Khalil, M., Deabes, S., Amer, Y. (2019). Comparative Study between Doppler-Guided Haemorrhoidal Artery Ligation (HAL) and Conventional Haemorrhoidectomy for Treatment of III& IV Degree Haemorrhoids. The Egyptian Journal of Hospital Medicine, 75(6), 3113-3118. doi: 10.21608/ejhm.2019.34253
Mohammed Mohsen Ibraheem Khalil; Shawky Mohamed Deabes; Yasser Ahmed Amer. "Comparative Study between Doppler-Guided Haemorrhoidal Artery Ligation (HAL) and Conventional Haemorrhoidectomy for Treatment of III& IV Degree Haemorrhoids". The Egyptian Journal of Hospital Medicine, 75, 6, 2019, 3113-3118. doi: 10.21608/ejhm.2019.34253
Khalil, M., Deabes, S., Amer, Y. (2019). 'Comparative Study between Doppler-Guided Haemorrhoidal Artery Ligation (HAL) and Conventional Haemorrhoidectomy for Treatment of III& IV Degree Haemorrhoids', The Egyptian Journal of Hospital Medicine, 75(6), pp. 3113-3118. doi: 10.21608/ejhm.2019.34253
Khalil, M., Deabes, S., Amer, Y. Comparative Study between Doppler-Guided Haemorrhoidal Artery Ligation (HAL) and Conventional Haemorrhoidectomy for Treatment of III& IV Degree Haemorrhoids. The Egyptian Journal of Hospital Medicine, 2019; 75(6): 3113-3118. doi: 10.21608/ejhm.2019.34253
Comparative Study between Doppler-Guided Haemorrhoidal Artery Ligation (HAL) and Conventional Haemorrhoidectomy for Treatment of III& IV Degree Haemorrhoids
Surgery department,faculty of medicine,Al-Azhar university
Abstract
Background: Haemorrhoidal disease is probably the most frequent reason for consultation in proctology with an estimated prevalence about 4.4%. The gold standard treatment is still excisional hemorrhoidectomy, which is considered a safe and definitive method. Objective: The study was designed to compare the clinical and functional outcome of Doppler-guided (DG) haemorrhoidal artery ligation (HAL) and conventional haemorrhoidectomy for treatment of grade III & IV haemorrhoids. Patients and methods: This study was conducted on 60 patients, divided into two groups: group A included 30 patients that were operated upon through the conventional haemorrhoidectomy and group B include 30 patients that were operated upon through Doppler-guided haemorrhoidal artery ligation (DG- HAL), and comparison between two groups as regard outcomes and complications. Results: It was found from this study that DG- HAL is a painless, easily learned, and minimally invasive therapeutic technique that offers a good alternative to all other known treatments of symptomatic hemorrhoids. During the postoperative check-up 6 weeks after the procedure, scar tissue that had been firmly connected to the underlying tissue structure was seen in areas where ligatures had been placed. Conclusion: Using DG-HAL complications are comparable with those associated with other methods, with no severe complications. The DG-HAL procedure is synonymous with a high level of patient comfort and is perfect for outpatient treatment.
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