Values of clinical application of Doppler-guided hemorrhoid artery ligation(DG-HAL)in treatment of hemorrhoids(a report of 40 cases)

The objective of this article was to evaluate the efficacy of procedure for Doppler-guided hemorrhoid artery ligation (DG-HAL)in treatment of hemorrhoids. The 40 patients with the symptomatic hemorrhoids underwent a DG-HAL. The mean operation time was 26.5minutes and postoperative hospital stay was 1.15 days; the time of returning to work was 2.15 days and 94.2% of patients were satisfied with the results. There were no recurrence , and no faecal incontinence after short-up(2weeks-3months). Results show that DG-HAL for symptomatic hemorrhoids is a safe procedure with good results, low complications ,shorter hospital stay and earlier recovery. Doppler-guided hemorrhoid artery ligation seems to be ideal for 1-day surgery, and it fulfills the requirements of minimally invasive surgery. But long-term effect is to be investigated.