[Selective Doppler-guided hemorrhoidal artery ligation as a minimaly invasive method of treatment of hemorrhoidal disease].
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).
Wałega
Piotr
P
III Katedra i Klinika Chirurgii Ogólnej Collegium Medicum Uniwersytetu Jagiellońskiego, Kraków. pwalega@mp.pl
Scheyer
Mathias
M
Arnold
Steffan
S
Kenig
Jakub
J
Nowakowski
Michał
M
Sobocki
Jacek
J
Herman
Roman M
RM
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