Outcomes of Doppler-guided hemorrhoid artery ligation: analysis of 90 consecutive patients
| Autor: | M. Spyridakis, D. Symeonidis, Grigorios Christodoulidis, Konstantinos Tepetes, Efstathia Polychronopoulou, D. Dimas, Alexandros Diamantis |
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| Rok vydání: | 2011 |
| Předmět: |
Adult
Male medicine.medical_specialty Time Factors Anesthesia Spinal Hemorrhoids Hemorrhoidal disease Young Adult Recurrence Humans Medicine Surgical treatment Ligation Ultrasonography Interventional Aged Hematoma Pain Postoperative business.industry Gastroenterology Spinal anesthesia Ultrasonography Doppler Long term results Middle Aged medicine.disease Colorectal surgery Surgery Artery ligation Female Fissure in Ano business Fecal Incontinence Autonomic Nerve Block Follow-Up Studies Abdominal surgery |
| Zdroj: | Techniques in Coloproctology. 15:21-24 |
| ISSN: | 1128-045X 1123-6337 |
| DOI: | 10.1007/s10151-011-0727-z |
| Popis: | Doppler-guided hemorrhoid artery ligation is a minimal-invasive surgical treatment option for hemorrhoidal disease. The aim of our study was to evaluate the early and long-term results of the procedure 1 year after the operation.In a period of 4 years, 90 patients were included in this study. The Doppler-guided hemorrhoid artery ligation was performed under either spinal anesthesia or local perianal block. We recorded the length of postoperative inpatient care, on-demand analgesics administered apart from the standard analgesic protocol, short- and long-term complications, and, finally, recurrences.The mean age of patients was 46 ± 12.6 years. The operation was performed under spinal anesthesia in 82 patients and under local perianal block in 8 patients. The mean operative time was 26 ± 4.1 min. On-demand analgesics administration was reported in sixteen patients (17.7%) the first postoperative day and in four patients (4.4%) the second postoperative day. A total of 58 patients (64.4%) were discharged from the hospital the day of the operation, 29 (32.2%) patients stayed overnight, and in three (3.3%) patients, a hospitalization period of 2 days was needed. Four patients (4.4%), two with grade III and two with grade IV hemorrhoids, developed early postoperative complications. Late complications were observed in three patients (3.3%). Recurrences, manifested either as bleeding or as prolapsing piles, were observed in six patients (6.6%), two patients with initial grade III and four with grade IV hemorrhoids.Doppler-guided hemorrhoid artery ligation seems to be a safe and effective treatment option for all grades of hemorrhoidal disease. Further prospective randomized comparative studies are needed in order to fully evaluate the true role of DG-HAL in the surgical armamentarium. |
| Databáze: | OpenAIRE |
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