SlideShare a Scribd company logo
1 of 84
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.
Thank You!!! Thank you

More Related Content

What's hot

Pancreatic pseudocyst
Pancreatic pseudocystPancreatic pseudocyst
Pancreatic pseudocystdraakif
 
LAP ANTERIOR RESECTION-STEP BY STEP Operative Surgery.pptx
LAP ANTERIOR RESECTION-STEP BY STEP Operative Surgery.pptxLAP ANTERIOR RESECTION-STEP BY STEP Operative Surgery.pptx
LAP ANTERIOR RESECTION-STEP BY STEP Operative Surgery.pptxSelvaraj Balasubramani
 
Hydrocele management
Hydrocele managementHydrocele management
Hydrocele managementBalaji Amit
 
Peroral endoscopic myotomy
Peroral endoscopic myotomyPeroral endoscopic myotomy
Peroral endoscopic myotomySapan Kumar
 
Modified radical mastectomy
Modified radical mastectomyModified radical mastectomy
Modified radical mastectomyJaideep Pradeep
 
Management of pancreatic fistulas
Management of pancreatic fistulasManagement of pancreatic fistulas
Management of pancreatic fistulasAbhilash Cheriyan
 
Surgical Options In The Management Of Hernia Repair
Surgical Options In The Management Of Hernia RepairSurgical Options In The Management Of Hernia Repair
Surgical Options In The Management Of Hernia Repairsafarmas
 
Laparoscopic cholecystectomy/ operative surgery
Laparoscopic cholecystectomy/ operative surgery Laparoscopic cholecystectomy/ operative surgery
Laparoscopic cholecystectomy/ operative surgery Selvaraj Balasubramani
 
Journal club-Determination of surgical priorities in appendicitis
Journal club-Determination of surgical priorities in appendicitisJournal club-Determination of surgical priorities in appendicitis
Journal club-Determination of surgical priorities in appendicitisYouttam Laudari
 

What's hot (20)

Pancreatic pseudocyst
Pancreatic pseudocystPancreatic pseudocyst
Pancreatic pseudocyst
 
LAP ANTERIOR RESECTION-STEP BY STEP Operative Surgery.pptx
LAP ANTERIOR RESECTION-STEP BY STEP Operative Surgery.pptxLAP ANTERIOR RESECTION-STEP BY STEP Operative Surgery.pptx
LAP ANTERIOR RESECTION-STEP BY STEP Operative Surgery.pptx
 
Hydrocele management
Hydrocele managementHydrocele management
Hydrocele management
 
Staplers in Surgery
Staplers in SurgeryStaplers in Surgery
Staplers in Surgery
 
Peroral endoscopic myotomy
Peroral endoscopic myotomyPeroral endoscopic myotomy
Peroral endoscopic myotomy
 
Modified radical mastectomy
Modified radical mastectomyModified radical mastectomy
Modified radical mastectomy
 
Management of pancreatic fistulas
Management of pancreatic fistulasManagement of pancreatic fistulas
Management of pancreatic fistulas
 
Rectal carcinoma approach
Rectal carcinoma approachRectal carcinoma approach
Rectal carcinoma approach
 
Right iliac fossa mass
Right iliac fossa massRight iliac fossa mass
Right iliac fossa mass
 
Surgical Options In The Management Of Hernia Repair
Surgical Options In The Management Of Hernia RepairSurgical Options In The Management Of Hernia Repair
Surgical Options In The Management Of Hernia Repair
 
Laparoscopic cholecystectomy/ operative surgery
Laparoscopic cholecystectomy/ operative surgery Laparoscopic cholecystectomy/ operative surgery
Laparoscopic cholecystectomy/ operative surgery
 
Gastrojejunostomy
GastrojejunostomyGastrojejunostomy
Gastrojejunostomy
 
Pyelolithotomy,
Pyelolithotomy,Pyelolithotomy,
Pyelolithotomy,
 
Enterocutaneous fistulas
Enterocutaneous fistulasEnterocutaneous fistulas
Enterocutaneous fistulas
 
