Background: Hemorrhoidal disease is a common morbidity seen by general surgery clinics. Transanal Doppler
guided (DG) hemorrhoidal artery ligation (HAL) with rectoanal repair (RAR) has been invented as a new treatment
option. HAL-RAR was associated with mild to moderate postoperative complications in the literatures; and
considered easy, safe, mostly painless procedure with very good results in treating hemorrhoids.
Objective: This study was conducted to evaluate the outcome of using DG-HAL-RAR procedure through
documenting postoperative complications during a median follow-up period of 18 months.
Method: The study included 151 women presented with hemorrhoids in Basra, operated upon using the DG-HALRAR and complications assessed.
Results: The patients’ mean age was 40–99 years. Most of the hemorrhoids were internal plus external (86.1%), of
third degree (68.2%) and non-recurrent (90.1%). The surgical management needed an average of 6 ligations and 3
mucopexies. During the follow up periods, the most frequent complication was early bleeding, while the least was
hemorrhoids recurrence.
Discussion: During the follow up period, the postoperative complications were early bleeding, early pain, urine
retention, late bleeding, anal stenosis, and hemorrhoids recurrence, the incidence of which were similar or close to
the incidence of documented by other studies, except for early bleeding which was much higher than in our study.
Some complications, reported by other studies,were not reported in this study.
Conclusions: DG-HAL-RAR procedure can be used effectively and safely in second or third degree hemorrhoids.
Keywords: Hemorrhoidectomy, Anal surgery, DG-HAL-RAR, Basra
Early Experience of Doppler-Guided Hemorrhoidal Artery Ligation and Rectoanal Repair (DG-HAL & RAR) for the Treatment of Symptomatic Hemorrhoids
