Document Detail


Emergency transanal haemorrhoidal Doppler guided dearterialization (THD) for acute and persistent haemorrhoidal bleeding.
MedLine Citation:
PMID:  23045996     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Aim:  The effectiveness of Doppler guided transanal haemorrhoidal dearterialization (THD) was studied in arresting persistent haemorrhoidal bleeding in patients admitted as an emergency. Method:  Eleven patients with severe anal bleeding underwent emergency THD as definitive treatment for haemorrhoids. In the majority of patients antiplatelet or anticoagulant therapy was ongoing and severe anemia was present in six patients. Results:  The mean operative time was 39.7 minutes. Six to nine feeding arteries were ligated. Intraoperative blood loss was nil. Bleeding was well controlled in all patients. No blood transfusion was required. Mean pain score per Verbal Numeric Scale (VNS) was 3.6 and 1.4 on day 1 and 3 respectively. The mean time to resumption of normal activities was 8 days. No major complications were experienced. Six months follow up demonstrated good control of haemorrhoidal disease. Conclusion:  THD is effective in controlling acute haemorrhoidal bleeding with a low incidence of post-operative complications © 2012 The Authors Colorectal Disease © 2012 The Association of Coloproctology of Great Britain and Ireland.
Authors:
Emanuel Cavazzoni; Walter Bugiantella; Luigina Graziosi; Maria Silvia Franceschini; Francesco Cantarella; Emanuele Rosati; Annibale Donini
Related Documents :
16050826 - Long-term follow-up of cardiac resynchronization therapy in patients with end-stage hea...
3963916 - Complete correction of total anomalous pulmonary venous drainage: experience with 53 pa...
1434656 - Transhiatal and transthoracic esophagectomy: a comparative study.
23070046 - Non-operative treatment of right-sided colonic diverticulitis has good long-term outcom...
24865786 - Shuttering of the superior mesenteric artery during fenestrated endovascular aneurysm r...
3991126 - Effect of an ultraviolet-filtering intraocular lens on cystoid macular edema.
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-10-10
Journal Detail:
Title:  Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland     Volume:  -     ISSN:  1463-1318     ISO Abbreviation:  Colorectal Dis     Publication Date:  2012 Oct 
Date Detail:
Created Date:  2012-10-10     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:
University of Perugia, Department of Surgery, Italy.
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:  Who benefits from a psychosocial counselling versus educational intervention to improve psychologica...
Next Document:  Vitamin D and overall mortality.