Emad Fathy Oraby  <br/><br/>
Morphological endosonographic evaluation of anal sphinecter integrity post stapling and conventional hemorrhoidectomy /  
 تقييم الخصائص التشريحيه لعضلات الشرج باستخذام الاشعه التلفزيونية عن طريق الشرج ما بعد جراحات البواسير بالطريقه العاديه واستخذام الدباسه  
Emad Fathy Oraby ; Supervised Medhat Mahmoud Assem , Ahmed Farag Ahmed Farag , Ahmed Mohamed Sayed Marzouk 
 - Cairo :   Emad Fathy Oraby ,   2014 
 - 165 P. :   facsimiles ;   25cm 
<br/><br/>Thesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of General Surgery  
<br/><br/> Background: We aimed in this randomized clinical trial to compare the  results of traditional versus stapled hemorrhoidectomy for treatment of  third and fourth degree hemorrhoids. Methods:Thirty patients admitted  for surgical treatment of prolapsing hemorrhoids were randomly assigned  to traditional (n=15) or stapled hemorrhoidectomy (n=15). All patients  received standardized preoperative and postoperative analgesic and  laxative regimens. Patients were compared for postoperative pain,  continence and sphincter thickness. Results: No statistically significant  difference was found regarding postoperative pain or sphincter thickness  between both groups. Stapled hemorrhoidectomy showed significant  improvement of continence score unlike open surgery. Conclusion: both  procedures are safe effective surgical procedures for treatment of  hemorrhoidectomy with better functional results achieved with stapled  hemorrhoidectomy. With no significant change of the internal anal  sphincter thickness and integrity between the two procedure 
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<br/><br/><label>Subjects--Index Terms: </label>Endorectal ultrasound  Open haemorrhoidectomy Stapled  haemorrhoidectomy