Eitenmueller JP, Dembek A, Latz D

Language: English
References: 13
Page: 80-85
PDF size: 192.54 Kb.

ABSTRACT

Introduction: Until now we treated 1,200 patients with hemorrhoids of grade II, III and IV using the Doppler-guided hemorrhoidal artery ligation. In a follow-up of 550 patients we investigated the surgical outcome, the functional recovery, and postoperative pain. Method: Using an analgosedia and local anaesthesia in 1,200 patients under sonographic identification and suture ligation of six or more terminal branches of the superior rectal artery above the dentate line. Surgical and functional outcomes were assessed about 12 months after surgery. Results: There were 39.6 percent females and 60.4 percent males, the median operative time was about 20 minutes. 95 percent of the patients were treated in an outpatient surgery, only 5 percent were treated for different reasons as inpatient surgery. There was no mortality. There was only a very small percentage of urinary retention, bleeding and relapses, most patients had a complete functional, recovery by the third postoperative day. Only 4 percent of patients had a local relaps, which required rubber band ligation or other surgery. On follow-up there was no report of incontinence to gas or feces, fecal impaction, or persistent pain. Conclusion: Our experience indicates that Doppler guided hemorrhoidal artery ligation is safe and effective and can be performed as an outpatient procedure with a combination of an analgosedation and local anaesthesia with minimal postoperative pain and early recovery.

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