165569 20260112132216.0 sideral 56230 ART-2005-56230 eng Ramirez, J. M. Universidad de Zaragoza (orcid)0000-0001-7964-1166 Doppler-Guided Hemorrhoidal Artery Ligation in the Management of Symptomatic Hemorrhoids 2005 Objective: 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. info:eu-repo/semantics/closedAccess All rights reserved http://www.europeana.eu/rights/rr-f/ 0.535 2005 GASTROENTEROLOGY & HEPATOLOGY 45 / 46 = 0.978 2005 Q4 T3 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Aguilella, V. Universidad de Zaragoza (orcid)0000-0001-5323-2946 Elia, M. Universidad de Zaragoza (orcid)0000-0003-2671-061X Gracia, J. A. Martinez, M. Universidad de Zaragoza (orcid)0000-0001-6506-7386 1004 090 Universidad de Zaragoza Dpto. Cirugía,Ginecol.Obstetr. Área Cirugía 97, 2 (2005), 97-100 Rev. esp. enferm. dig. REVISTA ESPANOLA DE ENFERMEDADES DIGESTIVAS 1130-0108 199680 http://zaguan.unizar.es/record/165569/files/texto_completo.pdf Versión publicada 2481534 http://zaguan.unizar.es/record/165569/files/texto_completo.jpg?subformat=icon icon Versión publicada oai:zaguan.unizar.es:165569 articulos driver 2026-01-12-11:10:17 ARTICLE