Histoclinical basis for a new classification of hemorrhoidal disease

1988 ◽  
Vol 31 (6) ◽  
pp. 474-480 ◽  
Author(s):  
Pedro J. Morgado ◽  
José A. Suárez ◽  
Luis G. Gómez ◽  
Pedro J. Morgado
2020 ◽  
Vol 36 (4) ◽  
pp. 249-255 ◽  
Author(s):  
Carlos Walter Sobrado Júnior ◽  
Carlos de Almeida Obregon ◽  
Afonso Henrique da Silva e Sousa Júnior ◽  
Lucas Faraco Sobrado ◽  
Sérgio Carlos Nahas ◽  
...  

Purpose: Present an updated classification for symptomatic hemorrhoids, which not only guides the treatment of internal hemorrhoids but also the treatment of external components. In addition, this new classification includes new treatment alternatives created over the last few years.Methods: Throughout the past 7 years, the authors developed a method to classify patients with symptomatic hemorrhoids. This study, besides presenting this classification proposal, also retrospectively analyzed 149 consecutive patients treated between March 2011 and November 2013 and aimed to evaluate the association between the management adopted with Goligher classification and our proposed BPRST classification.Results: Both classifications had a statistically significant association with the adopted management strategies. However, the BPRST classification tended to have fewer management discrepancies when each stage of disease was individually analyzed.Conclusion: Although there is much disagreement about how the classification of hemorrhoidal disease should be updated, it is accepted that some kind of revision is needed. The BPRST method showed a strong association with the management that should be adopted for each stage of the disease. Further studies are needed for its validation, but the current results are encouraging.


1971 ◽  
Vol 12 (7) ◽  
pp. 262-266
Author(s):  
K. F. Chudoba
Keyword(s):  

2020 ◽  
pp. 66-74
Author(s):  
E. Zakablukovskiy

The article highlights certain aspects of the discussion on the topic of reductionism vs. holism in the philosophy of medicine. Classic radical reductionism is defeated by the concept of emergence. The s.c. bio-medical point of view on a malady, despite its relevance and clear benefit, is not recognized as universal as its adherents may claim, and it yields to an integral psycho-bio-social model. The author introduces a new classification of holism (vitalistic, social and individualistic) and makes appropriate recommendations to clinicians. It is social holism at the macro level that has proven effective in combating the spread of COVID-19.


1977 ◽  
Vol 64 (2) ◽  
pp. 296 ◽  
Author(s):  
William Ramirez B.
Keyword(s):  

2021 ◽  
Vol 9 (6) ◽  
pp. 2542-2543 ◽  
Author(s):  
María Antonia Pastor-Nieto ◽  
María Elena Gatica-Ortega ◽  
Laura Vergara-de-la-Campa ◽  
Ana María Giménez-Arnau
Keyword(s):  

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