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بسم الله الرحمن الرحيم
مقام الإمام النووي 631 -671H 1255-1300G
1 ST  annul surgical symposium     STAPLED    HEMORRHOIDECTOMY Dr. Abdulmonem Abualsel KAMC –NGHA- ALHASA MRCS Gen. Surgery
DEFINITION ,[object Object],[object Object],[object Object],[object Object],[object Object]
Anatomy ,[object Object],[object Object]
 
Blood Supply ,[object Object],[object Object],[object Object]
The site of Hs
Venous return ,[object Object],[object Object]
Classification ,[object Object],[object Object],[object Object],[object Object]
Classification ,[object Object],[object Object],[object Object],[object Object],[object Object]
Aetiology ,[object Object],[object Object],[object Object],[object Object]
Aetiology ,[object Object],[object Object],[object Object],[object Object]
[object Object],parks AG the surgical treatment of hemorrhoids BrJ1956 43-51
Impaired v drainage
Aetiology ,[object Object],[object Object]
Theories ,[object Object],[object Object],[object Object]
[object Object],[object Object],thompson WH .the nature of hemorrhoid 1975 surg 62- 542
[object Object],[object Object],thompson WH .the nature of hemorrhoid 1975 surg 62- 542
Aetiology ,[object Object],[object Object],thompson WH .the nature of hemorrhoid 1975 surg 62- 542
Aetiology ,[object Object],[object Object]
[object Object],[object Object]
[object Object],[object Object]
  Longo A (1998) Treatment of haemorrhoidal disease   ,[object Object],[object Object],longoA1998 treatment of hemorhoidal disease
DR :ANTONIO LONGO
Definition and Principles ,[object Object],[object Object]
Cont … ,[object Object],[object Object]
 
 
 
 
 
 
 
 
 
 
 
 
Medical treatment ,[object Object],[object Object],[object Object]
Nonoperative treatment ,[object Object],[object Object],[object Object],[object Object]
Surgical treatment ,[object Object],[object Object],[object Object]
المسجد الأموي في دمشق
Study from April 2003 till January 2009
Abstract ,[object Object],[object Object]
[object Object]
[object Object],[object Object]
Results: ,[object Object],[object Object],[object Object]
DR: Ahmad Salman
METHODS ,[object Object],[object Object],[object Object],[object Object],[object Object]
Total Number of Patient - 160 ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
Operative Time ,[object Object],[object Object],[object Object],[object Object]
 
[object Object],[object Object],[object Object],[object Object]
 
 
Visual analogue scale ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Analgesia ,[object Object],[object Object],[object Object],[object Object]
complications ,[object Object],[object Object],[object Object],[object Object],[object Object]
Complication ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Hospital Length of Stay ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
literatures
Department of Surgery, Universit à  Tor Vergata, Rome, Italy,  ,[object Object],[object Object],[object Object]
[object Object]
Colorectal Surgery Division, Hospital Santa Helena, Sao Paulo (SP), Brazil.  ,[object Object],[object Object],[object Object]
[object Object],[object Object]
Many center in France ,[object Object]
[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
Rev Gastroenterology Mex. 2006 Oct-Dec;71(4):422-7 Mexico  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Conclusion ,[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
1. Longo A (1998) Treatment of haemorrhoidal disease by reduction of mucosa and haemorrhoidal prolapse  Rome, Italy, pp 3–6 3 2. Lacerda-Filho A, Da Silva RG. Stapled hemorrhoidectomy: present status.  Arq Gastroenterol 2005; 42:191–4. References
References 3. Thompson WH. The nature of haemorrhoids.  Br J Surg 1975; 62:542–52. 4. Brisinda G. How to treat haemorrhoids. Prevention is best; haemorrhoidectomy needs skilled operators.  BMJ 2000; 321:582–3. 5. Lacerda-Filho A, Da Silva RG. Stapled hemorrhoidectomy: present status.  Arq Gastroenterol 2005; 42:191–4. 6. Nisar PJ, Scholefield JH. Managing haemorrhoids. BMJ 2003; 327:847–51. 7. Johanson JF. Evidence-based approach to the treatment of hemorrhoidal disease.  Evid Based Gastroenterol 2002; 3:26–31
. 8. Johanson JF, Sonnenberg A. The prevalence of hemorrhoids and chronic constipation. An epidemiologic study.  Gastroenterology 1990; 98:380–6. 9. Nelson RL, Abcarian H, Davis FG, Persky V. Prevalence of benign anorectal disease in a randomly selected population.  Dis Colon Rectum 1995; 38:341–4. References
10. Johansson HO. Haemorrhoids: aspects of symptoms and results after surgery.  Acta Univ Ups 2005; 86:90. 11. Haas PA, Fox TA, Haas GP. The pathogenesis of haemorrhoids.  Dis Colon Rectum 1984; 27:442–50. 12. Aigner F, Bodner G, Gruber H, Conrad F, Fritsch H, Margreiter R,  et al. The vascular nature of hemorrhoids.  J Gastrointest Surg 2006; 10: 1044–50. 13. Balasubramaniam S, Kaiser AM. Management options for symptomatic hemorrhoids.  Curr Gastroenterol Rep 2003; 5:431–7.
14. Haas PA, Haas GP, Schmaltz S, Fox TA Jr. The prevalence of hemorrhoids.  Dis Colon Rectum 1983; 26:435–9. 15. Lunniss PJ, Mann CV. Classification of internal haemorrhoids: a discussion paper.  Colorectal Dis 2004; 6:226–32. 16. Madoff RD, Fleshman JW. American Gastroenterological Association technical review on the diagnosis and treatment of hemorrhoids. Gastroenterology 2004; 126:1463–73.
17. Polglase AL. Haemorrhoids: a clinical update.  Med J Aust 1997; 167:85–8. 22. Senagore AJ. Surgical management of hemorrhoids.  J Gastrointest Surg 2002; 6:295–8. 18. Cataldo PA. Hemorrhoids.  Clin Colon Rectal Surg 2001; 14:203–14. . 26 26
19.  Parks AG. The surgical treatment of haemorrhoids.  Br J Surg 1956; 43:337–51. 20. Cheetham MJ, Phillips RK. Evidence-based practice in haemorrhoidectomy.  Colorectal Dis 2001; 3:126–34.
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Stapler hemorrhoidectomy 3