Necrotizing pancreatitis
Necrotizing pancreatitisNecrotizing pancreatitis
Necrotizing pancreatitis
 
Journal club-Determination of surgical priorities in appendicitis
Journal club-Determination of surgical priorities in appendicitisJournal club-Determination of surgical priorities in appendicitis
Journal club-Determination of surgical priorities in appendicitis
 
Epigastric hernia
Epigastric herniaEpigastric hernia
Epigastric hernia
 
Splenectomy
SplenectomySplenectomy
Splenectomy
 
Laparoscopic ipom plus
Laparoscopic ipom plusLaparoscopic ipom plus
Laparoscopic ipom plus
 
Complications
ComplicationsComplications
Complications
 

Viewers also liked

Anorectal fistula
Anorectal fistula Anorectal fistula
Anorectal fistula vidyaveer
 
Piles, Constipation, Hernia Treatment at Healing Hands Clinic
Piles, Constipation, Hernia Treatment at Healing Hands ClinicPiles, Constipation, Hernia Treatment at Healing Hands Clinic
Piles, Constipation, Hernia Treatment at Healing Hands Clinichealinghandsclinic Pune
 
Obstructed defecation syndrome
Obstructed defecation syndromeObstructed defecation syndrome
Obstructed defecation syndromeApollo Hospitals
 
Hernia Treatment in Pune | Hernia Doctor in Pune
Hernia Treatment in Pune | Hernia Doctor in PuneHernia Treatment in Pune | Hernia Doctor in Pune
Hernia Treatment in Pune | Hernia Doctor in Punehealinghandsclinic Pune
 
Acs0533 The Surgical Management Of Ulcerative Colitis 2004
Acs0533 The Surgical Management Of Ulcerative Colitis 2004Acs0533 The Surgical Management Of Ulcerative Colitis 2004
Acs0533 The Surgical Management Of Ulcerative Colitis 2004medbookonline
 
STARR Surgery for ODS | Defecography in Pune | Healing Hands Clinic Pune
STARR Surgery for ODS | Defecography in Pune | Healing Hands Clinic PuneSTARR Surgery for ODS | Defecography in Pune | Healing Hands Clinic Pune
STARR Surgery for ODS | Defecography in Pune | Healing Hands Clinic Punehealinghandsclinic Pune
 
Constac for constipation treatment by healing hands herbs
Constac for constipation treatment by healing hands herbsConstac for constipation treatment by healing hands herbs
Constac for constipation treatment by healing hands herbshealinghandsclinic Pune
 
Combined 09 clinical training--pathology malignant_colorectal cancer
Combined 09 clinical training--pathology malignant_colorectal cancerCombined 09 clinical training--pathology malignant_colorectal cancer
Combined 09 clinical training--pathology malignant_colorectal cancerIknifem
 
What Is The Best Treatment For Hard Stool - 6 Golden Ways
What Is The Best Treatment For Hard Stool - 6 Golden WaysWhat Is The Best Treatment For Hard Stool - 6 Golden Ways
What Is The Best Treatment For Hard Stool - 6 Golden Waysnixpolking
 
Obstructed Defecation Syndrome: Diagnosis & Surgical Treatment
Obstructed Defecation Syndrome: Diagnosis & Surgical TreatmentObstructed Defecation Syndrome: Diagnosis & Surgical Treatment
Obstructed Defecation Syndrome: Diagnosis & Surgical Treatmenthealinghandsclinic Pune
 
Successful Repeated CT-Guided Drainage Of Rectal Mucocele After L
Successful Repeated CT-Guided Drainage Of Rectal Mucocele After LSuccessful Repeated CT-Guided Drainage Of Rectal Mucocele After L
Successful Repeated CT-Guided Drainage Of Rectal Mucocele After LAleksandr Reznichenko
 
Combined 06 clinical training--pathology benign_volvulus
Combined 06 clinical training--pathology benign_volvulusCombined 06 clinical training--pathology benign_volvulus
Combined 06 clinical training--pathology benign_volvulusIknifem
 
