Doppler Guided Haemorrhoidal Artery Ligation:
Doppler Guided Haemorrhoidal Artery Ligation and Recto-Anal Repair or Hemorrhoid Artery Ligation operation is designed to eradicate piles without the need for cutting or a general anaesthetic.
Doppler Guided Haemorrhoidal Artery Ligation is particularly effective for Grade II and III haemorrhoids, It is coupled with Recto-Anal-Repair for some Grade III and most Grade IV haemorrhoids.
Doppler Guided Haemorrhoidal Artery Ligation Technique:
Doppler Guided Haemorrhoidal Artery Ligation uses ultrasonic blood flow detector (Doppler) to identify the arteries supplying the piles. Surgeon ties these blood vessels by placing a suture around it through a small window in the device.
Tying off arteries that feed piles (hemorrhoids) causes them to shrink. It causes prompt resolution of most bleeding and protrusion caused by hemorrhoids, over next few days symptoms resolve completely.
Procedure can be done as an office procedure with or without any sedation or anaesthesia, or alternatively local rectal anaesthesia is given and nitroglycerin cream is applied to the rectum to enhance blood flow, making it easier to identify blood vessels.
The procedure generally takes about 20-30 minutes, and Mild post operative Pain can be managed with simple analgesics. Patients can go home a few hours later.
Benefit of Doppler Guided Haemorrhoidal Artery Ligation:
- Much simpler procedure and much faster recover time.
- As no incisions (cutting) are made it is relatively painless
- It can be carried out as a day care procedure.
- Procedure can be carried out without the need for general anaesthetic.
- High success rate
Technique of Haemorrhoidal Artery Ligation and Recto-Anal Repair:
Through the window of device Recto-Anal- Repair (R.AR.) can also be done to reposition the prolapsed tissue.
The device is so designed that only the prolapsing tissue is caught in the needle, hemorrhoids that are hanging down are lifted up to the place where they belong..Haemorrhoidal Artery Ligation and Recto-Anal Repair takes Twenty minutes to complete. Most patients experience only minor discomfort and can return to work within one or two days.
Benefit of Haemorrhoidal Artery Ligation and Recto-Anal Repair:
- No cutting and no open wounds
- Short procedure time