Treatment of grade 2 and 3 hemorrhoids with Doppler-guided hemorrhoidal artery ligation
| Autor: | W.C. van der Zwet, L.R.H. de Wijkerslooth, J.A.B. van der Hoeven, M. Eeftinck Schattenkerk, E.H. Eddes, B.M. Wallis de Vries, E.S.J. van der Beek |
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| Přispěvatelé: | Surgery |
| Jazyk: | angličtina |
| Rok vydání: | 2007 |
| Předmět: |
Adult
Male medicine.medical_specialty Hemorrhoids medicine Humans Arterial ligation Ligation Aged Aged 80 and over business.industry Proctoscopes Gastroenterology Ultrasonography Doppler Equipment Design Middle Aged medicine.disease Surgery Artery ligation Treatment Outcome Ambulatory Surgical Procedures Surgery Computer-Assisted Female business |
| Zdroj: | Digestive surgery, 24(6), 436-440. S. Karger AG |
| ISSN: | 0253-4886 |
| Popis: | Aim: We evaluated the results of the Doppler-guided hemorrhoidal arterial ligation (DG-HAL) method in the management of symptomatic grade 2 and 3 hemorrhoids. Patients and Methods: Between June 2005 and March 2006, 110 consecutive patients with symptomatic grade 2 and 3 hemorrhoids according to the DG-HAL method were treated. All procedures were performed in daycare under spinal anesthesia. The primary objective was the reduction in hemorrhoidal gradation as determined by proctoscopy; the secondary was patient satisfaction. This was measured by interviewing patients over the telephone. Results: The average age was 47.6 years. 42 patients had grade 2 hemorrhoids, 68 grade 3. An average of 7.3 ligations were placed. Proctoscopy showed that, after 6 weeks, 97 (88%) patients had a significant improvement in their hemorrhoidal gradation. After an average follow-up of 37 weeks, 93 of the 110 (84.5%) patients were satisfied with the postoperative result. Mortality was 0% and morbidity 3%. Conclusion: DG-HAL is a safe and effective treatment in the management of symptomatic grade 2 and 3 hemorrhoids. |
| Databáze: | OpenAIRE |
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