Document Detail


Doppler guided haemorrhoidal arterial ligation with recto-anal-repair (RAR) for the treatment of advanced haemorrhoidal disease.
MedLine Citation:
PMID:  19674029     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Objective  A modification of Doppler guided haemorrhoidal artery ligation (DGHAL) to include the addition of recto-anal repair is reported. Preliminary results of function and safety of third and fourth degree haemorrhoidals are given. Method  Thirty patients underwent DGHAL combined with recto-anal-repair (RAR). Each had rectal examination, anorectal manometry and Quality of Life assessment before and 3 months after the procedure. Results  Twenty-nine patients were included in the final analysis. There were three (10.34%) patients of intra-operative and one (3.45%) of postoperative bleeding. Three months after RAR (17.24%) patients with minor residual mucosal prolapse were detected, three (10.34%) patients reported residual symptoms. There was no case of recurrent bleeding. Anal manometry at 3 months after RAR was significantly lower than before the procedure (P < 0.05). One (3.45%) patient reported occasional soiling 3 months after RAR. Conclusion  Recto-anal-repair is safe in treating third and fourth degree haemorrhoids with no major complications and low rate of residual disease.
Authors:
P Walega; P Krokowicz; M Romaniszyn; J Kenig; J Sałówka; M Nowakowski; R M Herman; W Nowak
Related Documents :
23736089 - Tracheal intubation in the ice-pick position with video laryngoscopes: a randomised con...
14566669 - Simplified orthotopic ileocecal pouch (mainz pouch) for bladder substitution.
11391149 - Reasons for failure of glyceryl trinitrate treatment of chronic fissure-in-ano: a multi...
15937619 - Prospective, randomized study: proximate pph stapler vs. ligasure for hemorrhoidal surg...
19767909 - Outcome of trans-anal posterior anorectal myectomy for the ultrashort segment hirschspr...
7829009 - Longterm appraisal of the histological appearances of the ileal reservoir mucosa after ...
22435509 - Lansoprazole-based sequential and concomitant therapy for the first-line helicobacter p...
8604829 - Continuous regional arterial infusion of protease inhibitor and antibiotics in acute ne...
25374679 - Photovoice: a novel approach to improving antituberculosis treatment adherence in pune,...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland     Volume:  12     ISSN:  1463-1318     ISO Abbreviation:  Colorectal Dis     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2011-06-06     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100883611     Medline TA:  Colorectal Dis     Country:  England    
Other Details:
Languages:  eng     Pagination:  e326-9     Citation Subset:  IM    
Copyright Information:
© 2010 The Authors. Colorectal Disease © 2010 The Association of Coloproctology of Great Britain and Ireland.
Affiliation:
3rd Department of General Surgery, Jagiellonian University School of Medicine, Pradnicka, Krakow, Poland Department of General and Colorectal Surgery, Karol Marcinowski University of Medical Sciences, Poznan, Poland.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  A prospective multicentre study to investigate percutaneous tibial nerve stimulation for the treatme...
Next Document:  Symmetrical primary cutaneous marginal zone lymphoma associated with rheumatoid arthritis.