  • 2. مقام الإمام النووي 631 -671H 1255-1300G
  • 3. 1 ST annul surgical symposium STAPLED HEMORRHOIDECTOMY Dr. Abdulmonem Abualsel KAMC –NGHA- ALHASA MRCS Gen. Surgery
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  • 78. References 3. Thompson WH. The nature of haemorrhoids. Br J Surg 1975; 62:542–52. 4. Brisinda G. How to treat haemorrhoids. Prevention is best; haemorrhoidectomy needs skilled operators. BMJ 2000; 321:582–3. 5. Lacerda-Filho A, Da Silva RG. Stapled hemorrhoidectomy: present status. Arq Gastroenterol 2005; 42:191–4. 6. Nisar PJ, Scholefield JH. Managing haemorrhoids. BMJ 2003; 327:847–51. 7. Johanson JF. Evidence-based approach to the treatment of hemorrhoidal disease. Evid Based Gastroenterol 2002; 3:26–31
  • 79. . 8. Johanson JF, Sonnenberg A. The prevalence of hemorrhoids and chronic constipation. An epidemiologic study. Gastroenterology 1990; 98:380–6. 9. Nelson RL, Abcarian H, Davis FG, Persky V. Prevalence of benign anorectal disease in a randomly selected population. Dis Colon Rectum 1995; 38:341–4. References
  • 80. 10. Johansson HO. Haemorrhoids: aspects of symptoms and results after surgery. Acta Univ Ups 2005; 86:90. 11. Haas PA, Fox TA, Haas GP. The pathogenesis of haemorrhoids. Dis Colon Rectum 1984; 27:442–50. 12. Aigner F, Bodner G, Gruber H, Conrad F, Fritsch H, Margreiter R, et al. The vascular nature of hemorrhoids. J Gastrointest Surg 2006; 10: 1044–50. 13. Balasubramaniam S, Kaiser AM. Management options for symptomatic hemorrhoids. Curr Gastroenterol Rep 2003; 5:431–7.
  • 81. 14. Haas PA, Haas GP, Schmaltz S, Fox TA Jr. The prevalence of hemorrhoids. Dis Colon Rectum 1983; 26:435–9. 15. Lunniss PJ, Mann CV. Classification of internal haemorrhoids: a discussion paper. Colorectal Dis 2004; 6:226–32. 16. Madoff RD, Fleshman JW. American Gastroenterological Association technical review on the diagnosis and treatment of hemorrhoids. Gastroenterology 2004; 126:1463–73.
  • 82. 17. Polglase AL. Haemorrhoids: a clinical update. Med J Aust 1997; 167:85–8. 22. Senagore AJ. Surgical management of hemorrhoids. J Gastrointest Surg 2002; 6:295–8. 18. Cataldo PA. Hemorrhoids. Clin Colon Rectal Surg 2001; 14:203–14. . 26 26
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Editor's Notes

  1. Anal stenosis due to high stapler line.