Evaluation of Doppler-Guided Hemorrhoidal Artery Ligation (DGHAL) as a Novel Technique in Management of Hemorrhoids | ||||
| Ain Shams Journal of Surgery | ||||
| Volume 16, Issue 2, April 2023, Page 130-137 PDF (530.46 K) | ||||
| DOI: 10.21608/asjs.2023.298752 | ||||
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| Authors | ||||
| Adel ِ Ewada1; Reda S. Ezz2; Ayman H. Abdel-Monem3; Hossam Eldin S. Abdel Wahed4 | ||||
| 1Department of General & Colorectal Surgery, Faculty of Medicine, Ain Shams University, Egypt | ||||
| 2Department of General & Laparoscopic Surgery, Faculty of Medicine, Ain Shams University, Egypt | ||||
| 3Department of General Surgery, Faculty of Medicine, Ain Shams University, Egypt | ||||
| 4Department of General Surgery, Faculty of Medicine, Cairo University, Egypt | ||||
| Abstract | ||||
| Background: The standard hemorrhoidectomy used to treat hemorrhoidal disease (HD) is linked with severe morbidity, most notably postoperative pain and a delayed return to normal daily activities. To lessen these drawbacks, a minimally invasive surgical procedure called Doppler-guided haemorrhoid artery ligation (DGHAL) has been utilised to treat HD. Objective: Analyzing the effectiveness of the Doppler Guided Hemorrhoidal Artery Ligation (DGHAL) method for treating grade III haemorrhoids as regards operative time and intraoperative blood loss, as well as postoperative pain, hospital stay, bleeding and infection. Patients and methods: In order to evaluate the DGHAL technique in the management of grade III haemorrhoids, a prospective observational study was carried out on 30 consecutive patients presenting for haemorrhoidectomy at Ain-Shams University, Dar El-Hekma, El-Intag El-Harby, and other authorised Hospitals from March until July 2021. Patients with grade 3 haemorrhoids, either newly diagnosed or previously diagnosed. To assess ongoing symptoms and surgical sequelae, the patients were observed weekly for one month and subsequently monthly for three months. Results: The mean age of study groups was (40.93±6.10) years. Regarding gender, the majority of patients were males (80%). The median of intraoperative bleeding was 32.50 ml with range (25-60) ml. The median of operative time was 12 mins with range (10-20) mins. Regarding hospital stay, the median of period was 8 hours with range (6-22) hours. Pain decreased gradually in the 1st 3 weeks postoperative and disappeared at 4th week, (median values = 3, 1.5, 0 & 0) respectively (p=0.006). Conclusion: Doppler-guided haemorrhoid artery ligation (DGHAL) is linked with reduced intraoperative haemorrhage, surgical time, hospital stay, and postoperative pain score in instances with grade III haemorrhoids. It is linked to a 1high level of patient comfort and going back to work. DGHAL is also well-tolerated, safe, and effective. It lessens the necessity of doing potentially risky excisional procedures. | ||||
| Keywords | ||||
| Doppler-Guided Hemorrhoidal Artery Ligation; Hemorrhoids | ||||
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