ANAL AND PERIANAL DISORDERS MANAGEMENT
ANAL AND PERIANAL DISORDERS MANAGEMENT(Abstract): Perianal disorders are the main cause of addressability to the family doctor and to the gastroenterologist. The study is conducted on the background of the increasing incidence of anal pathology in relation with the decrease in the age of appearance. Aim: to propose a protocol for management of patients with perianal disease. Material and methods: The study included a group of 2,000 patients, who were clinically and imagistic investigated. Results: The statistics show a much higher incidence of perianal pathology and an increasing prevalence of it in younger age. Conclusions: we propose a management plan for these patients that facilitates early diagnosis and determines the specific treatment required. The impact of this study is both medical and socio-economic as it shortens patient suffering and the time required for active social reintegration.
2. Eames TD, Scholefield. Fissures, pruritus ani and haemorrhoids. Surgery 2008; 26(8): 334-337.
3. Hînganu MV, Hînganu D, Frâncu LL. Microanatomic aspects of arterial blood supply in rectal carci-nomas – predictive models. Rom J Morphol Embryol 2013; 54 (3): 561-565.
4. Hînganu D, Eva I, Stan C, Hînganu MV. Morphological aspects of the rectal neovascularization in colorectal cancer-anatomical-surgical and imaging implications. Rom J Morphol Embryol 2016; 57(1): 161-165.
5. Riss S, Weiser FA, Schwameis K, Riss T, Mittlböck M, Steiner G, et al. The prevalence of hemor-rhoids in adults. Int J Colorectal Dis 2012; 27: 215-220.
6. Osborne MC, Maykel J, Johnson EK, Steele SR. Anal squamous cell carcinoma: An evolution in disease and management. World J Gastroenterol 2014; 20: 13052-13059.
7. Ngeow J, Eng C. Rectal Cancer: Age Matters in the Affairs of Stage. JNCI J Natl Cancer Inst 2016; 108: 1-2.
8. Hannan LM, Jacobs EJ, Thun MJ. The Association between Cigarette Smoking and Risk of Colorectal Cancer in a Large Prospective Cohort from the United States. Cancer Epidemiol Biomarkers Prev 2009; 18: 3362-3367.
9. Groisman GM, Polak-Charcon S. Fibroepithelial polyps of the anus: a histologic, immunohistochemi-cal, and ultrastructural study, including comparison with the normal anal subepithelial layer. Am J Surg Pathol 1998; 22: 70-76.
10. Sud A, Khan A. Benign anal conditions: haemorrhoids, fissures, perianal abscess, fistula-in-ano and pilonidal sinus. Surgery 2014; 32(8): 421-426.
11. McFarlane MEC. Ambulatory treatment of haemorrhoids with the infrared coagulator. Ambul Surg 2005; 12(2): 53-55.
12. Zaher T, Ibrahim I, Ibrahim A. Stapled Haemorrhoidopexy for Prolapsed Haemorrhoids: Short- and Long-term Experience. Asian J Surg 2007; 30(1): 29-33.
13. Brown SR, Tiernan JP, Watson AJM, Biggs K, Shephard N, Wailoo AJ, et al. Haemorrhoidal artery ligation versus rubber band ligation for the management of symptomatic second-degree and third-degree haemorrhoids (HubBLe): a multicentre, open-label, randomised controlled trial. Lancet 2016; 388(10042): 356-364.
14. Tiernan JP, Brown SR. Benign anal conditions: haemorrhoids, fissures, perianal abscess, fistula-in-ano and pilonidal sinus. Surgery 2011; 29(8): 382-386.
15. Felt-Bersma RJF, Bartelsman JF. Haemorrhoids, rectal prolapse, anal fissure, peri-anal fistulae and sexually transmitted diseases. Best Pract Res Clin Gastroenterol 2009; 23 (4): 575-592.
16. Kim JC. Analysis of Surgical Treatments for Circumferentially Protruding Haemorrhoids: Complete Excision with Repair Using Flaps Versus Primary Excision with Secondary Suture-ligation. Asian J Surg 2006; 29(3): 128-134.
17. Ferrer-Marquez M, Espinola-Cortes N, Reina-Duarte A, Granero-Molina J, Fernandez-Sola C, Her-nandez-Padilla JM. Analysis and Description of Disease-Specific Quality of Life in Patients with Anal Fistula. Cir Esp 2018; 96 (4): 213-220.
18. Anaraki F, Etemad O, Abdi E, Bagherzadeh G, Behboo R. Assessment of fistulectomy combined with sphincteroplasty in the treatment of complicated anal fistula. JCOL 2017; 37(3): 232-237.
19. Pigot F. Treatment of anal fistula and abscess. J Visc Surg 2015; 152(2): 23-29.
20. Lohsiriwat V, Hemorrhoids: From basic pathophysiology to clinical management, World J Gastroen-terol 2012; 18(17): 2009-2017.
21. Johanson JF, Sonnenberg A. The prevalence of hemorrhoids and chronic constipation. An epidemio-logic study. Gastroenterology 1990; 98: 380-386.
22. Abcarian H. Anorectal Infection: Abscess–Fistula. Clin Colon Rectal Surg 2011; 24: 14-21.
23. Gami B, Hemorrhoids - a common ailment among adults, causes & treatment: a review. Int J Pharm Pharm Sci 2011; 3: 5-12.
24. Szyca R, Leksowski K. Assessment of patients’ quality of life after hemorrhoidectomy using the LigaSure device. Wideochir Inne Tech Maloinwazyjne 2015; 10: 68-72.
25. Whiteford MH, Perianal Abscess/Fistula Disease. Clin Colon Rectal Surg 2007; 20: 102-109.
Once an article is accepted for publication, MSJ requests a transfer of copyrights for published articles.
COPYRIGHT TRANSFER FORM FOR
REVISTA MEDICO-CHIRURGICALĂ A SOCIETĂȚII DE MEDICI ȘI NATURALIȘTI DIN IAȘI /
THE MEDICAL-SURGICAL JOURNAL OF THE SOCIETY OF PHYSICIANS AND NATURALISTS FROM IASI
We, the undersigned authors of the manuscript entitled
warrant that this manuscript, which is submitted for publication in the REVISTA MEDICO-CHIRURGICALĂ, has not been published and it is not under consideration for publication in another journal.
- we give the consent for publication in the REVISTA MEDICO-CHIRURGICALĂ, in printed and electronic format and we transfer unconditioned and complete the copyright of this manuscript to the REVISTA MEDICO-CHIRURGICALĂ, in the event of its acceptance.
- the manuscript does not break the intellectual property rights of any other person.
- we have read the submitted version of the manuscript and we are fully responsible for the content.
Names and signatures of authors / copyright owners (the following sequence is the authorship of the article):
N.B. All the authors must sign this form