Hemorrhoidal Artery Ligation for Patients with Bleeding Tendencies: Peri-operative Outcomes

Authors

  • Eakarach Lewthanamongkol Colorectal Division, Department of Surgery, Faculty of Medicine, Chulalongkorn University, King Chulalongkorn Memorial Hospital
  • Jirawat Pattana-arun Colorectal Division, Department of Surgery, Faculty of Medicine, Chulalongkorn University, King Chulalongkorn Memorial Hospital
  • Shankar Gunarasa Colorectal Division, Department of Surgery, Faculty of Medicine, Chulalongkorn University, King Chulalongkorn Memorial Hospital
  • Supakij Khomvilai Colorectal Division, Department of Surgery, Faculty of Medicine, Chulalongkorn University, King Chulalongkorn Memorial Hospital

Keywords:

Massive bleeding hemorrhoid, Bleeding tendencies, Doppler-guided hemorrhoidal artery ligation

Abstract

Background: Bleeding hemorrhoids in patients with bleeding tendencies may be very harmful and fatal. Hemorrhoidectomy may cause further bleeding from surgical wound. In this situation, Doppler-guided hemorrhoidal artery ligation (DGHAL) seems a better choice, because this technique occludes the feeding arteries or hemorrhoids under Doppler guidance without any surgical wound. We examined the effectiveness of DGHAL to control bleeding in this group of patients.

Methods: Patients diagnosed with Hemorrhoids with bleeding tendencies who were treated with DGHAL during January 2008 to December 2014 were included in this study. The peri-operative outcomes were reviewed.

Results: From the data records, we obtained 11 patients who had bleeding tendencies undergoing DGHAL for hemorrhoids. At one month post DGHAL, only one patient had occasional spotting which spontaneously resolved without any intervention.

Conclusions: DGHAL is an effective alternative treatment for bleeding hemorrhoid. Without tissue resection and under Doppler guidance, it is of benefit for bleeding hemorrhoids in patients with bleeding tendencies.

 

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vol38no3

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Published

2017-09-28

How to Cite

1.
Lewthanamongkol E, Pattana-arun J, Gunarasa S, Khomvilai S. Hemorrhoidal Artery Ligation for Patients with Bleeding Tendencies: Peri-operative Outcomes. Thai J Surg [Internet]. 2017 Sep. 28 [cited 2024 Dec. 23];38(3):99-103. Available from: https://he02.tci-thaijo.org/index.php/ThaiJSurg/article/view/219966

Issue

Vol. 38 No. 3 (2017): July – September

Section

Original Articles

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Articles must be contributed solely to The Thai Journal of Surgery and when published become the property of the Royal College of Surgeons of Thailand. The Royal College of Surgeons of Thailand reserves copyright on all published materials and such materials may not be reproduced in any form without the written permission.