol Mex 2006; 71: 422-427.

  4. Giamundo P, Salfi R. HELP (hemorrhoids laser procedure) vs Rubber band ligation: Prospective randomized trial comparing two mini-invasive treatments for 2nd-3rd degree hemorrhoids. Dis Colon Rectum 2010; 53(4): 551.

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  6. Helmes C, Pakravan F, Meshkat B, Abcarian H et al. Conservative management for hemorrhoidal disease. Dis Colon Rectum 2010; 53(4): 552.

  7. Albert M, Atallah S, Larach S. Minimally invasive hemorrhoidectomy:results of Doppler-guided hemorrhoidal arterial ligation with rectoanal repair in 175 patients. Dis Colon Rectum 2010; 53(4): 552.

  8. Ratto C, Giordano P, Donisi L, Parello, Litta F. Transanal hemorrhoidal dearterialization for IV-degree hemorrhoids. Dis Colon Rectum 2010; 53(4): 578.

  9. Ong K, Kam M, Eu K. Pain scores after stapled hemorrhoidopexy vs transanal hemorrhoidal dearterialization: A prospective study of 70 consecutive patients. Dis Colon Rectum 2010; 53(4): 579.

  10. Altomare D, Infantino A, Bottini C, Gentile M et al. Prospective randomized multicenter study comparing stapler hemorrhoidopexy (SH) with Doppler-guided transanal hemorrhoid dearterialization (THD) for III-degree hemorrhoids. Dis Colon Rectum 2010; 53(4): 580.

  11. Tokunaga Y, Sasaki H, Saito T. Evaluation of less invasive treatments including sclerotherapy with ALTA and PPH for prolapsing internal hemorrhoids: Comparison with conventional hemorrhoidectomy. Gastroenterology 2010; 138(5): S-363.






>Journals >Cirujano General >Year 2011, Issue S1
 

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