Doppler-Guided Hemorrhoid Artery Ligation with Recto-Anal Repair Outcome on Female Patients in Basra: Assessment Study: Doppler-Guided Hemorrhoid Artery Ligation with Recto-Anal Repair Outcome on Female Patients in Basra: Assessment Study

Ohood Leabi, Department of Surgery, Al-Faiha Teaching Hospital/ Al-Noor Specialist Hospital, Basra, Iraq.Follow
Alaa Abed, Private Basrah University College for Science and Technology, Basra, Iraq.Follow
Wafa Al-Maliki, Department of Gynecology and Obstetrics, Basra Teaching Hospital for Maternity and Children, Basra, Iraq.Follow

Article Type

Original Study

Abstract

Background: Hemorrhoidal disease is a common morbidity seen by general surgery clinics. Transanal Doppler guided (DG) hemorrhoidal artery ligation (HAL) with rectoanal repair (RAR) has been invented as a new treatment option. HAL-RAR was associated with mild to moderate postoperative complications in the literatures; and considered easy, safe, mostly painless procedure with very good results in treating hemorrhoids._x000D_ Objective: This study was conducted to evaluate the outcome of using DG-HAL-RAR procedure through documenting postoperative complications during a median follow-up period of 18 months._x000D_ Method: The study included 151 women presented with hemorrhoids in Basra, operated upon using the DG-HAL-RAR and complications assessed._x000D_ Results: The patients’ mean age was 40–99 years. Most of the hemorrhoids were internal plus external (86.1%), of third degree (68.2%) and non-recurrent (90.1%). The surgical management needed an average of 6 ligations and 3 mucopexies. During the follow up periods, the most frequent complication was early bleeding, while the least was hemorrhoids recurrence._x000D_ Discussion: During the follow up period, the postoperative complications were early bleeding, early pain, urine retention, late bleeding, anal stenosis, and hemorrhoids recurrence, the incidence of which were similar or close to the incidence of documented by other studies, except for early bleeding which was much higher than in our study. Some complications, reported by other studies,were not reported in this study._x000D_ Conclusions: DG-HAL-RAR procedure can be used effectively and safely in second or third degree hemorrhoids._x000D_ _x000D_ Keywords: Hemorrhoidectomy, Anal surgery, DG-HAL-RAR, Basra

Keywords

Hemorrhoidectomy, Anal surgery, DG-HAL-RAR, Basrah

Recommended Citation

Leabi, Ohood; Abed, Alaa; and Al-Maliki, Wafa (2021) "Doppler-Guided Hemorrhoid Artery Ligation with Recto-Anal Repair Outcome on Female Patients in Basra: Assessment Study: Doppler-Guided Hemorrhoid Artery Ligation with Recto-Anal Repair Outcome on Female Patients in Basra: Assessment Study," Iraqi National Journal of Medicine: Vol. 3 : Iss. 1 , Article 8.
Available at: https://doi.org/10.37319/iqnjm.3.1.8