Comparison of early and 1-year follow-up results of conventional hemorrhoidectomy and hemorrhoid artery ligation

A randomized study

Attila Bursics, Krisztina Morvay, P. Kupcsulik, Lajos Flautner

Research output: Contribution to journalArticle

115 Citations (Scopus)

Abstract

Background and aims: Doppler-guided hemorrhoid artery ligation is a new approach for treating hemorrhoids. Early and 1-year follow-up results of the procedure are presented and compared with those of closed scissors hemorrhoidectomy in a prospective randomized study. Patients and methods: Sixty consecutively recruited patients were randomized into two groups: group A (n=30) was treated with standardized closed scissors hemorrhoidectomy and group B (n=30) with Doppler-guided hemorrhoid artery ligation. The follow-up period was 11.7±4.6 months. Results: The average need for minor analgesics was 11.7±12.6 doses in group A and 2.9±7.7 in group B. Patients in group A spent 62.9±29.0 hours in hospital postoperatively and those in group B 19.8±41.8 hours. Return to normal daily activities took 24.9±24.5 days in group A and 3.0±5.5 days in group B. Neither the disappearance (26 vs. 25 patients) nor the recurrence of preoperative symptoms (5 vs. 6 patients) differed significantly between the two groups. Conclusion: Both procedures were effective in treating hemorrhoids. The 1-year results of Doppler-guided hemorrhoid artery ligation do not differ from those of closed scissors hemorrhoidectomy. Doppler-guided hemorrhoid artery ligation seems to be ideal for 1-day surgery, and it fulfills the requirements of minimally invasive surgery.

Original languageEnglish
Pages (from-to)176-180
Number of pages5
JournalInternational Journal of Colorectal Disease
Volume19
Issue number2
DOIs
Publication statusPublished - Mar 2004

Fingerprint

Hemorrhoidectomy
Hemorrhoids
Ligation
Arteries
Minimally Invasive Surgical Procedures
Ambulatory Surgical Procedures
Analgesics
Prospective Studies
Recurrence

Keywords

  • Doppler
  • Hemorrhoids
  • Ligation
  • Minimally invasive
  • Prospective studies
  • Surgical procedures
  • Ultrasonography

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Comparison of early and 1-year follow-up results of conventional hemorrhoidectomy and hemorrhoid artery ligation : A randomized study. / Bursics, Attila; Morvay, Krisztina; Kupcsulik, P.; Flautner, Lajos.

In: International Journal of Colorectal Disease, Vol. 19, No. 2, 03.2004, p. 176-180.

Research output: Contribution to journalArticle

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