| "Distal Doppler-guided dearterialization" is highly effective in treating haemorrhoids by transanal haemorrhoidal dearterialization. | |
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MedLine Citation:
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PMID: 22731786 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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Aim: Transanal haemorrhoidal dearterialization (THD) is a surgical procedure providing Doppler-guided ligation of haemorrhoidal arteries, to reduce arterial flow. With proximal Doppler-guided dearterialization arterial ligation is achieved by introducing the proctoscope completely into the anal canal and lower rectum. In the present study, distal Doppler-guided dearterialization (DDD) is performed in the distal 2 cm of the lower rectum. Immediate and short-term results were evaluated. Method: One hundred patients with bleeding haemorrhoids, with or without muco-haemorrhoidal prolapse, underwent THD, using DDD of the haemorrhoidal arteries 2 cm above the anorectal junction. Mucopexy was performed in patients with haemorrhoidal prolapse. Results: The operation time was 20±7 minutes for dearterialization alone (10 patients), and 30±10 minutes when mucopexy was added (90 patients). Morbidity included: transient haemorrhoidal thrombosis (2 patients); urinary retention (5 patients); submucosal abscess (1 patient). No patient complained of faecal incontinence. At a median follow-up of 7.3 (3-17) months, all patients reported an improvement in symptoms. No patient reported bleeding. Conclusion: Distal Doppler dearterialisation of the haemorrhoidal arteries could be a simplified and more effective method of applying THD. © 2012 The Authors Colorectal Disease © 2012 The Association of Coloproctology of Great Britain and Ireland. |
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Authors:
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Carlo Ratto; Lorenza Donisi; Angelo Parello; Francesco Litta; Giuseppe Zaccone; Veronica De Simone |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2012-6-25 |
Journal Detail:
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Title: Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland Volume: - ISSN: 1463-1318 ISO Abbreviation: - Publication Date: 2012 Jun |
Date Detail:
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Created Date: 2012-6-26 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100883611 Medline TA: Colorectal Dis Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
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© 2012 The Authors Colorectal Disease © 2012 The Association of Coloproctology of Great Britain and Ireland. |
Affiliation:
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Department of Surgical Sciences, Catholic University, Rome, Italy. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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