000165569 001__ 165569
000165569 005__ 20260112132216.0
000165569 0248_ $$2sideral$$a56230
000165569 037__ $$aART-2005-56230
000165569 041__ $$aeng
000165569 100__ $$0(orcid)0000-0001-7964-1166$$aRamirez, J. M.$$uUniversidad de Zaragoza
000165569 245__ $$aDoppler-Guided Hemorrhoidal Artery Ligation in the Management of Symptomatic Hemorrhoids
000165569 260__ $$c2005
000165569 5203_ $$aObjective: The aim of this study is to clinically test the efficacy of a new approach for patients having symptomatic grade III and IV hemorrhoids.
Material and method: 32 patients (17 females) complaining of grade III or IV hemorrhoids were included in the study. A specially designed proctoscope coupled with a Doppler transducer on its tip was used to identify the hemorrhoidal arteries, which were afterwards suture ligated. Operating time as well as per- and post-operative complications were analyzed. Follow-up was planned following discharge after 1 week, 1 month, 6 months and 1 year.
Results: Mean operation time was 27 (range 18-43) minutes, and 5 (range 4-7) arteries were located on average. No patient had severe or moderate postoperative pain, with anal discomfort being the main complaint. Rectal bleeding and tenesmus were the commonest post-operative complications. After one year of follow-up, 19 patients were free of symptoms and 6 of them had significant symptom relief. According to grade, the technique failed in just 3 grade III patients, but in as many as 4 grade IV hemorrhoid cases.
Conclusions: Doppler-guided hemorrhoid artery ligation is an easy-to-perform technique that is well accepted by patients and has good results for grade III hemorrhoids.
000165569 540__ $$9info:eu-repo/semantics/closedAccess$$aAll rights reserved$$uhttp://www.europeana.eu/rights/rr-f/
000165569 590__ $$a0.535$$b2005
000165569 591__ $$aGASTROENTEROLOGY & HEPATOLOGY$$b45 / 46 = 0.978$$c2005$$dQ4$$eT3
000165569 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000165569 700__ $$0(orcid)0000-0001-5323-2946$$aAguilella, V.$$uUniversidad de Zaragoza
000165569 700__ $$0(orcid)0000-0003-2671-061X$$aElia, M.$$uUniversidad de Zaragoza
000165569 700__ $$aGracia, J. A.
000165569 700__ $$0(orcid)0000-0001-6506-7386$$aMartinez, M.$$uUniversidad de Zaragoza
000165569 7102_ $$11004$$2090$$aUniversidad de Zaragoza$$bDpto. Cirugía,Ginecol.Obstetr.$$cÁrea Cirugía
000165569 773__ $$g97, 2 (2005), 97-100$$pRev. esp. enferm. dig.$$tREVISTA ESPANOLA DE ENFERMEDADES DIGESTIVAS$$x1130-0108
000165569 8564_ $$s199680$$uhttps://zaguan.unizar.es/record/165569/files/texto_completo.pdf$$yVersión publicada
000165569 8564_ $$s2481534$$uhttps://zaguan.unizar.es/record/165569/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000165569 909CO $$ooai:zaguan.unizar.es:165569$$particulos$$pdriver
000165569 951__ $$a2026-01-12-11:10:17
000165569 980__ $$aARTICLE