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Long-term Results of Hemorrhoidal Artery Ligation

İbrahim Yilmaz1, Dursun Özgür Karakaş, İlker Sücüllü

  • 1Department of General Surgery, Gelibolu Military Hospital, Çanakkale, Turkey.

The American Surgeon
|April 22, 2016
PubMed

Insights

Doppler-guided hemorrhoidal artery ligation is a safe and effective outpatient treatment for grade II and III hemorrhoidal disease. This procedure demonstrates excellent long-term symptom relief and patient satisfaction over a 7-year follow-up.

Area of Science:

  • Colorectal Surgery
  • Minimally Invasive Procedures
  • Gastroenterology

Background:

  • Hemorrhoidal disease affects a significant portion of the population.
  • Traditional treatments for grade II and III hemorrhoids can have limitations.
  • Minimally invasive surgical options are sought for improved patient outcomes.

Purpose of the Study:

  • To evaluate the efficacy and safety of Doppler-guided hemorrhoidal artery ligation (DG-HAL).
  • To assess the long-term results of DG-HAL over a 7-year follow-up period.
  • To determine the suitability of DG-HAL as a primary treatment for specific hemorrhoid grades.

Main Methods:

  • DG-HAL procedure using a specialized proctoscope to ligate superior rectal artery branches.
  • Prospective study involving 50 patients with grade II and III hemorrhoids.
  • Follow-up included physical examinations and a 7-year phone questionnaire using the Short Form-36.

Main Results:

  • All patients were discharged on the day of surgery with a mean return to work of 2.5 days.
  • No major complications were reported; mean Visual Analogous Scale score was 1.72 at week 1.
  • Symptom-free rates were 88% at 24 months and 76% at 7 years post-procedure.

Conclusions:

  • DG-HAL is a safe and effective outpatient procedure for grade II and III hemorrhoidal disease.
  • The treatment offers satisfactory long-term results and symptom resolution.
  • DG-HAL can be considered a treatment of choice for selected hemorrhoid cases.

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