One Year Follow-up Result of Doppler-guided Hemorrhoidal Artery Ligation and Recto-Anal Repair in 97 Consecutive Patients.
10.3393/jksc.2011.27.6.298
- Author:
Wan Jo JEONG
1
;
Sung Wook CHO
;
Kyung Tae NOH
;
Soon Sup CHUNG
Author Information
1. Department of Surgery, Seoul Red Cross Hospital, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Hemorrhoids;
Doppler;
Ligation;
Recto-anal repair
- MeSH:
Arteries;
Follow-Up Studies;
Hemorrhoids;
Humans;
Ligation;
Pain, Postoperative;
Patient Satisfaction;
Recurrence
- From:Journal of the Korean Society of Coloproctology
2011;27(6):298-302
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: Doppler-guided hemorrhoidal artery ligation and recto-anal repair (DG-HAL & RAR) is known for low recurrence, high patient satisfaction, and less postoperative pain. The purpose of this study is to analyze the 1-year follow-up results in patients who underwent a DG-HAL & RAR and to establish the benefits of the procedure. METHODS: Among the hemorrhoid patients who were admitted to our hospital from March 2008 to May 2010 and who underwent a DG-HAL & RAR, 97 patients who were followed up for a year were investigated. Recurrence, complications, admission period, difference in preoperative and postoperative pain, operation time, and time to return to daily activities were investigated. RESULTS: The average admission period was 1.6 +/- 1.1 days. Pain at postoperative day 7 showed no significant difference from preoperative pain (P > 0.05). The operation time was 34.0 +/- 7.3 minutes on average, and return to daily activities was timed at 2.3 +/- 2.0 days postoperatively. At the one year follow-up, no serious complications were noted, and preoperative symptoms recurred only in 14 patients (14.4%). CONCLUSION: In most patients with hemorrhoids, excluding those with severe prolapsed hemorrhoids, less pain, no serious complications, and good long-term outcome can be expected from a DG-HAL & RAR.
