Comments on: Hemorrhoidal prolapse & PPH procedure http://www.unboundedmedicine.com/2007/08/12/hemorrhoidal-prolapse-pph-procedure/ Medicine as it must be: Unlimited Thu, 20 Nov 2008 12:28:26 +0000 http://wordpress.org/?v=2.6.2 By: yusef http://www.unboundedmedicine.com/2007/08/12/hemorrhoidal-prolapse-pph-procedure/#comment-317633 yusef Tue, 30 Sep 2008 15:36:26 +0000 http://www.unboundedmedicine.com/2007/08/12/hemorrhoidal-prolapse-pph-procedure/#comment-317633 sir, my elder sister suffering from pph, she is suffering high swelling on her both legs and stomatch is any treatment for this with thanks yusef sir,

my elder sister suffering from pph,
she is suffering high swelling on her both legs and stomatch

is any treatment for this

with thanks
yusef

]]> By: Paulino http://www.unboundedmedicine.com/2007/08/12/hemorrhoidal-prolapse-pph-procedure/#comment-297553 Paulino Sun, 24 Aug 2008 05:34:24 +0000 http://www.unboundedmedicine.com/2007/08/12/hemorrhoidal-prolapse-pph-procedure/#comment-297553 It´s important to say that the Ferguson hemorroidectomy stills as the gold standard for treatment of hemorroids. It´s important to say that the Ferguson hemorroidectomy stills as the gold standard for treatment of hemorroids.

]]> By: Leo http://www.unboundedmedicine.com/2007/08/12/hemorrhoidal-prolapse-pph-procedure/#comment-105434 Leo Thu, 20 Sep 2007 15:41:14 +0000 http://www.unboundedmedicine.com/2007/08/12/hemorrhoidal-prolapse-pph-procedure/#comment-105434 Excellent information which includes the facts just as I needed. I will undergo a PPH in 2 weeks. If the surgeon desires to take photos I would be fine with that as well. Excellent information which includes the facts just as I needed. I will undergo a PPH in 2 weeks.
If the surgeon desires to take photos I would be fine with that as well.

]]> By: Jon Mikel Iñarritu http://www.unboundedmedicine.com/2007/08/12/hemorrhoidal-prolapse-pph-procedure/#comment-97726 Jon Mikel Iñarritu Mon, 13 Aug 2007 02:24:59 +0000 http://www.unboundedmedicine.com/2007/08/12/hemorrhoidal-prolapse-pph-procedure/#comment-97726 Dr. Jeff, I take all this pictures with the agreement of the patient. There are four objectives of this pictures: 1. It's a way to explain my patients the datails of the procedure. 2. I'm able to show them to the students for teaching purposes. 3. I upload them to this site with educational purposes. 4. I usually show the pictures taken to my patients in the PO period so they can figure how was the procedure. When I can't take them because I'm too busy during surgery I ask the anesthesiologist or the nurse to take them for me; sometimes with a regular digital camera and sometimes with a cameraphone. Regarding the PPH, or procedure for prolapsing hemorrhoids with stapler is a "novel" approach to the management of enlarged, prolapsing hemorrhoids. Rather than rely on excision of the complexes, the primary goal is to reduce the hemorrhoidal tissue and anoderm to the correct anatomical location within the anal canal. We use an hemorroidal circular stapler kit which includes: clear plastic anoscope, half-slit anoscope, suture threader, and the 33 mm stapler. More information about PPH in <a href="http://www.unboundedmedicine.com/2006/07/25/worst-case-of-hemorrhoidal-prolapse-ever/" rel="nofollow">This Post</a> (Worst hemorrhoidal prolapse ever). Dr. Jeff,

I take all this pictures with the agreement of the patient.

There are four objectives of this pictures:

1. It’s a way to explain my patients the datails of the procedure.
2. I’m able to show them to the students for teaching purposes.
3. I upload them to this site with educational purposes.
4. I usually show the pictures taken to my patients in the PO period so they can figure how was the procedure.

When I can’t take them because I’m too busy during surgery I ask the anesthesiologist or the nurse to take them for me; sometimes with a regular digital camera and sometimes with a cameraphone.

Regarding the PPH, or procedure for prolapsing hemorrhoids with stapler is a “novel” approach to the management of enlarged, prolapsing hemorrhoids. Rather than rely on excision of the complexes, the primary goal is to reduce the hemorrhoidal tissue and anoderm to the correct anatomical location within the anal canal. We use an hemorroidal circular stapler kit which includes: clear plastic anoscope, half-slit anoscope, suture threader, and the 33 mm stapler.

More information about PPH in This Post (Worst hemorrhoidal prolapse ever).

]]> By: jeffrey http://www.unboundedmedicine.com/2007/08/12/hemorrhoidal-prolapse-pph-procedure/#comment-97682 jeffrey Sun, 12 Aug 2007 21:25:45 +0000 http://www.unboundedmedicine.com/2007/08/12/hemorrhoidal-prolapse-pph-procedure/#comment-97682 hi. i think this might have been mentioned before, but i just wonder how do u take these pictures? obviously you would have been involved in the procedure? no? or were u just watching and had a great camera phone? i mention camera phone because wouldn't u want to be rather discreet or "secretive" to take patient pictures? yes they are deidentified but do they know? (just wondering, not pointing fingers here or anything like that) next, i have no idea what is PPH. maybe someone could enlighten me? (i saw haemarrhoids being removed, they were much more severe than that above, and the surgical trainee was using the cautherizer to cut them away bit by bit.... is PPH some novel method of doing things? hi.

i think this might have been mentioned before, but i just wonder how do u take these pictures? obviously you would have been involved in the procedure? no? or were u just watching and had a great camera phone?

i mention camera phone because wouldn’t u want to be rather discreet or “secretive” to take patient pictures?

yes they are deidentified but do they know? (just wondering, not pointing fingers here or anything like that)

next, i have no idea what is PPH. maybe someone could enlighten me? (i saw haemarrhoids being removed, they were much more severe than that above, and the surgical trainee was using the cautherizer to cut them away bit by bit….

is PPH some novel method of doing things?

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