title: [A prospective controlled comparative study of Doppler-guided hemorrhoidal artery ligation versus operative procedures for prolapse and hemorrhoids].
abstract: OBJECTIVE
  To compare the safety and efficacy of Doppler-guided hemorrhoidal artery ligation and operative procedures for prolapse and hemorrhoids.
  
  
  METHODS
  Ninety-two cases with a diagnosis of hemorrhoids from June 1, 2006 to June 1, 2008 at our hospital were collected and divided into the observation group (A, n = 40) and the control group (B, n = 52). They received Doppler-guided hemorrhoidal artery ligation and operative procedures for prolapse and hemorrhoids respectively. The efficacy of two groups was compared with regards to efficacy, operative duration, postoperative pain score, postoperative analgesic use, postoperative complications, hospitalization duration, recovery time, total treatment expenditure, patient satisfaction and 1-year follow-up.
  
  
  RESULTS
  After treatment, two groups demonstrated similar profiles of efficacy, operative duration, patient satisfaction and the relapsing rate at 1 year. Group A was obviously better than Group B. with regards to recovery time, hospitalization duration and total treatment expenditure. Furthermore the incidence of such complications as postoperative pain, urinary retention, anal bulge, hemorrhage, perianal infections, anal edema and anal fissure was lower.
  
  
  CONCLUSIONS
  Doppler-guided hemorrhoidal artery ligation has many advantages, such as safety, effectiveness, less trauma, a quick recovery, less treatment expenditure and a lower incidence of complications. Thus it is worthy of a wider popularization. However, its long-term effect remains to be seen.
authors.affiliation: Department of Surgery, Beijing Hospital of Coloproctology, Beijing 100032, China. qinpengpai@ellhospital.com
authors.forename: Peng-pai
authors.initials: PP
authors.lastname: Qin
authors.forename: Bin
authors.initials: B
authors.lastname: Huang
authors.forename: Heng-jing
authors.initials: HJ
authors.lastname: Cai
authors.forename: Qiang
authors.initials: Q
authors.lastname: Ge
authors.forename: Zheng-liang
authors.initials: ZL
authors.lastname: Wang
mesh_terms: D000328:Adult; D001158:Arteries / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D006484:Hemorrhoids / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008026:Ligation / Q000379:methods*; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D012007:Rectum / Q000098:blood supply; D016896:Treatment Outcome; D014463:Ultrasonography; D014656:Vascular Surgical Procedures