[Hemorrhoidal desarterialization guided by Doppler. A surgical alternative in hemorrhoidal disease management].
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.
Charúa Guindic
Luis
L
Unidad de Coloproctología, Servicio de Gastroenterología, Hospital General de México, México, DF. luischarua@hotmail.com
Fonseca Muñoz
Evangelina
E
García Pérez
Norberto Joel
NJ
Osorio Hernández
Rosa Martha
RM
Navarrete Cruces
Teresita
T
Avendaño Espinosa
Octavio
O
Guerra Melgar
Luis Roberto
LR
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