Comparison of early and 1-year follow-up results of conventional hemorrhoidectomy and hemorrhoid artery ligation: a randomized study

Doppler-guided hemorrhoid artery ligation is a new approach for treating hemorrhoids. Early and 1-year follow-up results of the procedure are presented and compared with those of closed scissors hemorrhoidectomy in a prospective randomized study. Sixty consecutively recruited patients were randomize...

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Bibliographic Details
Published in:International journal of colorectal disease 2004-03, Vol.19 (2), p.176-180
Main Authors: BURSICS, Attila, MORVAY, Krisztina, KUPCSULIK, Péter, FLAUTNER, Lajos
Format: Article
Language:English
Subjects:
Anal Canal - blood supply
Anal Canal - pathology
Anal Canal - surgery
Arteries
Biological and medical sciences
Colorectal Surgery - methods
Digestive System Surgical Procedures - adverse effects
Digestive System Surgical Procedures - methods
Female
Follow-Up Studies
Gastroenterology. Liver. Pancreas. Abdomen
Hemorrhoids - surgery
Humans
Ligation - adverse effects
Ligation - methods
Male
Medical sciences
Middle Aged
Other diseases. Semiology
Patient Satisfaction
Postoperative Complications
Prospective Studies
Stomach. Duodenum. Small intestine. Colon. Rectum. Anus
Surgical Stapling
Suture Techniques
Time Factors
Treatment Outcome
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Summary:Doppler-guided hemorrhoid artery ligation is a new approach for treating hemorrhoids. Early and 1-year follow-up results of the procedure are presented and compared with those of closed scissors hemorrhoidectomy in a prospective randomized study. Sixty consecutively recruited patients were randomized into two groups: group A ( n=30) was treated with standardized closed scissors hemorrhoidectomy and group B ( n=30) with Doppler-guided hemorrhoid artery ligation. The follow-up period was 11.7+/-4.6 months. The average need for minor analgesics was 11.7+/-12.6 doses in group A and 2.9+/-7.7 in group B. Patients in group A spent 62.9+/-29.0 hours in hospital postoperatively and those in group B 19.8+/-41.8 hours. Return to normal daily activities took 24.9+/-24.5 days in group A and 3.0+/-5.5 days in group B. Neither the disappearance (26 vs. 25 patients) nor the recurrence of preoperative symptoms (5 vs. 6 patients) differed significantly between the two groups. Both procedures were effective in treating hemorrhoids. The 1-year results of Doppler-guided hemorrhoid artery ligation do not differ from those of closed scissors hemorrhoidectomy. Doppler-guided hemorrhoid artery ligation seems to be ideal for 1-day surgery, and it fulfills the requirements of minimally invasive surgery.
ISSN:0179-1958
1432-1262
DOI:10.1007/s00384-003-0517-9