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Doppler-guided haemorrhoidal arteries ligation: preliminary clinical experience

Y Abdeldaim1, O Mabadeje, K M Muhammad

  • 1Department of surgery, Mid- Western Regional Hospital, Nenagh.

Irish Medical Journal
|September 25, 2007
PubMed

In 1995, Morinaga reported on a new technique in the treatment of haemorrhoids. It relies on the reduction of haemorrhoidal vascular flow by suturing haemorrhoidal arteries. The artery is located by Doppler ultrasound transducer, haemorrhoidal artery ligation (HAL). This pilot study shows initial experience with HAL in patients with internal haemorrhoidal disease. A prospective study was performed in 35 patients treated by (HAL). After a mean of 18 (range 12-24) months patients were administered a standardized questionnaire by telephone. The treatment's success was observed in 11 of 12 patients (91.5%) with pain, 28 of 33 (85%) with bleeding, 14 of 15 (93%) with Pruritus, 12 of 13 (92%) with discharge, and 17 of 21 (81%) with prolapse. Open haemorrhoidectomy was mandatory in 3 patients (8.5%) due to bleeding and prolapse. HAL is simple, painless, safe, and effective method.

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