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Short- and Long-term 5-year Clinical Outcomes of DopplerguidedHemorrhoidal Artery Ligation and RectoanalRepair |
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| รหัสดีโอไอ | |
| Creator | Prayuth Sirivongs,Rangsima Thiengthiantham |
| Title | Short- and Long-term 5-year Clinical Outcomes of DopplerguidedHemorrhoidal Artery Ligation and RectoanalRepair |
| Publisher | Text and Journal Publication |
| Publication Year | 2559 |
| Journal Title | Vajira Med |
| Journal Vol. | 60 |
| Journal No. | 1 |
| Page no. | 5-14 |
| Keyword | Doppler-guided hemorrhoidal artery ligation, long-term outcomes, rectoanal repair. |
| ISSN | 0125-1252 |
| Abstract | Introduction: To evaluate long-term clinical outcomes after Doppler-guided hemorrhoidal arteryligation (DG-HAL) and rectoanal repair (RAR) for internal hemorrhoids.Methods: The study included patients with grades II or III internal hemorrhoids who underwent DGHALand RAR at our institution. Clinical characteristics, short- and long-term outcomes wereprospectively collected and analyzed.Results: Out of 36 patients, 28 had complete data and were included in the study. The mean agewas 51.1 ? 15.0 years. The two most common presenting symptoms were mucosal prolapse(100%) and bleeding (82.1%). Median duration of symptoms was 20 months (range, 0.5- 240months). The mean number of sutures was 5.6 ? 0.9 with mean operative time of 40.9 ? 9.9minutes. The pain score, using VAS pain tool, at 24 hours after surgery was less than or equalto 5 in almost all patients (96.4%). Urinary retention, infection, anal fissure and thrombosedexternal hemorrhoids occurred in six (21.4%), two (7.1%), two (7.1%) and one (3.6%) patient(s), respectively. At five years, prolapse and bleeding were the two most common recurrentsymptoms occurring in eight (28.6%) and six patients (21.4%) respectively.Conclusions: Short-term clinical outcomes of patients with grades II or III internal hemorrhoids whounderwent DG-HAL and RAR were modest with minor complications. Long-term outcomeswere not improved when compared to historical standard open hemorrhoidectomy, while onefourth experienced recurrence. |
