| The fourth branch of the superior rectal artery and its significance in transanal haemorrhoidal dearterialisation. | |
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MedLine Citation:
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PMID: 20953672 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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INTRODUCTION: Transanal haemorrhoidal dearterialisation is a non-excisional surgical method for the treatment of haemorrhoidal disease. It uses a Doppler ultrasound probe to accurately identify the site to suture-ligate the piles, resulting in a decrease in the arterial inflow to the piles and their subsequent regression. METHODS: A total of 140 consecutive patients who underwent transanal haemorrhoidal dearterialisation were studied. The number and locations of the haemorrhoidal arteries were documented. The presenting symptoms and their subsequent resolution were noted. RESULTS: The median number of haemorrhoidal arteries ligated was four. Seventy-five patients (53.6%) had four haemorrhoidal arteries ligated. A total of 82 patients (58.6%) had a 'fourth' haemorrhoidal artery in the left anterior one o'clock position. Symptoms of bleeding, prolapse, pain and itching resolved in 92, 65, 68 and 60% of patients who presented with the respective symptoms preoperatively. CONCLUSION: There is a fourth haemorrhoidal artery consistently found in the left anterior one o'clock position. Adequate treatment of this artery minimises the recurrence of haemorrhoidal symptoms. |
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Authors:
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E-L Toh; K-H Ng; K-W Eu |
Publication Detail:
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Type: Journal Article Date: 2010-10-16 |
Journal Detail:
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Title: Techniques in coloproctology Volume: 14 ISSN: 1128-045X ISO Abbreviation: Tech Coloproctol Publication Date: 2010 Dec |
Date Detail:
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Created Date: 2010-11-24 Completed Date: 2011-03-28 Revised Date: 2011-09-23 |
Medline Journal Info:
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Nlm Unique ID: 9613614 Medline TA: Tech Coloproctol Country: Italy |
Other Details:
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Languages: eng Pagination: 345-8 Citation Subset: IM |
Affiliation:
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Department of Colorectal Surgery, Singapore General Hospital, Outram Road, Singapore, 169608, Singapore. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Anal Canal
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blood supply*,
ultrasonography Hemorrhoids / surgery* Humans Ligation / methods Rectum / blood supply*, ultrasonography Retrospective Studies Ultrasonography, Doppler |
| Comments/Corrections | |
Comment In:
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Tech Coloproctol. 2011 Sep;15(3):357
[PMID:
21505902
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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