Evaluation of Doppler-guided hemorrhoidal artery ligation in the management of symptomatic hemorrhoids | ||||
| Ain Shams Journal of Surgery | ||||
| Article 9, Volume 3, Issue 2, July 2010, Page 169-175 PDF (104.29 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/asjs.2010.178469 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
| Reda S Mohammed; Hamed H Abo Steit; Ahmed M Kamal; Mostafa F Abdellateif | ||||
| Department of General Surgery, Ain Shams University, Cairo, Egypt. | ||||
| Abstract | ||||
| Background: We evaluated the results of the Doppler-guided hemorrhoidal artery ligation procedure in the management of symptomatic hemorrhoids to determine its effectiveness, safety, short and long term outcome. Patients and methods: Between January 2007 and December 2008, fifty consecutive patients with symptomatic hemorrhoids were treated by Doppler-guided hemorrhoidal artery ligation method. All patients were treated in insurance hospital in Riyad, KSA and Palestinian hospital, Cairo, Egypt. Postoperative pain was measured with visual analog scale (1-10). Patients were followed up at intervals of one week, 1, 3, 6 and 12 months postoperatively. At every postoperative follow up visit, wound healing was observed and any complication was reported. Results: Thirty five patients had their operations performed under general anesthesia. The operative time ranged between 19-45 minutes (mean 32± 3.6 minutes). The mean postoperative pain score was 6.1 ± 1.3 in the first postoperative day. The complications rate was low and the most common long term complication was persistent prolapse in three patients (6%). Conclusion: Doppler-guided hemorrhoidal artery ligation procedure in the management of symptomatic hemorrhoids is safe, effective and is associated with minimal long term complications. The procedure can be done on an out-patient basis | ||||
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