Laparoscopic Management of Emergency UpperGI Perfofations
Laparoscopic Management of Emergency UpperGI PerfofationsLaparoscopic Management of Emergency UpperGI Perfofations
Laparoscopic Management of Emergency UpperGI PerfofationsFederico Messina
 
Combined 05 clinical training--pathology benign_ischemic colitis
Combined 05 clinical training--pathology benign_ischemic colitisCombined 05 clinical training--pathology benign_ischemic colitis
Combined 05 clinical training--pathology benign_ischemic colitisIknifem
 

Viewers also liked (20)

Rectum
RectumRectum
Rectum
 
ARM
ARMARM
ARM
 
Anorectal fistula
Anorectal fistula Anorectal fistula
Anorectal fistula
 
Hemorrhoidectomy
HemorrhoidectomyHemorrhoidectomy
Hemorrhoidectomy
 
Piles, Constipation, Hernia Treatment at Healing Hands Clinic
Piles, Constipation, Hernia Treatment at Healing Hands ClinicPiles, Constipation, Hernia Treatment at Healing Hands Clinic
Piles, Constipation, Hernia Treatment at Healing Hands Clinic
 
Obstructed defecation syndrome
Obstructed defecation syndromeObstructed defecation syndrome
Obstructed defecation syndrome
 
Hernia Treatment in Pune | Hernia Doctor in Pune
Hernia Treatment in Pune | Hernia Doctor in PuneHernia Treatment in Pune | Hernia Doctor in Pune
Hernia Treatment in Pune | Hernia Doctor in Pune
 
Lifestyle
LifestyleLifestyle
Lifestyle
 
Acs0533 The Surgical Management Of Ulcerative Colitis 2004
Acs0533 The Surgical Management Of Ulcerative Colitis 2004Acs0533 The Surgical Management Of Ulcerative Colitis 2004
Acs0533 The Surgical Management Of Ulcerative Colitis 2004
 
STARR Surgery for ODS | Defecography in Pune | Healing Hands Clinic Pune
STARR Surgery for ODS | Defecography in Pune | Healing Hands Clinic PuneSTARR Surgery for ODS | Defecography in Pune | Healing Hands Clinic Pune
STARR Surgery for ODS | Defecography in Pune | Healing Hands Clinic Pune
 
Constac for constipation treatment by healing hands herbs
Constac for constipation treatment by healing hands herbsConstac for constipation treatment by healing hands herbs
Constac for constipation treatment by healing hands herbs
 
Combined 09 clinical training--pathology malignant_colorectal cancer
Combined 09 clinical training--pathology malignant_colorectal cancerCombined 09 clinical training--pathology malignant_colorectal cancer
Combined 09 clinical training--pathology malignant_colorectal cancer
 
What Is The Best Treatment For Hard Stool - 6 Golden Ways
What Is The Best Treatment For Hard Stool - 6 Golden WaysWhat Is The Best Treatment For Hard Stool - 6 Golden Ways
What Is The Best Treatment For Hard Stool - 6 Golden Ways
 
Obstructed Defecation Syndrome: Diagnosis & Surgical Treatment
Obstructed Defecation Syndrome: Diagnosis & Surgical TreatmentObstructed Defecation Syndrome: Diagnosis & Surgical Treatment
Obstructed Defecation Syndrome: Diagnosis & Surgical Treatment
 
MCC 2011 - Slide 9
MCC 2011 - Slide 9MCC 2011 - Slide 9
MCC 2011 - Slide 9
 
Successful Repeated CT-Guided Drainage Of Rectal Mucocele After L
Successful Repeated CT-Guided Drainage Of Rectal Mucocele After LSuccessful Repeated CT-Guided Drainage Of Rectal Mucocele After L
Successful Repeated CT-Guided Drainage Of Rectal Mucocele After L
 
Combined 06 clinical training--pathology benign_volvulus
Combined 06 clinical training--pathology benign_volvulusCombined 06 clinical training--pathology benign_volvulus
Combined 06 clinical training--pathology benign_volvulus
 
