| BACKGROUND: The use of conventional hemorrhoidectomy for the treatment of hemorrhoids has a significant morbidity,the main manifestation of postoperative pain and daily activities of the delay.Doppler-guided hemorrhoid arterial ligation is the treatment of hemorrhoids minimally invasive surgery,and can reduce the patient’s inconvenience.OBJECTIVE: To analyze the correlation between the initial results of Doppler-guided hemorrhoidal artery ligation and rectal mucosa in the treatment of hemorrhoids.METHODS: From December 2015 to August 2016,84 patients treated with Doppler-guided haemorrhagic artery ligation(DGHAL)were analyzed.Patients included stage II,stage III,and stage IV hemorrhoids.Twenty-two patients(26%)were stage II;42patients(50%)were stage III;and 20 patients(24%)were stage IV hemorrhoids.All patients were operated by the same surgeon under the spinal anesthesia using the same equipment and techniques.The 84 patients underwent continuous suture rectal mucosal ligation of 6 arterial branches.Eighteen patients required simultaneous removal of perianal fat.After surgery,the following parameters were evaluated: pain,falling sensation,bleeding,pruritus,prolapse,mucus discharge and recurrence.The mean follow-up period was 4months.Results: 85.7% of the patients complained of a falling feeling,followed by 28.6%of pain,12.3% of anus,and 4.7% of mucous secretion and perianal hematoma.Two patients had severe postoperative bleeding,requiring surgery to stop bleeding,and one needed a blood transfusion.95% of patients expressed satisfaction with this procedure.CONCLUSIONS: Although DGHAL has complications similar to those of other surgical procedures,the results show less postoperative pain,faster recovery and recovery.More cases and longer follow-up studies are needed to assess late recurrence. |
