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Introduction. The hemorrhoidal disease is a common disease in Mexico, 5% of the population experiences symptoms related to it, it is known that 12.9 million people affected annually. Treatment includes dietary hygienic measures, drugs and in patients with grade IV condition, specific procedures are used, the most used transanal procedure for hemorrohids (THD) and procedure for prolapse and hemorrhoids (PPH). To compare the results of THD and PPH procedures in the treatment of hemorrhoidal disease stage III, in terms of time spent on its implementation, evolution, complications, symptoms and quality of life in the short term. Material and methods. A randomized clinical trial in patients Colorectal Service of HCM, diagnosed with Hemorrhoids G-III, they were sampled, alealtorizandola into two groups for the realization of the two techniques. Patients with grade III hemorrhoidal disease with minimal, symmetrical and circumferential mucosal prolapse, between 18 and 70. We excluded those with inflammatory bowel disease, previous surgery with anastomosis within 3 cm of the dentate line or anal canal stenosis, patients with fecal incontinence, fissures or fistulas, irritable bowel with constipation or diarrhea, severe obstruction or bowel movements anticoagulant treatment. Results. The duration of the procedure: the THD was lower in the PPH, with no significant difference average of two minutes Symptoms: pain decreased significantly during the measurements, showing higher scores in PPH, the urgency was less frequent with THD, although the decrease was significant PPH. Pruritus was more frequent in PPH, this difference was not significant. There was more bleeding with PPH, there being significant difference. The infection showed a similar behavior in both techniques, only one case of relapse with PPH. Not submitted rectal prolapse. In terms of quality of life for 93% of patients had a good quality of life end and the rest regular. [ABSTRACT FROM AUTHOR]

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Copyright of Cirugía y Cirujanos is the property of Publicidad Permanyer SLU and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background: Crohn's disease was described for the first time in 1932. The association of acute appendicitis with this disease is very rare and when the cecum is involved, risk of fistula is very high., Case Report: We present the case of a 48-year-old female who had been diagnosed with Crohn's disease several months earlier. The patient complained of intense abdominal pain in the right lower quadrant and was treated medically without improvement. Thus, laparascopic surgery was decided upon., Discussion: The appendix was affected in 12-16% of all patients with Crohn's disease who had intestinal resection., Conclusions: If the cecum is not affected, appendectomy using laparascopic procedure with soft tissue drainage is adequate.

Objective: Report for first time in Mexico a case of hereditary mixed polyposis and review the literature., Background: The hereditary mixed polyposis syndrome (HMPS) is an uncommon condition, distinguished by presence of a different histological pattern of polyps in digestive tract, clinically manifested by diarrhea, anemia and weight loss., Case Report: Male patient, 38 years old, with familiar antecedent (dead sister) with polyps and gastric cancer. With history of a 1 year with bleeding and mucous diarrhea, and weight loss of a 28.6 pounds. Pale at physical examination, without abdominal signs. At blood test with hemoglobin of 9.7 g/dL, and colonoscopy with multiple polyps within colon and rectum, upper endoscopy with a big esophageal polyp and multiple polyps in gastric and duodenal lining smaller than 1 cm. Contrast study of intestine was normal. Histopathologic study of the polyps report mixed pattern of polyps: (hyperplasic-adenomatous, juvenile-adenomatous, adenoma-inflammatory-hyperplasic, hyperplasic-adenomatous with a high degree dysplasia); juvenile in esophagus, and hyperplasic in stomach and duodenum. Patient was undergone to totalproctocolectomy and reconstruction by "J" ileoanal pouch with good outcome, and endoscopic esophageal polypectomy, with actual surveillance.