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    Hany M.S. Mikhail MD, Abdrabou N. Mashhour MD
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    • Doppler Guided Hemorrhoidal Artery Ligation Versus Ligation Mucopexy: Treatment of Hemorrhoidsprospective Case Controlled Study

    Hany M.S. Mikhail MD, Abdrabou N. Mashhour MD
    Department of General Surgery, Faculty of Medicine, Cairo University, Kasr Alainy Hospital, Cairo, Egypt,

    Background: Surgical treatment of hemorrhoid is usually painful. Recently, several novel treatment options have been developed to treat high-grade hemorrhoids with the intention of minimizing the drawbacks of conventional hemorrhoidectomy technique. Objective: compare Doppler Guided Hemorrhoidal Artery Ligation with mucopexy (DGHAL) versus Ligation mucopexy (HAL) technique. Patient and Method: A prospective case controlled study which included 40 consecutive patients with 2nd to 4th degree of hemorrhoids requiring surgery, in duration from June 2013 to September 2014 at Al Kasr Al Ainy hospitals. The patients were categorized into two groups; twenty patients were treated with haemorrhoidal artery ligation and mucopexy (HAL), the other twenty patients were treated with Doppler Guided haemorrhoidal artery ligation followed by mucopexy (DGHAL). Results: Using VAS there was astatistically significant differences in pain score between both groups (p=0.02), where the mean in DGHAL was 3.8 (±2.8), and in mucopexy was 1.2(±1.6). The mean operative duration in DGHAL group was 39.0 min (± 3.6) and 42.50 min (± 6.7) in the HAL group with no statistically significant difference (p =0.2). As regard to complications rate there was no statistically significant difference between both groups (p=0.2) Keywords: Haemorrhoids, Mucopexy, Doppler Guided Hemorrhoidal Artery Ligation. 

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