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[Selective Doppler-guided hemorrhoidal artery ligation as a minimaly invasive method of treatment of hemorrhoidal disease]. 2009
Piotr Wałega, and
Mathias Scheyer, and
Steffan Arnold, and
Jakub Kenig, and
Michał Nowakowski, and
Jacek Sobocki, and
Roman M Herman
III Katedra i Klinika Chirurgii Ogólnej Collegium Medicum Uniwersytetu Jagiellońskiego, Kraków. pwalega@mp.pl
The aim of this study was to present the experience of two centres concerning minimal invasive technique for treating hemorrhoids--Doppler Guided Hemorrhoidal Artery Ligation (DGHAL). From our own experience and based on the literature--we can say that DGHAL is a minimally invasive, safe and effective method in grade II and III hemorrhoids. It can also be recommended in selected grade IV cases combined with anodermal folds resection. A properly carried out operation should involve no intra- and postoperative complications. However, this procedure requires more controlled trials on a larger group of patients and long term follow-up (longer than 3 years postoperatively).
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