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Wan Jo Jeong 1 Article
One Year Follow-up Result of Doppler-guided Hemorrhoidal Artery Ligation and Recto-Anal Repair in 97 Consecutive Patients
Wan Jo Jeong, Sung Wook Cho, Kyung Tae Noh, Soon Sup Chung
J Korean Soc Coloproctol. 2011;27(6):298-302.   Published online December 31, 2011
DOI: https://doi.org/10.3393/jksc.2011.27.6.298
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  • 52 Download
  • 14 Citations
AbstractAbstract PDF
Purpose

Doppler-guided hemorrhoidal artery ligation and recto-anal repair (DG-HAL & RAR) is known for low recurrence, high patient satisfaction, and less postoperative pain. The purpose of this study is to analyze the 1-year follow-up results in patients who underwent a DG-HAL & RAR and to establish the benefits of the procedure.

Methods

Among the hemorrhoid patients who were admitted to our hospital from March 2008 to May 2010 and who underwent a DG-HAL & RAR, 97 patients who were followed up for a year were investigated. Recurrence, complications, admission period, difference in preoperative and postoperative pain, operation time, and time to return to daily activities were investigated.

Results

The average admission period was 1.6 ± 1.1 days. Pain at postoperative day 7 showed no significant difference from preoperative pain (P > 0.05). The operation time was 34.0 ± 7.3 minutes on average, and return to daily activities was timed at 2.3 ± 2.0 days postoperatively. At the one year follow-up, no serious complications were noted, and preoperative symptoms recurred only in 14 patients (14.4%).

Conclusion

In most patients with hemorrhoids, excluding those with severe prolapsed hemorrhoids, less pain, no serious complications, and good long-term outcome can be expected from a DG-HAL & RAR.

Citations

Citations to this article as recorded by  
  • Comparison of Excisional Stapler Hemorrhoidopexy Method and Non-Excisional Arterial Detection Ligation Method; One Year Follow-Up
    Nevin SAKOĞLU, Aziz OCAKOĞLU
    Cukurova Anestezi ve Cerrahi Bilimler Dergisi.2023; 6(2): 290.     CrossRef
  • A new technique of doppler dearterialization for hemorrhoidal disease: arterial detection ligation (ADL)
    Serkan Zenger, Bulent Gurbuz, Ugur Can, Tunc Yalti
    Surgery Today.2021; 51(4): 612.     CrossRef
  • Doppler-Guided Hemorrhoid Artery Ligation with Recto-Anal Repair Outcome on Female Patients in Basra: Assessment Study
    Ohood Leabi, Alaa Abed, Wafa Al-Maliki
    Iraqi National Journal of Medicine.2021; 3(1): 84.     CrossRef
  • Doppler-guided hemorrhoidal dearterialization. Technical evolution and results of treatment (review)
    E. A. Zagriadskiǐ, V. S. Tolstyh
    Koloproktologia.2021; 20(1): 87.     CrossRef
  • TRANSANAL HAEMORRHOIDAL DEARTERIALIZATION WITH MUCOPEXY (THD-M) FOR TREATMENT OF HEMORRHOIDS: IS IT APPLICABLE IN ALL GRADES? BRAZILIAN MULTICENTER STUDY
    Carlos Walter SOBRADO, Sidney KLAJNER, José Américo Bacchi HORA, Anderson MELLO, Fabricio Marcondes Luciano da SILVA, Marcos Onofre FRUGIS, Lucas Faraco SOBRADO
    ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo).2020;[Epub]     CrossRef
  • Prospective Randomized Trial Comparing HAL-RAR Versus Excisional Hemorrhoidectomy: Postoperative Pain, Clinical Outcomes, and Quality of Life
    Fernando Carvajal López, Carlos Hoyuela Alonso, Montserrat Juvany Gómez, Daniel Troyano Escribano, Miguel Angel Trias Bisbal, Antoni Martrat Macià, Jordi Ardid Brito
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    Paulo Boarini, Lucas Rodrigues Boarini, Paulo de Azeredo Passos Candelaria, Edgard Mesquita de Lima, Marcelo Rodrigues Boarini
    Journal of Coloproctology.2017; 37(01): 038.     CrossRef
  • Hemorrhoids screening and treatment prior to LVAD: is it a necessity?
    Hadi Skouri, Mohammed Shurrab, Jad Zahnan, Samer Deeba, Pierre Sfeir, Walid Gharzuddin, Saleem Haj-Yahia
    Journal of Cardiothoracic Surgery.2016;[Epub]     CrossRef
  • A Randomized Controlled Trial Comparing Suture-Fixation Mucopexy and Doppler-Guided Hemorrhoidal Artery Ligation in Patients with Grade III Hemorrhoids
    Min Zhai, Yong-An Zhang, Zhen-Yi Wang, Jian-Hua Sun, Jie Wen, Qi Zhang, Jin-De Li, Yi-Zheng Wu, Feng Zhou, Hui-Lei Xu
    Gastroenterology Research and Practice.2016; 2016: 1.     CrossRef
  • HAL-RAR (Doppler guided haemorrhoid artery ligation with recto-anal repair) is a safe and effective procedure for haemorrhoids. Results of a prospective study after two-years follow-up
    Carlos Hoyuela, Fernando Carvajal, Montserrat Juvany, Daniel Troyano, Miquel Trias, Antoni Martrat, Jordi Ardid, Joan Obiols
    International Journal of Surgery.2016; 28: 39.     CrossRef
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    S. Roka, D. Gold, P. Walega, S. Lancee, E. Zagriadsky, A. Testa, A. N. Kukreja, A. Salat
    European Surgery.2013; 45(1): 26.     CrossRef
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    Christos Farazi-Chongouki, G. Doulgerakis, A. Pantelis, M. Vidali, G. Papaioannou, C. Iordanou, I. Pougouras, L. Palyvos, I. Papandrikos, S. Pierrakakis
    Hellenic Journal of Surgery.2013; 85(4): 274.     CrossRef
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    P. H. Pucher, M. H. Sodergren, A. C. Lord, A. Darzi, P. Ziprin
    Colorectal Disease.2013;[Epub]     CrossRef
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    Carlos Walter Sobrado-Junior, José Américo Bacchi Hora
    ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo).2012; 25(4): 293.     CrossRef

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