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Doppler-Guided Hemorrhoid Artery Ligation with Recto-Anal-Repair Modification : Functional Evaluation and Safety Assessment of a New Minimally Invasive Method of Treatment of Advanced Hemorrhoidal Disease
Joint Authors
Romaniszyn, Michal
Walega, Piotr
Herman, Roman
Nowak, Wojciech
Kenig, Jakub
Source
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-04-01
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Natural & Life Sciences (Multidisciplinary)
Medicine
Information Technology and Computer Science
Abstract EN
Purpose: We present 12-month followup results of functional evaluation and safety assessment of a modification of hemorrhoidal artery ligation (DGHAL) called Recto-Anal-Repair (RAR) in treatment of advanced hemorrhoidal disease (HD).
Methods: Patients with grade III and IV HD underwent the RAR procedure (DGHAL combined with restoration of prolapsed hemorrhoids to their anatomical position with longitudinal sutures).
Each patient had rectal examination, anorectal manometry, and QoL questionnaire performed before 3 months, and 12 months after RAR procedure.
Results: 20 patients completed 12-month followup.
There were no major complications.
3 months after RAR, 5 cases of residual mucosal prolapse were detected (25%), while only 3 patients (15%) reported persistence of symptoms.
12 months after RAR, another 3 HD recurrences were detected, to a total of 8 patients (40%) with HD recurrence.
Anal pressures after RAR were significantly lower than before (P<0.05), and the effect was persistent 12 months after RAR.
One patient (5%) reported occasional soiling 3 months after RAR.
Conclusions: RAR seems to be a safe method of treatment of advanced HD with no major complications.
The procedure has a significant influence on anal pressures, with no evidence of risk of fecal incontinence after the operation.
American Psychological Association (APA)
Walega, Piotr& Romaniszyn, Michal& Kenig, Jakub& Herman, Roman& Nowak, Wojciech. 2012. Doppler-Guided Hemorrhoid Artery Ligation with Recto-Anal-Repair Modification : Functional Evaluation and Safety Assessment of a New Minimally Invasive Method of Treatment of Advanced Hemorrhoidal Disease. The Scientific World Journal،Vol. 2012, no. 2012, pp.1-6.
https://search.emarefa.net/detail/BIM-463493
Modern Language Association (MLA)
Walega, Piotr…[et al.]. Doppler-Guided Hemorrhoid Artery Ligation with Recto-Anal-Repair Modification : Functional Evaluation and Safety Assessment of a New Minimally Invasive Method of Treatment of Advanced Hemorrhoidal Disease. The Scientific World Journal No. 2012 (2012), pp.1-6.
https://search.emarefa.net/detail/BIM-463493
American Medical Association (AMA)
Walega, Piotr& Romaniszyn, Michal& Kenig, Jakub& Herman, Roman& Nowak, Wojciech. Doppler-Guided Hemorrhoid Artery Ligation with Recto-Anal-Repair Modification : Functional Evaluation and Safety Assessment of a New Minimally Invasive Method of Treatment of Advanced Hemorrhoidal Disease. The Scientific World Journal. 2012. Vol. 2012, no. 2012, pp.1-6.
https://search.emarefa.net/detail/BIM-463493
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-463493