Document Detail


"Distal Doppler-guided dearterialization" is highly effective in treating haemorrhoids by transanal haemorrhoidal dearterialization.
MedLine Citation:
PMID:  22731786     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
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.
Authors:
Carlo Ratto; Lorenza Donisi; Angelo Parello; Francesco Litta; Giuseppe Zaccone; Veronica De Simone
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-6-25
Journal Detail:
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:
Created Date:  2012-6-26     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100883611     Medline TA:  Colorectal Dis     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2012 The Authors Colorectal Disease © 2012 The Association of Coloproctology of Great Britain and Ireland.
Affiliation:
Department of Surgical Sciences, Catholic University, Rome, Italy.
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