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. 2006 Jan;191(1):89-93.
doi: 10.1016/j.amjsurg.2005.10.007.

Doppler-guided hemorrhoidal artery ligation

Matthias Scheyer  1 , Elisabeth Antonietti, Gerd Rollinger, Helene Mall, Steffen Arnold
Affiliations

Doppler-guided hemorrhoidal artery ligation

Matthias Scheyer et al. Am J Surg. 2006 Jan.

Abstract

Background: In 1995, Morinaga reported a new technique for the treatment of hemorrhoids, hemorrhoidal artery ligation (HAL), which uses a specially designed proctoscope coupled with a Doppler transducer for identification and ligation of hemorrhoidal arteries.

Methods: Because the arteries carrying the blood inflow are ligated, internal pressure of the plexus hemorrhoidalis is decreased.

Results: We report the results of the first 308 patients (189 male and 119 female; median age 50.1 years) who have been treated at our department since 2002 and followed-up for a median period of 18 months. Eighty-nine patients had grade II, 192 patients had grade III, and 27 patients had grade IV hemorrhoids. The acute symptoms of hemorrhoids were treated immediately by performing HAL.

Conclusions: Our study showed that HAL is painless, effective, and has a low rate of complications. It can be applied in an outpatient setting and is an good alternative to all other hemorrhoid treatment methods.

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