Laparoscopic Management of Emergency UpperGI Perfofations
Laparoscopic Management of Emergency UpperGI PerfofationsLaparoscopic Management of Emergency UpperGI Perfofations
Laparoscopic Management of Emergency UpperGI Perfofations
 
Pelvic organ prolapse
Pelvic organ prolapsePelvic organ prolapse
Pelvic organ prolapse
 
Combined 05 clinical training--pathology benign_ischemic colitis
Combined 05 clinical training--pathology benign_ischemic colitisCombined 05 clinical training--pathology benign_ischemic colitis
Combined 05 clinical training--pathology benign_ischemic colitis
 

Similar to Stapler hemorrhoidectomy 3

Haemorrhoid.pptx
Haemorrhoid.pptxHaemorrhoid.pptx
Haemorrhoid.pptxRizwan khan
 
Hemorrhoids:Its current management
Hemorrhoids:Its current managementHemorrhoids:Its current management
Hemorrhoids:Its current managementGeorge Mukoro
 
Splenic Trauma by Doctor Saleem
Splenic Trauma by Doctor Saleem Splenic Trauma by Doctor Saleem
Splenic Trauma by Doctor Saleem Muhammad Saleem
 
Retrosternal SZISACON aug 11.pptx
Retrosternal SZISACON aug 11.pptxRetrosternal SZISACON aug 11.pptx
Retrosternal SZISACON aug 11.pptxUmaKumar14
 
Splenic Salvage .pptx
Splenic Salvage .pptxSplenic Salvage .pptx
Splenic Salvage .pptxSherifAli90
 
esophageal cancer surgery types and complications
esophageal cancer surgery types and complicationsesophageal cancer surgery types and complications
esophageal cancer surgery types and complicationsved sah
 
indication for splenectomy
indication for splenectomyindication for splenectomy
indication for splenectomyNaseem Badarna
 
2. The Rise And Fall Of Lords Anal Stretch
2. The Rise And Fall Of Lords Anal Stretch2. The Rise And Fall Of Lords Anal Stretch
2. The Rise And Fall Of Lords Anal Stretchensteve
 
Retrosternal SZISACON anaesthesia periop
Retrosternal SZISACON anaesthesia periopRetrosternal SZISACON anaesthesia periop
Retrosternal SZISACON anaesthesia periopUmaKumar14
 
Conservative management of spleenic injury by dr. raheel anis.
Conservative management of spleenic injury by dr. raheel anis.Conservative management of spleenic injury by dr. raheel anis.
Conservative management of spleenic injury by dr. raheel anis.Raheel Anis
 
Harnessing the great arteries in p.p.h dr vivekpatkar
Harnessing the great arteries in p.p.h dr vivekpatkarHarnessing the great arteries in p.p.h dr vivekpatkar
Harnessing the great arteries in p.p.h dr vivekpatkardrvivekpatkar
 

Similar to Stapler hemorrhoidectomy 3 (20)

Haemorrhoid.pptx
Haemorrhoid.pptxHaemorrhoid.pptx
Haemorrhoid.pptx
 
Hemorrhoids:Its current management
Hemorrhoids:Its current managementHemorrhoids:Its current management
Hemorrhoids:Its current management
 
Splenic Trauma by Doctor Saleem
Splenic Trauma by Doctor Saleem Splenic Trauma by Doctor Saleem
Splenic Trauma by Doctor Saleem
 
Spleen Trauma
Spleen TraumaSpleen Trauma
Spleen Trauma
 
Retrosternal SZISACON aug 11.pptx
Retrosternal SZISACON aug 11.pptxRetrosternal SZISACON aug 11.pptx
Retrosternal SZISACON aug 11.pptx
 
Splenic Salvage .pptx
Splenic Salvage .pptxSplenic Salvage .pptx
Splenic Salvage .pptx
 
esophageal cancer surgery types and complications
esophageal cancer surgery types and complicationsesophageal cancer surgery types and complications
esophageal cancer surgery types and complications
 
