Treatment of grade 2 and 3 hemorrhoids with Doppler-guided hemorrhoidal artery ligation

B. M. Wallis de Vries, E. S. J. van der Beek, L. R. H. de Wijkerslooth, W. C. van der Zwet, J. A. B. van der Hoeven, M. Eeftinck Schattenkerk, E. H. Eddes

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We evaluated the results of the Doppler-guided hemorrhoidal arterial ligation (DG-HAL) method in the management of symptomatic grade 2 and 3 hemorrhoids. Between June 2005 and March 2006, 110 consecutive patients with symptomatic grade 2 and 3 hemorrhoids according to the DG-HAL method were treated. All procedures were performed in daycare under spinal anesthesia. The primary objective was the reduction in hemorrhoidal gradation as determined by proctoscopy; the secondary was patient satisfaction. This was measured by interviewing patients over the telephone. The average age was 47.6 years. 42 patients had grade 2 hemorrhoids, 68 grade 3. An average of 7.3 ligations were placed. Proctoscopy showed that, after 6 weeks, 97 (88%) patients had a significant improvement in their hemorrhoidal gradation. After an average follow-up of 37 weeks, 93 of the 110 (84.5%) patients were satisfied with the postoperative result. Mortality was 0% and morbidity 3%. DG-HAL is a safe and effective treatment in the management of symptomatic grade 2 and 3 hemorrhoids
Original languageEnglish
Pages (from-to)436-440
JournalDigestive surgery
Issue number6
Publication statusPublished - 2007

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