Hemorrhoids

Section 1- Basics on hemorrhoids: 1 Epidemiology of hemorrhoidal disease.- 2 Anatomy, physiology and pathophysiology of hemorrhoids.- 3 Classification of hemorrhoidal disease and impact on the choice of treatment.- 4 Haemorrhoids and media: impact on the patients.- 5 Clinical assessment of hemorrhoidal disease.  Section 2- Therapeutic approach to the hemorrhoidal disease: 6 Medical therapy of hemorrhoidal disease.- 7 Endoscopic treatment of internal hemorrhoids.- 8 Selection of patients to the surgical treatment of hemorrhoids.- 9 Critical aspects of modern surgical approach to hemorrhoids.- 10 Management of hemorrhoidal disease in special conditions.- 11 The acute management of hemorrhoids. Section 3- Outpatient treatments: 12 Rubber band ligation, Sclerotherapy, Infrared coagulation and others: techniques and results in the surgical treatment of hemorrhoids.- 13 Why and when I do prefer outpatient treatments in the surgical treatment of hemorrhoids.- 14 Technical tips and tricks of outpatients treatments for hemorrhoids.- 15 Pros and contras of outpatients treatments for hemorrhoids.- 16 Main advantages of outpatients treatments for hemorrhoids.- 17 Main disadvantages of outpatients treatments for hemorrhoids.- 18 Literature review on outpatients treatments for hemorrhoids. Section 4- Hemorrhoidectomy: 19 Traditional hemorrhoidectomy: techniques and results.- 20 Modern hemorrhoidectomy: techniques and results.- 21 Why and when I do prefer the hemorrhoidectomy.- 22 Technical tips and tricks of hemorrhoidectomy.- 23 Pros and contras of hemorrhoidectomy.- 24 Main advantages of hemorrhoidectomy.- 25 Main disadvantages of hemorrhoidectomy.- 26 Literature review on hemorrhoidectomy. Section 5- Stapled hemorrhoidopexy: 27 Stapled hemorrhoidopexy: techniques and results.- 28 Why and when I do prefer the stapled haemorrhoidopexy.- 29 Technical tips and tricks of stapled haemorrhoidopexy.- 30 Pros and contras of stapled haemorrhoidopexy.- 31 Main advantages of stapled

Prof. Ratto is Researcher at the Department of Surgical Sciences, Catholic University, Rome. His clinical practice, at the Division of Chirurgia Digestiva, Department of Surgical Sciences of Catholic University, Rome (Policlinico "A. Gemelli"), focuses on the colo-recto-anal disorders. He is actively involved in research on: colorectal cancer anal cancer, anorectal physiology (concerning anorectal manometry, electrophysiology studies, endoanal ultrasound in benign anorectal disorders), fecal incontinence and constipation, hemorrhoids, fistula-in-ano, rectocele. He is author of a number of scientific publications on international journals and presented the results of his research at national and international scientific meetings. He is Editor of the book entitled "Fecal Incontinence. Diagnosis and Treatment", Springer Ed., May 2007. He is a member of: American Society of Colon and Rectal Surgeons (ASCRS), European Society of Coloproctology (ESCP), Italian Society of Colorectal Surgery (SICCR), Italian Society of Surgery (SIC), Italian Society of Oncologic Surgery (SICO) He was General Secretary of the Italian Society of Colorectal Surgery (SICCR), 2006-7. He was National Scientific Secretary of the Italian Group for Sacral Neuromodulation (GINS). He is co-Editor of the journal Techniques in Coloproctology. He has been Delegate of Italy to the European Society of Coloproctology (ESCP).