| Autor: |
Banai Z; Sebészeti Osztály, Toldy Ferenc Kórház-Rendelőintézet 2700 Cegléd, Törteli út 1-3., Harkai Z; Sebészeti Osztály, Toldy Ferenc Kórház-Rendelőintézet 2700 Cegléd, Törteli út 1-3., Király L; Sebészeti Osztály, Toldy Ferenc Kórház-Rendelőintézet 2700 Cegléd, Törteli út 1-3., Szekeres P; Sebészeti Osztály, Toldy Ferenc Kórház-Rendelőintézet 2700 Cegléd, Törteli út 1-3., Ottlecz I; Sebészeti Osztály, Toldy Ferenc Kórház-Rendelőintézet 2700 Cegléd, Törteli út 1-3. |
| Jazyk: |
maďarština |
| Zdroj: |
Magyar sebeszet [Magy Seb] 2019 Dec; Vol. 72 (4), pp. 161-166. |
| DOI: |
10.1556/1046.72.2019.4.2 |
| Abstrakt: |
Introduction: HAL-RAR is a new, minimally invasive technique for the treatment of haemorrhoids, whereby Doppler-guided ligation of the haemorrhoidal arteries (HAL) is combined with a mucopexy of the prolapsed haemorrhoidal tissue (RAR = Recto Anal Repair). Methods: We did these operations as an alternative to the conventional haemorrhoidectomies in the cases of grade III or - in some cases - grade II haemorrhoids. Between August 2017 and April 2019 a total of 45 patients were operated on with the HAL-RAR procedure. All operations were done under general or spinal anaesthesia. Results: Complications were seen in three patients within 30 days of surgery. One patient had proctitis, one patient suffered from a thrombosed haemorrhoid, while one patient had bleeding, which occurred on the 16th postoperative day. Two of them needed re-operation. Except one patient, all of them was treated in one-day surgery. HAL-RAR seems to be less painful than conventional procedures and causes more patient satisfaction in the early postoperative period. Neither the bleeding, nor the pain did not re-appear after 1 year, but one patient mentioned recurrence of the prolapse. Conclusion: Doppler-guided suturing is an effective, minimally invasive treatment option for even advanced haemorrhoidal diseases and seems to be ideal for one-day surgery. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
|
