scholarly journals Doppler-guided hemorrhoidal artery ligation with rectal mucopexy technique: initial evaluation of 42 cases

2012 ◽  
Vol 32 (4) ◽  
pp. 372-384 ◽  
Author(s):  
Carlos Mateus Rotta ◽  
Fernando Oriolli de Moraes ◽  
Araripe Fernandez Varella Neto ◽  
Thereza Cristina Ariza Rotta ◽  
João Vitor Antunes Marques Gregório ◽  
...  
Keyword(s):  
Initial Evaluation ◽  
Artery Ligation ◽  
Hemorrhoidal Artery Ligation ◽  
Hemorrhoidal Artery

scholarly journals Doppler-Guided Hemorrhoid Artery Ligation with Recto-Anal-Repair Modification: Functional Evaluation and Safety Assessment of a New Minimally Invasive Method of Treatment of Advanced Hemorrhoidal Disease

2012 ◽  
Vol 2012 ◽  
pp. 1-6 ◽  
Author(s):  
Piotr Walega ◽  
Michal Romaniszyn ◽  
Jakub Kenig ◽  
Roman Herman ◽  
Wojciech Nowak
Keyword(s):  
Safety Assessment ◽  
Mucosal Prolapse ◽  
Hemorrhoidal Disease ◽  
Functional Evaluation ◽  
Artery Ligation ◽  
Major Complications ◽  
Hemorrhoidal Artery Ligation ◽  
Hemorrhoidal Artery ◽  
Invasive Method ◽  
Grade Iii

Purpose: We present 12-month followup results of functional evaluation and safety assessment of a modification of hemorrhoidal artery ligation (DGHAL) called Recto-Anal-Repair (RAR) in treatment of advanced hemorrhoidal disease (HD).Methods: Patients with grade III and IV HD underwent the RAR procedure (DGHAL combined with restoration of prolapsed hemorrhoids to their anatomical position with longitudinal sutures). Each patient had rectal examination, anorectal manometry, and QoL questionnaire performed before 3 months, and 12 months after RAR procedure.Results: 20 patients completed 12-month followup. There were no major complications. 3 months after RAR, 5 cases of residual mucosal prolapse were detected (25%), while only 3 patients (15%) reported persistence of symptoms. 12 months after RAR, another 3 HD recurrences were detected, to a total of 8 patients (40%) with HD recurrence. Anal pressures after RAR were significantly lower than before (P<0.05), and the effect was persistent 12 months after RAR. One patient (5%) reported occasional soiling 3 months after RAR.Conclusions: RAR seems to be a safe method of treatment of advanced HD with no major complications. The procedure has a significant influence on anal pressures, with no evidence of risk of fecal incontinence after the operation.

scholarly journals Hemorrhoidal artery ligation with Doppler guidance vs digital guidance for grade II-III hemorrhoidal disease treatment

Medicine ◽  
2020 ◽  
Vol 99 (15) ◽  
pp. e19424
Author(s):  
Daniil Markaryan ◽  
Inna Tulina ◽  
Tatiana Garmanova ◽  
Mikhail Bredikhin ◽  
Aftandil Alikperzade ◽  
...  
Keyword(s):  
Hemorrhoidal Disease ◽  
Disease Treatment ◽  
Artery Ligation ◽  
Hemorrhoidal Artery Ligation ◽  
Hemorrhoidal Artery ◽  
Grade Ii

Doppler-Guided Hemorrhoidal Artery Ligation: Experience with 2 Years Follow-up

2012 ◽  
Vol 78 (3) ◽  
pp. 344-348 ◽  
Author(s):  
İbrahim Yilmaz ◽  
İlker Sücüllü ◽  
Dursun Özgür Karakaş ◽  
Yavuz Özdemİr ◽  
Ergün Yücel ◽  
...  
Keyword(s):  
Postoperative Pain ◽  
Average Length ◽  
Length Of Hospital Stay ◽  
Artery Ligation ◽  
Superior Rectal Artery ◽  
Quick Recovery ◽  
Doppler Probe ◽  
Hemorrhoidal Artery Ligation ◽  
Hemorrhoidal Artery

Doppler-guided hemorrhoidal artery ligation (DGHAL) is a nonexcisional surgical technique for the treatment of hemorrhoidal disease, consisting of the ligation of the distal branches of the superior rectal artery, resulting in a reduction of blood flow and decongestion of hemorrhoidal plexus resulting in fibrosis. The aim of the study was to assess the efficacy and safety of DGHAL, define its indications, and identify its possible advantages and limitations for the treatment of second- and third-degree hemorrhoids. The procedure was performed using a specially designed proctoscope. The Doppler probe was used to locate all the terminal branches of hemorrhoidal arteries, which were then sutured. Patients were followed up for 2 years. From November 2006 to May 2009, 50 patients (29 female, mean age 38.2 years) underwent this procedure. The procedure was performed under local anesthesia. An average of five ligatures was placed. Average length of hospital stay was 2 hours and return to work was 2.5 days. The mean postoperative pain score was 1.72. There were no intra- or immediate postoperative major complications. In 44 patients (88%), surgery resolved the symptoms completely in a 2-year follow-up period. DGHAL is a safe and effective procedure. DGHAL can be the choice for second- and third-degree hemorrhoids with minimal postoperative pain and quick recovery.

Hemorrhoidal Artery Ligation under Pudendal Nerve Block: Enhanced Outpatient Results

2020 ◽  
Vol 231 (4) ◽  
pp. S56
Author(s):  
Konstantinos Perivoliotis ◽  
Michail Evangelos Spyridakis ◽  
Elias Zintzaras ◽  
Eleni Arnaoutoglou ◽  
Manousos Georgios Pramateftakis ◽  
...  
Keyword(s):  
Nerve Block ◽  
Pudendal Nerve ◽  
Artery Ligation ◽  
Pudendal Nerve Block ◽  
Hemorrhoidal Artery Ligation ◽  
Hemorrhoidal Artery

Is Doppler ultrasonography essential for hemorrhoidal artery ligation?

2012 ◽  
Vol 16 (4) ◽  
pp. 291-294 ◽  
Author(s):  
S. Avital ◽  
R. Inbar ◽  
E. Karin ◽  
R. Greenberg
Keyword(s):  
Doppler Ultrasonography ◽  
Artery Ligation ◽  
Hemorrhoidal Artery Ligation ◽  
Hemorrhoidal Artery

scholarly journals A prospective and comparative study between stapled hemorrhoidopexy and hemorrhoidal artery ligation with mucopexy

2014 ◽  
Vol 151 (4) ◽  
pp. 257-262 ◽  
Author(s):  
A. Béliard ◽  
F. Labbé ◽  
D. de Faucal ◽  
J.-M. Fabreguette ◽  
P. Pouderoux ◽  
...  
Keyword(s):  
Comparative Study ◽  
Stapled Hemorrhoidopexy ◽  
Artery Ligation ◽  
Hemorrhoidal Artery Ligation ◽  
Hemorrhoidal Artery

Hemorrhoidal artery ligation (HAL) and rectoanal repair (RAR): retrospective analysis of 408 patients in a single center

2014 ◽  
Vol 19 (1) ◽  
pp. 5-9 ◽  
Author(s):  
M. Scheyer ◽  
E. Antonietti ◽  
G. Rollinger ◽  
S. Lancee ◽  
H. Pokorny
Keyword(s):  
Retrospective Analysis ◽  
Single Center ◽  
Artery Ligation ◽  
Hemorrhoidal Artery Ligation ◽  
Hemorrhoidal Artery ◽  
Rectoanal Repair
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