Scientific Papers

Doppler-Guided Haemorrhoidal Artery Ligation is a valid treatment option for II-III degrees haemorrhoidal disease
Authors: Aldo Infantino, Luca Amadio, Roberto Bellomo, Carlo Alberto Tonizzo, Giovanni Romano, Franco Bianco, Concetto Salafia, Donato Altomare, Pierpaolo Dal Monte, Maria Saragò, Carlo Tagariello
Source: Proceedings of 1st Congress of SICCR - Monduzzi Editore

Proceedings of 1st Congress of SICCR - Monduzzi Editore

Doppler-Guided Haemorrhoidal Artery Ligation is a valid treatment option for II-lll degrees haemorrhoidal disease.

The last decade has seen the development of a number of minimally invasive technologies offering the operator a wide variety of choices for the treatment of haemorrhoidal disease. The use of endo-rectal echo-doppler [1] and the subsequent introduction of the doppler-guided haemorrhoidal dearterialisation, by Morinaga in 1995 [2] has opened a new way for the treatment of symptomatic haemorrhoids. The rationale of this technique is based on the principle that a reduction of blood flow to the haemorrhoidal plexus corresponds to a reduction of the anal cushions volume and consequently to improvement of symptoms. The introduction of a new device for the Doppler-guided ligation of the terminal branches of the superior rectal artery (THD®1) designed to facilitate the location and the suturing of these vessel, has been the premise for this multicentric, prospective observational study. Aim of this study is to evaluate the efficacy of this technique in terms of symptoms improvement, haemorrhoidal tissue and postoperative pain reduction.

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Conclusions: The technique resulted effective and safe for II and lll degree haemorrhoids because of the excellent results for the symptoms, especially for bleeding and pain; negligible complication rates; minor postoperative pain; simple to use and the feasibility as day case, also under local anaesthesia. More cases and longer follow up are necessary to confirm the brilliant results reported.