International Journal of Colorectal Disease

, Volume 19, Issue 2, pp 176–180 | Cite as

Comparison of early and 1-year follow-up results of conventional hemorrhoidectomy and hemorrhoid artery ligation: a randomized study

  • Attila Bursics
  • Krisztina Morvay
  • Péter Kupcsulik
  • Lajos Flautner
Original Article

Abstract

Background and aims

Doppler-guided hemorrhoid artery ligation is a new approach for treating hemorrhoids. Early and 1-year follow-up results of the procedure are presented and compared with those of closed scissors hemorrhoidectomy in a prospective randomized study.

Patients and methods

Sixty consecutively recruited patients were randomized into two groups: group A (n=30) was treated with standardized closed scissors hemorrhoidectomy and group B (n=30) with Doppler-guided hemorrhoid artery ligation. The follow-up period was 11.7±4.6 months.

Results

The average need for minor analgesics was 11.7±12.6 doses in group A and 2.9±7.7 in group B. Patients in group A spent 62.9±29.0 hours in hospital postoperatively and those in group B 19.8±41.8 hours. Return to normal daily activities took 24.9±24.5 days in group A and 3.0±5.5 days in group B. Neither the disappearance (26 vs. 25 patients) nor the recurrence of preoperative symptoms (5 vs. 6 patients) differed significantly between the two groups.

Conclusion

Both procedures were effective in treating hemorrhoids. The 1-year results of Doppler-guided hemorrhoid artery ligation do not differ from those of closed scissors hemorrhoidectomy. Doppler-guided hemorrhoid artery ligation seems to be ideal for 1-day surgery, and it fulfills the requirements of minimally invasive surgery.

Keywords

Hemorrhoids Ligation Prospective studies Ultrasonography, Doppler Surgical procedures, minimally invasive 

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Copyright information

© Springer-Verlag 2004

Authors and Affiliations

  • Attila Bursics
    • 1
  • Krisztina Morvay
    • 1
  • Péter Kupcsulik
    • 1
  • Lajos Flautner
    • 1
  1. 1.First Department of SurgerySemmelweis University1082 BudapestHungary

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