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Haemorrhoidal Artery Ligation Operation Without Doppler Guidance
Syeda Rifaat Qamar Naqvi1, Syeda Saima Qamar Naqvi2, Muhammad Misbah Rashid1
1Department of Surgery, Combined Military Hospital, Rawalpindi, Pakistan.
Journal of Ayub Medical College, Abbottabad : JAMC
|March 7, 2019
Summary
Haemorrhoidal artery ligation (HALO) without Doppler guidance effectively treats hemorrhoids, significantly reducing postoperative pain and bleeding. Most patients reported high satisfaction with this minimally invasive procedure.
Area of Science:
- Colorectal Surgery
- Minimally Invasive Procedures
- Gastroenterology
Background:
- Hemorrhoids have various surgical treatments, including banding and open hemorrhoidectomy.
- Haemorrhoidal artery ligation (HALO) is a newer technique with reported superior efficacy.
- The study evaluates HALO without Doppler guidance for hemorrhoid treatment.
Purpose of the Study:
- To assess the efficacy of HALO without Doppler guidance.
- To evaluate postoperative complications such as pain, bleeding, and prolapse.
- To determine overall patient satisfaction following HALO.
Main Methods:
- An interventional study involving 97 patients with second, third, and fourth-degree hemorrhoids.
- Patients underwent HALO without Doppler guidance.
- Follow-up assessments at 1 week, 6 weeks, and 6 months evaluated pain, bleeding, prolapse, and satisfaction.
Main Results:
- Mean pain scores decreased significantly from 1.76 at 1 week to 0 at 6 months.
- Postoperative bleeding occurred in 1.03% at 1 week, decreasing to 2.06% mild occasional bleeding at 6 months.
- Persistent prolapse was noted in 4.12% of patients; 96.91% reported overall satisfaction.
Conclusions:
- Haemorrhoidal artery ligation (HALO) without Doppler guidance is effective for treating hemorrhoids.
- The procedure demonstrates favorable outcomes regarding postoperative pain and bleeding.
- High patient satisfaction rates support HALO as a viable treatment option.
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