DG-RAR for the treatment of symptomatic grade III and grade IV haemorrhoids: a 12-month multi-centre, prospective observational study.

IF 0.6 4区医学 Q4 SURGERY

European Surgery-Acta Chirurgica Austriaca Pub Date : 2013-02-01 Epub Date: 2013-02-09 DOI:10.1007/s10353-012-0182-8

S Roka, D Gold, P Walega, S Lancee, E Zagriadsky, A Testa, A N Kukreja, A Salat

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引用次数: 28

Abstract

Background: Ultrasound-guided techniques represent a new treatment option in the treatment of haemorrhoids. Doppler-guided haemorrhoidal artery ligation (DG-HAL) proved efficacious in early haemorrhoidal disease, but lacks efficacy for stages III/IV. For these patients, haemorrhoidal artery ligation (HAL) has been combined with a running suture to reduce prolapsing haemorrhoidal tissue (recto-anal repair (RAR)).

Methods: A prospective observational study was conducted in 184 patients with grade III (58 %) or grade IV (42 %) haemorrhoids in seven coloproctological centres. Primary endpoints were the recurrence of symptoms and need of further treatment (medical or surgical).

Results: Post-operative complications were seen in 8 % of patients. After a follow-up of 3 months, 91 % of patients were free of symptoms and 91 % of patients were satisfied with the result. After a follow-up of 12 months, 89 % of patients were free of symptoms and 88 % were satisfied with the result. Nineteen per cent of patients received further medical or surgical treatment.

Conclusions: Doppler-guided recto-anal repair (DG-RAR) proves to be an effective treatment option for the treatment of advanced haemorrhoidal disease that shows equal results to other established treatment options.

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DG-RAR治疗症状性III级和IV级痔疮:一项为期12个月的多中心前瞻性观察研究

背景:超声引导技术是治疗痔疮的一种新的治疗选择。多普勒引导下的痔疮动脉结扎术(DG-HAL)对早期痔疮疾病有效，但对III/IV期缺乏疗效。对于这些患者，将痔动脉结扎(HAL)与流动缝合相结合，以减少痔组织脱垂(直肠-肛门修复(RAR))。方法:在7个结肠直肠中心对184例III级(58%)或IV级(42%)痔疮患者进行了一项前瞻性观察研究。主要终点是症状复发和需要进一步治疗(药物或手术)。结果:术后并发症发生率为8%。经过3个月的随访，91%的患者症状消失，91%的患者对治疗结果满意。经过12个月的随访，89%的患者症状消失，88%的患者对治疗结果满意。19%的患者接受了进一步的医疗或手术治疗。结论:多普勒引导直肠-肛门修复术(DG-RAR)被证明是治疗晚期痔疮疾病的有效治疗方案，其效果与其他已建立的治疗方案相同。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

European Surgery-Acta Chirurgica Austriaca 医学-外科

CiteScore

1.10

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： The journal European Surgery – Acta Chirurgica Austriaca focuses on general surgery, endocrine surgery, thoracic surgery, heart and vascular surgery. Special features include new surgical and endoscopic techniques such as minimally invasive surgery, robot surgery, and advances in surgery-related biotechnology and surgical oncology. The journal especially addresses benign and malignant esophageal diseases, i.e. achalasia, gastroesophageal reflux disease, Barrett’s esophagus, and esophageal adenocarcinoma. In keeping with modern healthcare requirements, the journal’s scope includes inter- and multidisciplinary disease management (diagnosis, therapy and surveillance).