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One Year Follow-up Result of Doppler-guided Hemorrhoidal Artery Ligation and Recto-Anal Repair in 97 Consecutive Patients

대한대장항문학회지 2011년 27권 6호 p.298 ~ 302
 ( Jeong Wan-Jo ) - Seoul Red Cross Hospital Department of Surgery

 ( Cho Sung-Wook ) - Seoul Red Cross Hospital Department of Surgery
 ( Noh Kyung-Tae ) - Ewha Womans University School of Medicine Department of Surgery
 ( Chung Soon-Sup ) - Ewha Womans University School of Medicine Department of Surgery

Abstract


Purpose: Doppler-guided hemorrhoidal artery ligation and recto-anal repair (DG-HAL & RAR) is known for low recurrence, high patient satisfaction, and less postoperative pain. The purpose of this study is to analyze the 1-year follow-up results in patients who underwent a DG-HAL & RAR and to establish the benefits of the procedure.

Methods: Among the hemorrhoid patients who were admitted to our hospital from March 2008 to May 2010 and who underwent a DG-HAL & RAR, 97 patients who were followed up for a year were investigated. Recurrence, complications, admission period, difference in preoperative and postoperative pain, operation time, and time to return to daily activities were investigated.

Results: The average admission period was 1.6 ± 1.1 days. Pain at postoperative day 7 showed no significant difference from preoperative pain (P > 0.05). The operation time was 34.0 ± 7.3 minutes on average, and return to daily activities was timed at 2.3 ± 2.0 days postoperatively. At the one year follow-up, no serious complications were noted, and preoperative symptoms recurred only in 14 patients (14.4%).

Conclusion: In most patients with hemorrhoids, excluding those with severe prolapsed hemorrhoids, less pain, no serious complications, and good long-term outcome can be expected from a DG-HAL & RAR.

키워드

Hemorrhoids; Doppler; Ligation; Recto-anal repair
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