Steam catheter
Steam catheterSteam catheter
Steam catheter
 
indication for splenectomy
indication for splenectomyindication for splenectomy
indication for splenectomy
 
2. The Rise And Fall Of Lords Anal Stretch
2. The Rise And Fall Of Lords Anal Stretch2. The Rise And Fall Of Lords Anal Stretch
2. The Rise And Fall Of Lords Anal Stretch
 
Empyema .ppt
Empyema .pptEmpyema .ppt
Empyema .ppt
 
CSF rhinorrhoea
CSF rhinorrhoeaCSF rhinorrhoea
CSF rhinorrhoea
 
Laser Hemorrhoidoplasty Procedure for Second, Third, and Fourth Degree Hemorr...
Laser Hemorrhoidoplasty Procedure for Second, Third, and Fourth Degree Hemorr...Laser Hemorrhoidoplasty Procedure for Second, Third, and Fourth Degree Hemorr...
Laser Hemorrhoidoplasty Procedure for Second, Third, and Fourth Degree Hemorr...
 
Retrosternal SZISACON anaesthesia periop
Retrosternal SZISACON anaesthesia periopRetrosternal SZISACON anaesthesia periop
Retrosternal SZISACON anaesthesia periop
 
Conservative management of spleenic injury by dr. raheel anis.
Conservative management of spleenic injury by dr. raheel anis.Conservative management of spleenic injury by dr. raheel anis.
Conservative management of spleenic injury by dr. raheel anis.
 
Pcdt
PcdtPcdt
Pcdt
 
Haemorroids
HaemorroidsHaemorroids
Haemorroids
 
trauma (1).pptx
trauma (1).pptxtrauma (1).pptx
trauma (1).pptx
 
Upper gi bleeding
Upper gi bleedingUpper gi bleeding
Upper gi bleeding
 
Harnessing the great arteries in p.p.h dr vivekpatkar
Harnessing the great arteries in p.p.h dr vivekpatkarHarnessing the great arteries in p.p.h dr vivekpatkar
Harnessing the great arteries in p.p.h dr vivekpatkar
 

Recently uploaded

Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...CALL GIRLS
 
Artifacts in Nuclear Medicine with Identifying and resolving artifacts.
Artifacts in Nuclear Medicine with Identifying and resolving artifacts.Artifacts in Nuclear Medicine with Identifying and resolving artifacts.
Artifacts in Nuclear Medicine with Identifying and resolving artifacts.MiadAlsulami
 
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...Taniya Sharma
 
Call Girl Number in Panvel Mumbai📲 9833363713 💞 Full Night Enjoy
Call Girl Number in Panvel Mumbai📲 9833363713 💞 Full Night EnjoyCall Girl Number in Panvel Mumbai📲 9833363713 💞 Full Night Enjoy
Call Girl Number in Panvel Mumbai📲 9833363713 💞 Full Night Enjoybabeytanya
 
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...Dipal Arora
 
Vip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls Available
Vip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls AvailableVip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls Available
Vip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls AvailableNehru place Escorts
 
Call Girl Coimbatore Prisha☎️ 8250192130 Independent Escort Service Coimbatore
Call Girl Coimbatore Prisha☎️  8250192130 Independent Escort Service CoimbatoreCall Girl Coimbatore Prisha☎️  8250192130 Independent Escort Service Coimbatore
Call Girl Coimbatore Prisha☎️ 8250192130 Independent Escort Service Coimbatorenarwatsonia7
 
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...aartirawatdelhi
 
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...Garima Khatri
 
Kesar Bagh Call Girl Price 9548273370 , Lucknow Call Girls Service
Kesar Bagh Call Girl Price 9548273370 , Lucknow Call Girls ServiceKesar Bagh Call Girl Price 9548273370 , Lucknow Call Girls Service
Kesar Bagh Call Girl Price 9548273370 , Lucknow Call Girls Servicemakika9823
 
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Darjeeling Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Darjeeling Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Darjeeling Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Darjeeling Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...
VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...
VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...narwatsonia7
 
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...astropune
 
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...chandars293
 
Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...
Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...
Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...narwatsonia7
 

Recently uploaded (20)

Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
 
Artifacts in Nuclear Medicine with Identifying and resolving artifacts.
Artifacts in Nuclear Medicine with Identifying and resolving artifacts.Artifacts in Nuclear Medicine with Identifying and resolving artifacts.
Artifacts in Nuclear Medicine with Identifying and resolving artifacts.
 
