Hemorrhoids [Hardcover]

This book provides up-to-date knowledge on hemorrhoids for proctologists. It covers all aspects, including the history of hemorrhoids, the anatomy of the anal canal, pathophysiology, diagnosis, and treatment. Both conservative treatment approaches and surgical methods are explained with the aid of numerous high-quality illustrations and schematic drawings. Particular attention is paid to lift-up submucosal hemorrhoidectomy, developed by the author by modifying Parks original method. Additionally, other important techniques proposed by world leaders in the field are described and illustrated. The international trend towards use of day-case hemorrhoidectomy is acknowledged by considering this approach in detail, with discussion of patient preparation, anesthesia, surgical technique, and postoperative management. The treatment of hemorrhoids in a variety of special circumstances is examined, including new trends in PPH. The closing chapter is devoted to the various forms of anesthesia for anal surgery.

This treasure trove of practical clinical information covers all aspects of day-case hemorrhoidectomy, including anesthetic techniques. It introduces the authors modified submucosal procedure as well as operative techniques pioneered by leading surgeons.

Chapter 1. The History and Frequency of Hemorrhoids.- 1.The History of Hemorrhoids.- 1) The Classical Times, Middle Ages, and the Renaissance.- 2) Hemorrhoid surgery in 18th century, ligation, and the era of simple resection.- 3) Hemorrhoid surgery in the nineteenth century.- 4) The development of twentieth-century hemorrhoid surgery.- 5) A conservative remedy for hemorrhoids.- 2. The incidence of haemorrhoids.- Chapter 2. The Anatomy of the Anus.- 1. Anatomy related to hemorrhoids.- 1) The mucosa and upper epithelium of the anus.- 2) Treitzs muscle.- 3) Internal sphincter.- 4) Conjoined longitudinal muscle.- 5) The external anal sphincter.- 6) The levator ani and pelvic floor muscles.- 7) The levatols2