Document Detail

Emergency transanal haemorrhoidal Doppler guided dearterialization (THD) for acute and persistent haemorrhoidal bleeding.
MedLine Citation:
PMID:  23045996     Owner:  NLM     Status:  Publisher    
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.
Emanuel Cavazzoni; Walter Bugiantella; Luigina Graziosi; Maria Silvia Franceschini; Francesco Cantarella; Emanuele Rosati; Annibale Donini
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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.
University of Perugia, Department of Surgery, Italy.
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