Hemorrhoids

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).

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 haemorrhoidopexy.- 32 Main disadvantages of stapled haemorrhoidopexy.- 33 Literature review on stapled haemorrhoidopexy. Section 5- Hemorrhoidal dearterialization and mucopexy: 34 Dearterialization of hemorrhoids and mucopexy: techniques and results.- 35 Hemorrhoidal dearterialization with laser: techniques and results.- 36 Why and when I do prefer the dearterialization of hemorrhoids and mucopexy.- 37 Technical tips and tricks of dearterialization of hemorrhoids and mucopexy.- 38 Pros and contras of dearterialization of hemorrhoids and mucopexy.- 39 Main advantages of dearterialization of hemorrhoids and mucopexy.- 40 Main disadvantages of dearterialization of hemorrhoids and mucopexy.- 41 Literature review on dearterialization of hemorrhoids and mucopexy. Section 6 -Perioperative management and outcome: 42 Intra- and postoperative management in patients submitted to operation for hemorrhoids.- 43 Postoperative complications following surgical procedures for hemorrhoids and their management.- 44 Literature data on the hemorrhoidal disease management.- 45 Patients' quality of life after different treatments for hemorrhoidal disease.