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
 
Call Girl Number in Panvel Mumbai📲 9833363713 💞 Full Night Enjoy
Call Girl Number in Panvel Mumbai📲 9833363713 💞 Full Night EnjoyCall Girl Number in Panvel Mumbai📲 9833363713 💞 Full Night Enjoy
Call Girl Number in Panvel Mumbai📲 9833363713 💞 Full Night Enjoy
 
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
 
Vip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls Available
Vip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls AvailableVip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls Available
Vip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls Available
 
Call Girl Coimbatore Prisha☎️ 8250192130 Independent Escort Service Coimbatore
Call Girl Coimbatore Prisha☎️  8250192130 Independent Escort Service CoimbatoreCall Girl Coimbatore Prisha☎️  8250192130 Independent Escort Service Coimbatore
Call Girl Coimbatore Prisha☎️ 8250192130 Independent Escort Service Coimbatore
 
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
 
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
 
Kesar Bagh Call Girl Price 9548273370 , Lucknow Call Girls Service
Kesar Bagh Call Girl Price 9548273370 , Lucknow Call Girls ServiceKesar Bagh Call Girl Price 9548273370 , Lucknow Call Girls Service
Kesar Bagh Call Girl Price 9548273370 , Lucknow Call Girls Service
 
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
 
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
 
Russian Call Girls in Delhi Tanvi ➡️ 9711199012 💋📞 Independent Escort Service...
Russian Call Girls in Delhi Tanvi ➡️ 9711199012 💋📞 Independent Escort Service...Russian Call Girls in Delhi Tanvi ➡️ 9711199012 💋📞 Independent Escort Service...
Russian Call Girls in Delhi Tanvi ➡️ 9711199012 💋📞 Independent Escort Service...
 
Escort Service Call Girls In Sarita Vihar,, 99530°56974 Delhi NCR
Escort Service Call Girls In Sarita Vihar,, 99530°56974 Delhi NCREscort Service Call Girls In Sarita Vihar,, 99530°56974 Delhi NCR
Escort Service Call Girls In Sarita Vihar,, 99530°56974 Delhi NCR
 
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
 
Call Girls Darjeeling Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Darjeeling Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Darjeeling Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Darjeeling Just Call 9907093804 Top Class Call Girl Service Available
 
VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...
VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...
VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...
 
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
 
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
 
Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...
Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...
Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...
 

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
  • 4.
  • 5.
  • 6.  
  • 7.
  • 9.
  • 10.
  • 11.
  • 12.
  • 13.
  • 14.
  • 16.
  • 17.
  • 18.
  • 19.
  • 20.
  • 21.
  • 22.
  • 23.
  • 24.
  • 26.
  • 27.
  • 28.  
  • 29.  
  • 30.  
  • 31.  
  • 32.  
  • 33.  
  • 34.  
  • 35.  
  • 36.  
  • 37.  
  • 38.  
  • 39.  
  • 40.
  • 41.
  • 42.
  • 44. Study from April 2003 till January 2009
  • 45.
  • 46.
  • 47.
  • 48.
  • 50.
  • 51.
  • 52.
  • 53.
  • 54.  
  • 55.
  • 56.  
  • 57.  
  • 58.
  • 59.
  • 60.
  • 61.
  • 62.
  • 63.
  • 64.
  • 65.
  • 67.
  • 68.
  • 69.
  • 70.
  • 71.
  • 72.
  • 73.
  • 74.
  • 75.
  • 76.
  • 77. 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
  • 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
  • 83. 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.

Editor's Notes

  1. Anal stenosis due to high stapler line.