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

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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.

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References

  1. Milligan ETC, Morgan C, Naughton JLF, Office RR (1937) Surgical anatomy of the anal canal and the operative treatment of haemorrhoids. Lancet II:1119–1124

    Google Scholar 

  2. Parks AG (1956) The surgical treatment of haemorrhoids. Br J Surg 43:337–351

    Google Scholar 

  3. Ferguson JA, Mazier WP, Ganchrow MI, Friend WG (1971) The closed technique of hemorrhoidectomy. Surgery 70:480–484

    CAS  PubMed  Google Scholar 

  4. Graham-Stewart CW (1962) Injection treatment of haemorrhoids. BMJ 1:213–226

    Google Scholar 

  5. Barron J (1963) Office ligation of internal haemorrhoids. Am J Surg 105:563–570

    CAS  Google Scholar 

  6. Lewis MI (1973) Diverse methods of managing hemorrhoids: cryohemorrhoidectomy. Dis Colon Rectum 16:175–177

    CAS  PubMed  Google Scholar 

  7. Neiger A (1989) Infrared-photo-coagulation for hemorrhoids treatment. Int Surg 74:142–143

    CAS  PubMed  Google Scholar 

  8. Longo A (1998) Treatment of haemorrhoids disease by reduction of mucosa and haemorrhoidal prolapse with a circular suturing device: a new procedure. Proceedings of the Sixth World Congress of Endoscopic Surgery. Monduzzi, Bologna, pp 777–784

    Google Scholar 

  9. Morinaga K, Hasuda K, Ikeda T (1995) A novel therapy for internal hemorrhoids: ligation of the hemorrhoidal artery with a newly devised instrument (Moricorn) in conjunction with a Doppler flowmeter. Am J Gastroenterol 90:610–613

    CAS  PubMed  Google Scholar 

  10. Sohn N, Aronoff JS, Cohen FS, Weinstein MA (2001) Transanal hemorrhoidal dearterialization is an alternative to operative hemorrhoidectomy. Am J Surg 182:515–519

    Article  CAS  PubMed  Google Scholar 

  11. Arnold S, Antonietti E, Rollinger G, Scheyer M (2002) Doppler ultrasound assisted hemorrhoid artery ligation. A new therapy in symptomatic hemorrhoids. Chirurg 73:269–273

    Google Scholar 

  12. Sun WM, Read NW, Shorthouse AJ (1990) Hypertensive anal cushions as a cause of the high anal canal pressures in patients with haemorrhoids. Br J Surg 77:458–462

    CAS  PubMed  Google Scholar 

  13. Sun WM, Peck RJ, Shorthouse AJ, Read NW (1992) Haemorrhoids are associated not with hypertrophy of the internal anal sphincter, but with hypertension of the anal cushions. Br J Surg 79:592–594

    CAS  PubMed  Google Scholar 

  14. Williams NS (1993) Haemorrhoidal disease. In: Keighley MRB, Williams NS (eds) Surgery of the anus, rectum and colon. Saunders, Philadelphia, pp 295–363

  15. Yokota T, Yamaguchi T, Yamane T, Shimotsuma M, Oguro A, Takahashi T (1990) Repair of anal stricture after Whitehead operation. Am J Gastroenterol 85:480–481

    CAS  Google Scholar 

  16. Ferguson JA (1979) Whitehead deformity of anus, S-plasty repair. Dis Colon Rectum 22:286–287

    CAS  PubMed  Google Scholar 

  17. Lund JN, Scholefield JH (1996) Aetiology and treatment of anal fissure. Br J Surg 83:1335–1344

    CAS  PubMed  Google Scholar 

Download references

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Authors and Affiliations

  1. First Department of Surgery, Semmelweis University, 1082 Budapest, Hungary

    Attila Bursics, Krisztina Morvay, Péter Kupcsulik & Lajos Flautner

Authors
  1. Attila Bursics
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  2. Krisztina Morvay
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  3. Péter Kupcsulik
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  4. Lajos Flautner
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Correspondence to Attila Bursics.

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Bursics, A., Morvay, K., Kupcsulik, P. et al. Comparison of early and 1-year follow-up results of conventional hemorrhoidectomy and hemorrhoid artery ligation: a randomized study. Int J Colorectal Dis 19, 176–180 (2004). https://doi.org/10.1007/s00384-003-0517-9

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  • DOI: https://doi.org/10.1007/s00384-003-0517-9

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