| Title | Doppler-guided hemorrhoidal artery ligation in the management of symptomatic hemorrhoids. | | Author(s) | Ramírez JM, Aguilella V, Elía M, Gracia JA, Martínez M | | Institution | Section of Coloproctology, Service of Surgery B, Hospital Clínico Universitario, Zaragoza, Spain. jramirez@unizar.es | | Source | Rev Esp Enferm Dig 2005 Feb; 97(2):97-103. | | MeSH | Adult
Aged
Female
Hemorrhoids
Humans
Ligation
Male
Middle Aged
Time Factors
Ultrasonography, Doppler
| | Abstract | OBJECTIVE: The aim of this study is to clinically test the efficacy of a new approach for patients having symptomatic grade III and IV hemorrhoids. MATERIAL AND
METHOD: 32 patients (17 females) complaining of grade III or IV hemorrhoids were included in the study. A specially designed proctoscope coupled with a Doppler transducer on its tip was used to identify the hemorrhoidal arteries, which were afterwards suture ligated. Operating time as well as per- and post-operative complications were analyzed. Follow-up was planned following discharge after 1 week, 1 month, 6 months and 1 year.
RESULTS: Mean operation time was 27 (range 18-43) minutes, and 5 (range 4-7) arteries were located on average. No patient had severe or moderate postoperative pain, with anal discomfort being the main complaint. Rectal bleeding and tenesmus were the commonest post-operative complications. After one year of follow-up, 19 patients were free of symptoms and 6 of them had significant symptom relief. According to grade, the technique failed in just 3 grade III patients, but in as many as 4 grade IV hemorrhoid cases.
CONCLUSIONS: Doppler-guided hemorrhoid artery ligation is an easy-to-perform technique that is well accepted by patients and has good results for grade III hemorrhoids. | | Language | eng | | Pub Type(s) | Clinical Trial
Journal Article
| | PubMed ID | 15801885 |
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