Milligan-Morgan operation was the most frequent method for treatment of haemorrhoid. The operation indicated for haemorrhoid grade III and IV (frequent prolapsed haemorrhoid), perianal haemorrhoid with embolism, bleeding haemorrhoid or anal fissure and haemorrhoid failed by internal treatment and other procedure.
Surgery ; Hemorrhoids

12 patients with internal or surgery hemorrhoids at level 3, level 4 underwent Longo surgery at Viet Duc Hospital and Health Center of Dong Anh district from July to October 2005. The author reviewed indication, technique and primary results of Longo surgery on hemorrhoids treatment. Indication of Longo surgery: almost cases of internal and surgery hemorrhoids at level 3 or 4 underwent scheduled surgery, some cases underwent emergency surgery due to haemorrhoids prolapsed, thrombosis. It maybe difficult to place sonde to enlarge the anus; or combined operation can be done together with Longo surgery. The primarily results of the treatment were good; the patients had low pain, shorten hospitalization, without bleeding or incontinence diarrhea
Hemorrhoids ; Therapeutics ; Surgery

Between 1/1993-12/1996, 58 patients (48 males, 15 females) with haemorrhoids of grade 3 or 4 underwent Milligan-Morgan procedure in ViÖt §øc Hospital. Ages range from 29 to 70, with an average of 45 years. Most of these patients were operated on elective surgery, only some of them on emergency because of complications of haemorrhoids (thrombosis...). Post-operative measurements were favourable with 4 days of hospitalization in average. Good results were obtained in more than 94% of patients by 4 years of follow-up.
Methods ; Hemorrhoids ; surgery ; therapeutics

The stapling procedure of hemorrhoid surgical therapy, reported from 1998, is a very good new technique especially by significantly pain reduction. One of its disadvantage is the cost of 300-400 USD/case. That is why, the author uses a modified technique by realizing a circular handsew-technique, of U or X shaped points at 1.5 cm - 2 cm above the dentate line. By good results of 72 cases, the modified handsew technique is well appreciated. The indication is for 2nd, 3rd and 4th (not too big) degree piles. For big and mixed hemorrhoid especially with circumferential prolape the modified technique is combined with Milligan Morgan procedure. Further study with randomised groups and long follow up results are needed.
Hemorrhoids ; surgery ; therapeutics

A prospective study of ambulatory CO2 laser hemorrhoidectomy. 295 consecutive patients (147 males, 148 females), mean age of 39 years (18-72), 97 cases of them (41 circumferential hemorrhoids, 56 piles) were strict follow-up from 3 months to one year. All had been operated by “restricted and pile-size hemorrhoidectomy” technique and performed with CO2¬ laser. Less operative bleeding (about 90% <20 ml), operating faster (average: 23.58 min), less painful (78.4% degree A + B), none post - op, hemorrhage, mean wound healing within 4 weeks, none late complication (anal fissure, fistula, deformity...) and recurrence. Hemorrhoidectomy using CO2 laser and author’s technique is safe, effective and no-hospitalization.
Hemorrhoids ; surgery ; therapeutics ; lasers

Purpose: Estimate the results of circumferential haemorrhoidectomy with laser CO2. Methods: A prospective study of 228 patients with circumferential haemorrhoids. All had been operated by "restricted and pilesize heamorrhoidectomy" technique and performed with laser CO2. Follow up 1 year to over 5 years. Results: less operative bleeding, operating faster, less post-op, painful and heamorrhage, mean wound healing within 24 days, short hospitalization, none late complication (anal fissura, fistula, whitehead deformity...) and recurrence. Conclusion: Circumferential heamorrhoidectomy using laser CO2 and author's technique is safe, effective and quick recover.
Surgery ; Hemorrhoids ; lasers

Results of hemorrhoidectomy by CO2 laser versus hemorrhoidectomy by surgical blade. To determine whether hemorrhoidectomy by CO2 laser has any superiority or not in comparison with hemorrhoidectomy by surgical blade, the authors reviewed 152 cases of hemorrhoidectomies within 3 years (1998-2000) at University Medical Centre. 83 cases were operated by CO2 laser and 69 cases were operated by surgical blade. By comparison the early and late results between the two groups, the authors recognized that hemorrhoidectomy by CO2 laser had relieved postoperative pain, apart from that, early and late complications were same.
Hemorrhoids ; Pain, Postoperative ; Surgery

Study on 58 patients with circumferential hemorrhoids which were treated by self-control group. The results: there were 53.4% males and 46.6% females. The mean age 45 ± 9 years. 33 patients had third degree and 25 patients had fourth degree hemorrhoids. The mean time of procedure was 40 ± 9.6 (20 – 60 minutes). 90% of patients had minor or mild post-operative pain. The immediate complications included anal spasm in 2 cases, perianal edema in 3 cases, dysuria in 3 cases and external hemorrhoids in 2 cases
Hemorrhoids ; Therapeutics ; epidemiology ; surgery

This study was undertaken to evaluate the local anesthesia with lidocain 0.5% in hemorrhoidectomy to supervise the analgesia of 157 patients with local anesthsia with lidocaine 0.5% for hemorrhoidectomy. Results: good: 96.18%, average: 3.18%, bad: 0.64%. Local anesthesia is quite good for hemorrhoidectomy
Anesthesia, Local ; Hemorrhoids ; surgery ; therapeutics

Hemorrhoids/surgery* ; Humans ; Lasers ; Ligation