Hemorrhoidal artery ligation with recto-anal repair versus traditional Hemorrhoid-Ectomy : a comparative study

Author

al-Abbadi, Abd al-Karim Jabbar Ghadban

Source

Basrah Journal of Surgery

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

Medicine

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