Doppler-guided transanal hemorrhoidal dearterilization versus conventional hemorrhoidectomy for treatment of hemorrhoids - early and long-term postoperative results.

Background: A variety of effective methods for treatment of hemorrhoids has been proposed. In recent years, there has been an increasing number of studies comparing transanal hemorrhoidal dearterilization (THD) and conventional hemorrhoidectomy (CH), but the focus of most studies has been about the early postoperative results. The data about long-term outcomes is still limited.

Advantages of transanal hemorrhoidal dearterialization as compared to other surgical techniques for the treatment of hemorrhoidal disease.

Unlabelled: Transanal hemorrhoidal dearterialization (THD) is a new surgical technique used for the treatment of hemorrhoidal disease. It is known for its easy performance and low perioperative risk. 44 patients have been operated by this method at the Clinic of General, Liver and Pancreatic Surgery for a period of 22 months.

[Analysis of microbial flora during operation for cholangitis and other inflammatory deseases of the hepato-billiary system].

Background: Inflammatory deseases of the billiary system are common in the hepato-billiary surgery. Most serious is the cholangitis. Treatment is based on individual approach of choice of moment of correct surgical intervention and corresponding adequate antibiotic therapy.

[Current diagnostic and therapeutical problems in case of cholangitis].

Cholangitis is a serious complication with high rate of incidence in hepato-billiary surgery. Inadequate treatment leads to worsening of the general condition of the patient, other comlications of the hepato-billiary system and other organs and systems. Cholangitis increases morbidityrate and often contributes to fatal outcome.

[Internal biliary fistulas--diagnostic and therapeutic problems].

Background: Internal biliary fistula (IBF) is still a challenging condition. The preoperative diagnosis is established in less than 50% of cases. Treatment is based on individual approach but postoperative morbidity and mortality rates are high.