Transanal Hemorrhoid Dearterialization is a Safe and Effective Outpatient Procedure for the Treatment of Hemorrhoidal Disease

Bjelanović, Zoran; Drasković, Miroljub; Veljović, Milić; Leković, Ivan; Καρανικόλας, Μενέλαος; Stamenković, Dušica

doi:10.1016/j.cireng.2016.07.014

Cited by 6 publications

(6 citation statements)

References 37 publications

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“…This could introduce a bias in the analysis of the results. Actually, as recently observed [24], the number of complications can decrease with increasing surgeon experience. To reduce this error, before starting the inclusion of patients for the study, the Doppler-guided THD procedure was performed on 15 patients.…”

Section: Discussionmentioning

confidence: 86%

Distal Doppler-guided transanal hemorrhoidal dearterialization with mucopexy versus conventional hemorrhoidectomy for grade III and IV hemorrhoids: postoperative morbidity and long-term outcomes

et al. 2017

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Section: Discussionmentioning

confidence: 86%

Distal Doppler-guided transanal hemorrhoidal dearterialization with mucopexy versus conventional hemorrhoidectomy for grade III and IV hemorrhoids: postoperative morbidity and long-term outcomes

et al. 2017

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“…1, Table 1). Where recorded, the included cohorts were predominantly male and aged 30-50 years (Table 1) [38][39][40][41][42][43][44][45][46][47][48][49][50][51][52][53]. The ten excluded studies and the corresponding reasons for exclusion are listed in Supplementary Material File 5.…”

Section: Resultsmentioning

confidence: 99%

“…Six studies provided data on the prevalence of anal fistulas related to iatrogenic trauma, all of which assessed the frequency of anal fistulas (Table 3) [ [43][44][45][46][47][48].…”

Section: Trauma-induced Anal Fistulasmentioning

confidence: 99%

Prevalence of Anal Fistulas in Europe: Systematic Literature Reviews and Population-Based Database Analysis

Garcı́a-Olmo

Assche

Tagarro³

et al. 2019

Adv Ther

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Introduction: Despite the fact that perianal fistulas are associated with significant morbidity and impaired quality of life, their prevalence in Europe is unknown. The aim of this study was to estimate the prevalence of perianal fistulas in Europe, overall and according to etiology. Methods: Two independent literature reviews were performed using different search strategies to maximize the identification of potentially relevant studies. Data from relevant articles were used to estimate the prevalence of perianal fistulas in Europe. The robustness of the estimate was evaluated using data from a large population-based database from the UK. Results: A total of 26 studies provided epidemiological data on perianal fistulas, of which 16 provided suitable data to estimate the prevalence. Estimations using these data yielded a total prevalence of 1.69 per 10,000 population. Cryptoglandular infection and Crohn's disease (CD) were the predominant etiologies, with prevalence rates at 0.86 and 0.76 per 10,000 population, respectively. Comparison of prevalence data from the UK population-based database with the European population resulted Enhanced Digital Features To view enhanced digital features for this article go to https://doi.org/10.6084/ m9.figshare.9948788.

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“…Bjelanovic et al (2016) 19 studied a total of 402 patients for five years. Of this total, 16 patients (4.0%) had grade II, 210 (52.2%) grade III, and 176 (43.8%) grade IV HD.…”

Section: Discussionmentioning

confidence: 99%

Postoperative results of 407 patients submitted to Doppler-guided transanal hemorrhoidal dearterialization

Rotta

Machado

Uwada

et al. 2019

Journal of Coloproctology

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Introduction The treatment of hemorrhoidal disease by conventional technique is associated with significant morbidity, mainly represented by the postoperative pain and the late return to daily activities. A technique of hemorrhoidal dearterialization associated with rectal mucopexy is a minimal invasive surgical option that has been used to treat the hemorrhoidal disease and reduce its inconveniences. Objective To analyze the seven-year results of hemorrhoidal dearterialization associated with rectal mucopexy in the treatment of hemorrhoidal disease. Methods This study analyzed 407 patients with hemorrhoids grade II, III and IV, who underwent the technique of hemorrhoidal dearterialization in the Luzia de Pinho Melo Hospital, during the period between December 2010 and December 2017. Twenty-seven patients (6.6%) had hemorrhoidal disease of the grade II, 240 (59.0%) grade III, and 117 (28.8%) grade IV. In 23 patients (5.7%), the grade was not found. All patients were operated by the same surgeon under spinal anesthesia. The 407 patients underwent dearterialization, with a varying ligation of one to six arterial branches followed by rectal mucopexy by uninterrupted suture. Eighty-two (20.14%) required removal of concomitant perianal piles or external hemorrhoids and/or fibrosed. In the postoperative follow-up the following parameters were evaluated: pain, tenesmus, bleeding, prolapse, thrombosis, and recurrence. Results The tenesmus was postoperative complaint reported by 93.6% of patients. Forty-three (10.5%) presented intense tenesmus and 44 (22%), moderate to intense pain. Four (0.98%) patients presented more intense bleeding in postoperative follow up; none of the patients required blood transfusions. The prolapse occurred in 18 (4.42%) patients, thrombosis in 11 (2.7%), and there were 19 (4.67%) recurrences that were reoperated in this period. Conclusion The hemorrhoidal dearterialization technique presents good results, with light and easy-to-resolve complications and little postoperative pain.

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Transanal Hemorrhoid Dearterialization is a Safe and Effective Outpatient Procedure for the Treatment of Hemorrhoidal Disease

Cited by 6 publications

References 37 publications

Distal Doppler-guided transanal hemorrhoidal dearterialization with mucopexy versus conventional hemorrhoidectomy for grade III and IV hemorrhoids: postoperative morbidity and long-term outcomes

Distal Doppler-guided transanal hemorrhoidal dearterialization with mucopexy versus conventional hemorrhoidectomy for grade III and IV hemorrhoids: postoperative morbidity and long-term outcomes

Prevalence of Anal Fistulas in Europe: Systematic Literature Reviews and Population-Based Database Analysis

Postoperative results of 407 patients submitted to Doppler-guided transanal hemorrhoidal dearterialization

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