title: [Hemorrhoidal desarterialization guided by Doppler. A surgical alternative in hemorrhoidal disease management].
abstract: BACKGROUND
  Hemorrhoidal disease is a common condition that includes 30% of patients seen for the first time at the Colon and Rectal Unit of the Gastroenterology Service, Hospital General in Mexico City. This study shows experience with hemorrhoidal desarterialization guided by Doppler in patients with internal hemorrhoidal disease stages II or III in the Coloproctology Units of the Hospital General in Mexico City and at the North Medical Unit in Monterrey, Nuevo Leon, Mexico.
  
  
  METHODS
  A prospective, longitudinal, and descriptive study was performed in 56 patients with diagnosis of internal hemorrhoids stages II or III, not complicated, and treated by hemorrhoidal artery ligation guided by Doppler between July 1, 2002 and April 31, 2003.
  
  
  RESULTS
  49 patients were included, 32 male (66%) and 17 female (34%), aged between 21 and 75 years with mean age of 43.5 years; 40 patients had internal hemorrhoids stage II (82%) and nine, stage III (18%). With a follow-up of 4 months or longer, all patients were symptomless: bleeding and hemorrhoidal prolapse disappeared.
  
  
  CONCLUSIONS
  Doppler-Guided hemorrhoidal desarterialization is indicated in patients with internal hemorrhoids stages II or III; it is a simple technique that requires a short learning curve, minimal anesthetic and surgical materials, and pain after the procedure is mild and short-lived in the majority of patients.
authors.affiliation: Unidad de Coloproctología, Servicio de Gastroenterología, Hospital General de México, México, DF. luischarua@hotmail.com
authors.forename: Luis
authors.initials: L
authors.lastname: Charúa Guindic
authors.forename: Evangelina
authors.initials: E
authors.lastname: Fonseca Muñoz
authors.forename: Norberto Joel
authors.initials: NJ
authors.lastname: García Pérez
authors.forename: Rosa Martha
authors.initials: RM
authors.lastname: Osorio Hernández
authors.forename: Teresita
authors.initials: T
authors.lastname: Navarrete Cruces
authors.forename: Octavio
authors.initials: O
authors.lastname: Avendaño Espinosa
authors.forename: Luis Roberto
authors.initials: LR
authors.lastname: Guerra Melgar
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006484:Hemorrhoids / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008026:Ligation / Q000379:methods*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D011446:Prospective Studies; D016896:Treatment Outcome; D018608:Ultrasonography, Doppler / Q000379:methods; D014656:Vascular Surgical Procedures / Q000379:methods