Doppler-Guided Hemorrhoidal Artery Ligation: An Alternative to Hemorrhoidectomy

  title={Doppler-Guided Hemorrhoidal Artery Ligation: An Alternative to Hemorrhoidectomy},
  author={Johannes Jongen and H G Peleikis},
  journal={Diseases of the Colon \& Rectum},

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Doppler-Guided Hemorrhoidal Artery Ligation: An Alternative to Hemorrhoidectomy
Doppler-guided ligation of the hemorrhoidal artery is a safe and effective alternative to hemorrhoidectomy and is associated with minimal discomfort and low risk of complications.
Doppler-guided hemorrhoidal artery ligation in the management of symptomatic hemorrhoids.
Doppler-guided hemorrhoid artery ligation is an easy-to-perform technique that is well accepted by patients and has good results for grade III hemorrhoids.
The natural history of symptomatic haemorrhoids
It is concluded that rubber band ligation of symptomatic second degree haemorrhoids in up to three single treatments at three weekly intervals at the time of diagnosis significantly altered the prognosis without causing significant morbidity.
The superior rectal artery and its branching pattern with regard to its clinical influence on ligation techniques for internal hemorrhoids.
It is shown that additional branches of the superior rectal artery coursing in outer layers of the rectal wall may be detected by ultrasonography and should be taken into account by the operating surgeon.
Transanal hemorrhoidal dearterialization is an alternative to operative hemorrhoidectomy.
Transanal hemorrhoidal dearterialization may be the only option for patients where an operative hemorrhoidectomy is contraindicated because of incontinence and may be an effective alternative to operative hemorrhoidsectomy.
A novel therapy for internal hemorrhoids: ligation of the hemorrhoidal artery with a newly devised instrument (Moricorn) in conjunction with a Doppler flowmeter.
HAL with the Moricorn is a simple, safe, and effective method, however, further observations predicated on a longer follow-up, a larger number of patients, and comparisons with other conventional treatments are called for.