Hemorrhoidal artery ligation with recto-anal repair versus traditional Hemorrhoid-Ectomy : a comparative study
Author
al-Abbadi, Abd al-Karim Jabbar Ghadban
Source
Issue
Vol. 24, Issue 2 (31 Dec. 2018), pp.61-66, 6 p.
Publisher
University of Basrah College of Medicine
Publication Date
2018-12-31
Country of Publication
Iraq
No. of Pages
6
Main Subjects
Abstract EN
Hemorrhoids, are vascular structures present in the anal canal as cushions that facilitate stool control.
When swollen or inflamed they are regarded as hemorrhoidal disease; sometimes they are asymptomatic specially in the internal type which are presented with painless rectal bleeding while external type may present with painful swelling.
Although the traditional open hemorrhoidectomy (Milligan Morgan) is standard and effective technique, it is associated with many complications; the most important is post-operative pain and delayed return to normal activities.
Nowadays Doppler-guided hemorrhoidal artery ligation (DG-HAL) with recto-anal repair (RAR) is a minimally-invasive technique for hemorrhoids, it is developed recently to overcome these complications.
The purpose of this prospective study is to compare between the classical open hemorrhoidectomy and HAL-RAR procedure, by assessment of post-operative pain, postoperative complications and outcome of the procedures.
This prospective, study was done between September 2014 and September 2016.
Ninety six patients complaining of hemorrhoids were studied at Al-Sadr Teaching Hospital, Basrah, Iraq.
They were divided equally into two groups; group A and B, group A underwent surgery by DG HAL and RAR, and group B were subjected to traditional procedure.
Patients were followed for one year by evaluation at 1 week, 1 month, 6 months, and 1 year.
In conclusion, DG-HAL with RAR is an effective technique compared with traditional hemorrhoidectomy regarding complications, postoperative pain, in hospital stay, and time of return to normal activities.
American Psychological Association (APA)
al-Abbadi, Abd al-Karim Jabbar Ghadban. 2018. Hemorrhoidal artery ligation with recto-anal repair versus traditional Hemorrhoid-Ectomy : a comparative study. Basrah Journal of Surgery،Vol. 24, no. 2, pp.61-66.
https://search.emarefa.net/detail/BIM-902997
Modern Language Association (MLA)
al-Abbadi, Abd al-Karim Jabbar Ghadban. Hemorrhoidal artery ligation with recto-anal repair versus traditional Hemorrhoid-Ectomy : a comparative study. Basrah Journal of Surgery Vol. 24, no. 2 (Dec. 2018), pp.61-66.
https://search.emarefa.net/detail/BIM-902997
American Medical Association (AMA)
al-Abbadi, Abd al-Karim Jabbar Ghadban. Hemorrhoidal artery ligation with recto-anal repair versus traditional Hemorrhoid-Ectomy : a comparative study. Basrah Journal of Surgery. 2018. Vol. 24, no. 2, pp.61-66.
https://search.emarefa.net/detail/BIM-902997
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 66
Record ID
BIM-902997