TY  - BOOK
AU  - Emad Fathy Oraby 
AU  - Ahmed Farag Ahmed Farag  , 
AU  - Ahmed Mohamed Sayed Marzouk , 
AU  - Medhat Mahmoud Assem , 
TI  - Morphological endosonographic evaluation of anal sphinecter integrity post stapling and conventional hemorrhoidectomy / 
PY  - 2014///
CY  - Cairo : 
PB  - Emad Fathy Oraby , 
KW  - Endorectal ultrasound
KW  - Open haemorrhoidectomy
KW  - Stapled  haemorrhoidectomy
N1  - Thesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of General Surgery; Issued also as CD
N2  - 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
ER  -