title: [Selective Doppler-guided hemorrhoidal artery ligation as a minimaly invasive method of treatment of hemorrhoidal disease].
abstract: The aim of this study was to present the experience of two centres concerning minimal invasive technique for treating hemorrhoids--Doppler Guided Hemorrhoidal Artery Ligation (DGHAL). From our own experience and based on the literature--we can say that DGHAL is a minimally invasive, safe and effective method in grade II and III hemorrhoids. It can also be recommended in selected grade IV cases combined with anodermal folds resection. A properly carried out operation should involve no intra- and postoperative complications. However, this procedure requires more controlled trials on a larger group of patients and long term follow-up (longer than 3 years postoperatively).
authors.affiliation: III Katedra i Klinika Chirurgii Ogólnej Collegium Medicum Uniwersytetu Jagiellońskiego, Kraków. pwalega@mp.pl
authors.forename: Piotr
authors.initials: P
authors.lastname: Wałega
authors.forename: Mathias
authors.initials: M
authors.lastname: Scheyer
authors.forename: Steffan
authors.initials: S
authors.lastname: Arnold
authors.forename: Jakub
authors.initials: J
authors.lastname: Kenig
authors.forename: Michał
authors.initials: M
authors.lastname: Nowakowski
authors.forename: Jacek
authors.initials: J
authors.lastname: Sobocki
authors.forename: Roman M
authors.initials: RM
authors.lastname: Herman
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001158:Arteries / Q000601:surgery*; D005260:Female; D006484:Hemorrhoids / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008026:Ligation / Q000379:methods*; D008297:Male; D008875:Middle Aged; D025321:Surgery, Computer-Assisted / Q000379:methods*; D014463:Ultrasonography; D055815:Young Adult