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Related Experiment Videos

[Is synchronous hemorrhoidectomy with colonoscopy a worthwhile procedure?].

Y J Hung, T C Hsu, K C Hsu

    Zhonghua Yi Xue Za Zhi = Chinese Medical Journal; Free China Ed
    |May 1, 1989
    PubMed
    Summary
    This summary is machine-generated.

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    Performing colonoscopy before hemorrhoidectomy can detect serious colonic conditions like cancer and polyps, improving patient outcomes and saving time.

    Area of Science:

    • Gastroenterology
    • Colorectal Surgery

    Context:

    • 201 patients underwent preoperative colonoscopy before hemorrhoidectomy at MMH (July 1984-June 1988).
    • Patients presented with symptoms including rectal bleeding, anemia, abdominal pain, family history of cancer, and altered bowel habits.

    Purpose:

    • To evaluate the efficacy and benefits of performing colonoscopy prior to hemorrhoidectomy.
    • To assess the diagnostic yield of colonoscopy in patients undergoing hemorrhoidectomy for colonic symptoms.

    Summary:

    • Colonoscopy identified three cases of colonic cancer and 28 neoplastic polyps among the 201 patients.
    • Cancer patients received prompt surgical intervention; two had good outcomes, one died from advanced disease.
    • The study found no increase in postoperative morbidity compared to other series.

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    Impact:

    • Synchronous hemorrhoidectomy and colonoscopy is a clinically valuable procedure.
    • It prevents redundant colon preparations and delays in diagnosing colorectal lesions.
    • This combined approach saves time and money by performing examination and surgery concurrently.