Authors
1
Department of General & Colorectal Surgery, Faculty of Medicine, Ain Shams University, Egypt
2
Department of General & Laparoscopic Surgery, Faculty of Medicine, Ain Shams University, Egypt
3
Department of General Surgery, Faculty of Medicine, Ain Shams University, Egypt
4
Department of General Surgery, Faculty of Medicine, Cairo University, Egypt
Abstract
Background: The standard hemorrhoidectomy used to treat hemorrhoidal disease (HD) is linked with severe morbidity, most notably postoperative pain and a delayed return to normal daily activities. To lessen these drawbacks, a minimally invasive surgical procedure called Doppler-guided haemorrhoid artery ligation (DGHAL) has been utilised to treat HD.
Objective: Analyzing the effectiveness of the Doppler Guided Hemorrhoidal Artery Ligation (DGHAL) method for
treating grade III haemorrhoids as regards operative time and intraoperative blood loss, as well as postoperative
pain, hospital stay, bleeding and infection.
Patients and methods: In order to evaluate the DGHAL technique in the management of grade III haemorrhoids,
a prospective observational study was carried out on 30 consecutive patients presenting for haemorrhoidectomy
at Ain-Shams University, Dar El-Hekma, El-Intag El-Harby, and other authorised Hospitals from March until July
2021. Patients with grade 3 haemorrhoids, either newly diagnosed or previously diagnosed. To assess ongoing
symptoms and surgical sequelae, the patients were observed weekly for one month and subsequently monthly for
three months.
Results: The mean age of study groups was (40.93±6.10) years. Regarding gender, the majority of patients were
males (80%). The median of intraoperative bleeding was 32.50 ml with range (25-60) ml. The median of operative
time was 12 mins with range (10-20) mins. Regarding hospital stay, the median of period was 8 hours with range
(6-22) hours. Pain decreased gradually in the 1st 3 weeks postoperative and disappeared at 4th week, (median
values = 3, 1.5, 0 & 0) respectively (p=0.006).
Conclusion: Doppler-guided haemorrhoid artery ligation (DGHAL) is linked with reduced intraoperative haemorrhage, surgical time, hospital stay, and postoperative pain score in instances with grade III haemorrhoids.
It is linked to a 1high level of patient comfort and going back to work. DGHAL is also well-tolerated, safe, and effective. It lessens the necessity of doing potentially risky excisional procedures.
Keywords
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