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Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
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Selective intra-arterial embolization to treat hemorrhoids.
M D Ferrer Puchol1, E Esteban Hernández1, F J Blanco González2
1Servicio de Radiología, Sección de Radiología Vascular Intervencionista, Hospital Universitario de la Ribera, Alzira, Valencia, España.
Radiologia
|February 8, 2020
Summary
Endovascular embolization offers a safe and painless treatment for hemorrhoids, with high success rates and immediate patient recovery. This minimally invasive technique avoids rectal trauma, leading to significant symptom improvement.
Area of Science:
- Vascular Surgery
- Interventional Radiology
- Gastroenterology
Background:
- Hemorrhoids are a common condition causing significant discomfort.
- Traditional treatments can involve pain and rectal trauma.
- Endovascular approaches offer a less invasive alternative.
Purpose of the Study:
- To describe the technique for endovascular embolization of hemorrhoids.
- To present the outcomes of this novel treatment.
Main Methods:
- Accessing the inferior mesenteric artery via femoral or radial artery.
- Catheterizing and embolizing superior rectal artery branches using PVA particles and coils.
- Discharging patients within 24 hours with one-month anoscopic follow-up.
Main Results:
- Technical success in 90% of 20 patients; clinical success in 83.4%.
- Painless recovery reported, with high patient satisfaction at one month.
- No complications related to embolization were observed.
Conclusions:
- Selective intra-arterial embolization is a safe and painless procedure for hemorrhoids.
- The technique is well-tolerated, avoiding rectal trauma and allowing immediate recovery.
- Initial results indicate significant improvement in hemorrhoid symptoms.
Keywords:
Arteria mesentérica inferiorEmbolizaciónEmbolizationEndovascular proceduresHemorrhoidsHemorroidesInferior mesenteric arteryProcedimientos endovascularesMore Related Videos
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