Clinical Safety and Efficacy of Pilex Tablets and Ointment in the Management of Hemorrhoids.

Hemorrhoids are an abnormal swelling of the blood vessels in the anal canal; treatment is indicated only when they become symptomatic. Conservative treatment typically consists of increasing dietary fiber, oral fluids to maintain hydration, nonsteroidal anti-inflammatory drugs (NSAIDs), sitz baths and rest. Surgery is indicated when conservative treatment fails; but, the results are often unsatisfactory and recurrence may occur. However, in the general management of hemorrhoids, colorectal surgeons agree that severe painful thrombosed hemorrhoids should be excised. The main ingredients of Pilex tablet are Terminalia chebula, Cassia fistula, Emblica officinalis, which improve appetite, correct hepatic function and have mild laxative properties thereby facilitating bowel evacuation and reducing local trauma to the hemorrhoidal vessels. The main ingredients of Pilex ointment are Mimosa pudica, Vitex negundo, Eclipta alba and Solanum nigrum. These herbs possess styptic and antiinflammatory properties and help in regeneration of the vascular endothelium. Pilex tablets orally and ointment locally have been very favorably reported for the amelioration and treatment of piles in various clinical trials and also established by a large number of clinicians and surgeons. This review summarizes the effects of the polyherbal formulations Pilex tablets and ointment in patients of hemorrhoids.

Clinicopathologic study of pelvic lesions managed by surgeons in a medical college in Kolkata in the last 2 years.

The pelvic cavity is a basin-like space in the lowermost part of the abdomen where various neoplastic and non neoplastic lesions can occur involving its contents. When the nature of lesions are not clearly gynecological, patients are managed by surgeons. Our study aims to asses the clinicopathologic analysis of neoplastic lesions of the pelvic cavity managed by surgeons particularly over a period of 2 years. Out of 162 total lesions, 102 cases were non neoplastic, such as appendicular lump, Tubo-ovarian (TO) mass, hematoma and 60 cases were neoplastic. Among the 60 cases of neoplastic lesions, 40 cases were benign comprised of twisted ovarian cyst, broad-ligament fibroid, and neurofibroma and 20 cases were malignant comprised of colorectal carcinoma, ovarian carcinoma, liposarcoma, Primitive nurectodermal tumor (PNET), seminoma, and lymphnode metastasis. The lesions in such closed, difficult to approach areas throws clinicians into a diagnostic dilemma during both the preoperative and intraoperative period. Even pathologists cannot ascertain some diagnosis without the help of immunohistochemistry. So, to adopt early and concise management protocol, there should be more such studies in different institutions that are currently lacking in world literature.