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A Journal on Surgery

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Chirurgia 2009 December;22(6):255-7

language: English

Evalutation of transanal hemorroidal dearterialization in the hemorroidary pathology

Graziano A., Campisi M.

Surgical Department, United University of Catania, Polyclinic Hospital, Catania, Italy


Aim. In 1995, Morinaga reported a new technique for the treatment of hemorrhoids, hemorrhoidal artery ligation (HAL), which uses a specially designed proctoscope coupled with a Doppler transducer for identification and ligation of hemorrhoidal arteries.
Methods. Because the arteries carrying the blood inflow are ligated, internal pressure of the plexus hemorrhoidalis is decreased.
Results. We report the results of the first 108 patients (88 male and 20 female; median age 50.1 years) who have been treated at our department since 2002 and followed-up for a median period of 18 months. The acute symptoms of hemorrhoids were treated immediately by performing HAL.
Conclusion. Our study showed that HAL is painless, effective, and has a low rate of complications. It can be applied in an outpatient setting and is a good alternative to all other hemorrhoid treatment methods.

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