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Category: Volume 07 Issue 05 May 2019
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Title: Our Experience with Doppler Guided Haemorrhoidal Artery Ligation in Treating 100 Cases of Symptomatic Grade 3 and Grade 4 Haemorrhoidal Diseases- 1 Year Follow Up

Authors: Dr Pradeep Kumar J, Dr Ahammed Shameel P

 DOI: https://dx.doi.org/10.18535/jmscr/v7i5.87

Abstract

Background: There are broad ranges of interventions described for treatment of haemorrhoidal disease. Each method has advantage, disadvantage and method specific complications. Doppler guided haemorrhoidal artery ligation with or without added mucopexy is a relatively newer technique for treating haemorrhoidal disease. Our aim is to study the effectiveness, post operative complications and outcome of this newer treatment option in 100 consecutive cases for period of 1 year follow up.

Materials and Methods: This prospective clinical study carried out in 100 consecutive patients admitted with grade 3 and grade 4 symptomatic haemorrhoidal diseases. The patients were evaluated preoperatively and postoperatively for improvement of symptoms, complications and recurrence of the symptoms. Follow up period was 1 year.

Results: In our study of 100 cases, mean age of the patients was 48.3years. 62% of them presented to us with bleeding per rectum as their major presenting complaint followed by 20% with mucosal prolapse .Average duration of surgery was 43minutes and 85% of patients discharged after 24 hours of observation in hospital Immediate complications like intra operative and early post operative bleeding, urinary retention had seen in 13% and 10% patients which were managed conservatively. 12% patients had sustained pain at the end of 1 week but 1 month, 6month and 1year follow up there was no pain. No major complications occurred during the study. However 12% patients complained of recurrence of symptoms at the end of 1 year follow up.

Conclusion: Doppler guided haemorrhoidal artery ligation with or without additional mucopexy provides a low morbidity minimally invasive option for treatment of haemorrhoidal disease with adequate safety and efficacy and acceptable complication rates.

Keywords: Doppler, Mucopexy, Artery ligation.

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Corresponding Author

Dr Pradeep Kumar J

6th Cross, Buddha Nagara, Stadium Road Chitradurga Karnataka state India