HAEMORRHOIDAL ARTERIAL LIGATION

Haemorrhoidal disease is a common problem, with a clear impact in patients´s quality of life. Usually associated with pain, pruritus (meaning perianal itching) and haemorrhoidal prolapse, which can alter normal day activities.

Different tratments have been described, from conservative treatments in order to change alimentary and hygienic habits, up to more radical surgical techniques to try to ease this problem.

Arterial dearterialization was first described by Morinaga in 1995. Surgical technique implies localization of the haemorrhoidal plexus (meaning blood vessels feeding the haemorrhoid) by a doppler probe and then suturing it with a Stich. This procedure is repeated in all the haemorrhoids revelaed ( usually up to 6).

By this procedure, we can treat the haemorrhoid without excising it, thus allowing for a better postoperative recovery, associating less pain than coventional haemorrhoidal excision.

 

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