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Conventional surgical treatments use a combination of
hemorrhoidal artery ligation and excision of the hemorrhoidal tissue itself. And
while until now considered to be the most effective method for the treatment of
hemmorhoids however the operation is very unpopular with patients because of the severe
pain they experience post-operatively.
Several less invasive methods have been tried and these
include electro-coagulation, rubber band ligation, laser therapy, cryotherapy, and
sclerotherapy. These methods all are directed to the hemorrhoidal tissue
itself. Now, we have developed a new technique known as Doppler Ultrasound Guided Hemorrhoidal Artery Ligation(HAL Doppler
Ligation).
| COMPARISON TABLE |
HAL Doppler Ligation |
Infrared Coagulation |
Rubber Band Ligation |
Sclerotherapy |
| Outline |
Artery Ligation |
3 or 4 burns on hemorrhoid |
Necrosis by the band |
Necrosis by induration |
| Operation |
Very easy |
Easy |
Needs skill |
Needs skill |
| Intra-op pain |
Very low |
Low |
Pain if close to anus |
Sometimes painful |
| Post-op pain |
Very low |
Low (4.5%-8%) |
Sometimes very painful (5.2-60%) |
Sometimes painful (12.5-70%) |
| Post-op bleeding |
Very little |
Medium (1.5-21%) |
Needs care after 7 to 10 days
(1.4-15%) |
Little (0-10%) |
| Efficacy after 1 year |
OK so far |
33-59% OK |
37-53% OK |
16-42% OK |
| Goligher Degree |
All I to IV Especially good for bleeding hemorrhoids |
I to II Most effective on I |
II to III Size limitation |
I to II |
HAL Doppler
Procedure | Equipment
Patient studies | Related articles |
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