A retrospective, single-centre analysis on Haemorrhoidal Artery Ligation (HAL) and Recto-Anal Repair (RAR) after ten years.
Introduction: Haemorrhoidal Artery Ligation (HAL) +/- Recto-Anal Repair (RAR) is a minimally invasive surgical technique for all grades of hemorrhoidal disease. This paper reports on the results after ten years of follow-up. Methods: This retrospective study analyzed the outcomes of 274 consecutive...
| Published in: | Ambulatory Surgery Vol. 25; no. 1; pp. 5 - 15 |
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| Main Authors: | , , , , , , , |
| Format: | research tables/charts Journal Article |
| Published: |
International Association for Ambulatory Surgery
Mar2019
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=137265817&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 137265817 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09666532 J8L jtl: Ambulatory Surgery issn: 09666532 maglogo: N pubinfo: dt: Mar2019 vid: 25 iid: 1 pid: 46818 pub: International Association for Ambulatory Surgery artinfo: ui: 137265817 137265817 137265817 137265817 ppf: 5 ppct: 10 formats: fmt: @attributes: type: P tig: atl: A retrospective, single-centre analysis on Haemorrhoidal Artery Ligation (HAL) and Recto-Anal Repair (RAR) after ten years. aug: au: De Vos, M. Maertens, V. Maes, L. Fierens, K. Van Kerschaver, O. Kint, M. Van Outryve, L. Onghena, T. affil: Department of Surgery, Sint-Lucas General Hospital, Ghent, Belgium sug: subj: Hemorrhoids Surgery Rectum Surgery Anus Surgery Minimally Invasive Procedures Ligation Human Descriptive Statistics Retrospective Design Questionnaires Treatment Outcomes Belgium Data Analysis Software Hemorrhoids Symptoms Postoperative Complications Hemorrhage Pain Rectal Prolapse Sutures Day Care Visual Analog Scaling Postoperative Pain Urinary Retention Patient Satisfaction ab: Introduction: Haemorrhoidal Artery Ligation (HAL) +/- Recto-Anal Repair (RAR) is a minimally invasive surgical technique for all grades of hemorrhoidal disease. This paper reports on the results after ten years of follow-up. Methods: This retrospective study analyzed the outcomes of 274 consecutive HAL or HALRAR procedures between January 2004 and August 2014, at Sint-Lucas General Hospital in Ghent, Belgium. Data was collected through a questionnaire and the patient records. All data was analyzed with SPSS 24.0. Results: The initial symptomatology was discomfort in daily life, anal blood loss, anal pain and hemorrhoidal prolapse. Before seeking medical treatment, 61.1% were symptomatic for years. Patients were treated by HAL or HALRAR. During a HAL procedure, a mean of 5 sutures were placed. For RAR, a mean of 2 mucopexies were performed. The majority (74.8%) was treated on a day-clinic basis. Mean Visual Analog Scale (VAS) for postoperative pain is 5.28. The postoperative complication rate was 11.3%, most frequently anal pain (3.6%), hemorrhoidal thrombosis (3.3%) and urinary retention (2.6%). Symptoms of hemorrhoidal disease decreased significantly after HAL or HALRAR, but 44.4% of patients needed further treatment. Satisfaction after HAL or HALRAR was 84.4%. Conclusion: These long-term results after HALRAR show a significant decrease in symptomatology and a high patient satisfaction but confirmed concerns about high recurrence rates. More prospective randomized trials are needed to evaluate long term results compared to other surgical techniques. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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