Document Detail

The fourth branch of the superior rectal artery and its significance in transanal haemorrhoidal dearterialisation.
MedLine Citation:
PMID:  20953672     Owner:  NLM     Status:  MEDLINE    
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.
E-L Toh; K-H Ng; K-W Eu
Publication Detail:
Type:  Journal Article     Date:  2010-10-16
Journal Detail:
Title:  Techniques in coloproctology     Volume:  14     ISSN:  1128-045X     ISO Abbreviation:  Tech Coloproctol     Publication Date:  2010 Dec 
Date Detail:
Created Date:  2010-11-24     Completed Date:  2011-03-28     Revised Date:  2011-09-23    
Medline Journal Info:
Nlm Unique ID:  9613614     Medline TA:  Tech Coloproctol     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  345-8     Citation Subset:  IM    
Department of Colorectal Surgery, Singapore General Hospital, Outram Road, Singapore, 169608, Singapore.
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MeSH Terms
Anal Canal / blood supply*,  ultrasonography
Hemorrhoids / surgery*
Ligation / methods
Rectum / blood supply*,  ultrasonography
Retrospective Studies
Ultrasonography, Doppler
Comment In:
Tech Coloproctol. 2011 Sep;15(3):357   [PMID:  21505902 ]

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

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