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- Infectious proctitis: a necessary differential diagnosis in ulcerative colitis. [Journal Article]
- IJInt J Colorectal Dis 2018 Nov 06
- In the last years, there was a rising in the incidence of sexually transmitted infections, including proctitis. Infectious proctitis (IP), mainly caused by agents like Neisseria gonorrhea and Chlamyd...
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- Treatment of chronic anal fissure: Is open lateral internal sphincterotomy (LIS) a safe and adequate option? [Journal Article]
- AJAsian J Surg 2018 Oct 24
- CONCLUSIONS: LIS is still the gold standard for the treatment of chronic anal fissure when the physicians would like to avoid recurrence and obtain the best pain relief.
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- Could local antibiotics be included in the treatment of acute anal fissure? [Journal Article]
- TJTurk J Surg 2018 Sep 11; :1-4
- CONCLUSIONS: The topical antimicrobial treatment with metronidazole as an addition to the classical medical treatments in acute anal fissure is an effective and safe practice resulting in further reduction in pain and increased healing rate.
- High post-operative pain scores despite multimodal analgesia in ambulatory anorectal surgery: a prospective cohort study. [Journal Article]
- ACActa Chir Belg 2018 Sep 07; :1-7
- CONCLUSIONS: A multimodal analgesic approach consisting of local anesthetic infiltration, multiple oral analgesics and written information seems to be insufficient for certain patient groups after ambulatory anorectal surgery. Especially patients undergoing surgery for hemorrhoids or an anal fissure should receive adequate analgesia. Pain during defecation is problematic and finding a solution for this problem remains challenging. Further research into the combined use of different analgesic modalities is recommended.
- Modified Doppler-guided laser procedure for the treatment of second- and third-degree hemorrhoids. [Journal Article]
- LTLaser Ther 2018 Jun 30; 27(2):137-142
- CONCLUSIONS: Patients with hemorrhoids treated with Doppler-guided laser had an excellent outcome in terms of resolution of symptoms and postoperative pain. Only Minor short-term complications were noted. Doppler-guided laser seems to be an effective and painless technique for the treatment of symptomatic second- to third grade hemorrhoids with minimal mucosal prolapse.
- Use of Ultrasonography in Clarifying the Etiology of Anal Pain. [Journal Article]
- JMJ Med Ultrasound 2017 Oct-Dec; 25(4):208-214
- CONCLUSIONS: The combined approaches of endoanal, transperineal, and in women, transvaginal ultrasound aided with three-dimensional capability proved highly valuable in clarifying the etiology of anal pain in our study group.
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- [Symptom distribution of female pelvic floor dysfunction patients with constipation as chief complaint]. [Journal Article]
- ZWZhonghua Wei Chang Wai Ke Za Zhi 2018 Jul 25; 21(7):798-802
- CONCLUSIONS: The symptoms of FPFD patients with constipation as chief complaint are complex. They are mainly complicated with anal diseases, then urinary incontinence, and mostly with more than 2 symptoms. Their quality of life is poor.
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- Do we need a core outcome set for childbirth perineal trauma research? A systematic review of outcome reporting in randomised trials evaluating the management of childbirth trauma. [Review]
- BJOGBJOG 2018; 125(12):1522-1531
- CONCLUSIONS: Outcome reporting in childbirth trauma research is heterogeneous. Developing, disseminating, and implementing a core outcome set in future childbirth trauma research could help address these issues.
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- Anorectal symptoms during pregnancy and postpartum: a prospective cohort study. [Journal Article]
- CDColorectal Dis 2018 Jul 03
- CONCLUSIONS: Two-thirds of pregnant women have anal symptoms during pregnancy and postpartum, especially haemorrhoidal complications and anal fissure. The most important risk factor is constipation. The prevention of constipation in pregnant women is therefore highly recommended.
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- Patterns of opioid use and prescribing for outpatient anorectal operations. [Journal Article]
- JSJ Surg Res 2018; 229:283-287
- CONCLUSIONS: Most patients had adequate pain control after anorectal surgery with little to no use of opioids and that more than 80% of opioid pills prescribed were not consumed. We intend to standardize our prescribing opioid quantities for outpatient anorectal operations to reflect this reduced use.
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