Haemorrhoidal artery ligation: Is Doppler guidance useful? A systematic review and meta‐analysis of randomized controlled trials [PDF]
Abstract Aim Haemorrhoidal arterial ligation (HAL) with or without mucopexy (recto‐anal repair, RAR) is a minimally invasive technique for the treatment of haemorrhoidal disease. It is still debated if it should be performed with Doppler guidance (DG‐HAL) or without.
Roberta Tutino, Arcangelo Picciariello
exaly +3 more sources
The HubBLe trial: haemorrhoidal artery ligation (HAL) versus rubber band ligation (RBL) for haemorrhoids [PDF]
Background Haemorrhoids (piles) are a very common condition seen in surgical clinics. After exclusion of more sinister causes of haemorrhoidal symptoms (rectal bleeding, perianal irritation and prolapse), the best option for treatment depends upon ...
Tiernan Jim +7 more
doaj +2 more sources
Faster bowel recovery with superior haemorrhoidal artery preservation in patients undergoing sigmoidectomy for diverticular disease: A retrospective cohort study from the diverticular disease registry trial [PDF]
Introduction: The pathogenesis of diverticular disease varies significantly and so does its clinical presentation. The procedure for left-sided diverticular disease is standardised, but there is still no consensus on the level of arterial ligation.
Jacopo Crippa +16 more
doaj +2 more sources
Comparing the effectiveness and safety of different surgical procedures for haemorrhoids: a protocol for systematic evaluation and network meta-analysis of randomised controlled trials [PDF]
Introduction Haemorrhoidal disease affects 25–40% of adults worldwide and constitutes a primary reason for outpatient colorectal consultations. Surgical management is essential for grade III–IV or treatment-refractory cases.
Xue Li +5 more
doaj +2 more sources
Background. Haemorrhoidal disease is a common disorder in the Western World that commonly requires surgical treatment, but original open techniques were associated with significant complications and pain.
Dayna van de Hoef, Aisling Hogan
doaj +3 more sources
Risk Factors for Delayed Bleeding and Its Impact on Long-Term Efficacy After Endoscopic Sclerotherapy for Internal Haemorrhoids by Inverted Colonoscopy Without Transparent Caps. [PDF]
Background We investigated the incidence, timing, risk factors and prognosis of delayed haemorrhage after endoscopic injection sclerotherapy (EIS) with lauromacrogol for internal haemorrhoids (IHs) using an inverted colonoscope without transparent caps. Methods The clinical data of 252 patients undergoing EIS with lauromacrogol for IH using an inverted
Chen Y +9 more
europepmc +2 more sources
Background: Optimal surgical intervention for low-grade haemorrhoids is unknown. Rubber band ligation (RBL) is probably the most common intervention. Haemorrhoidal artery ligation (HAL) is a novel alternative that may be more efficacious.
Steven Brown +24 more
doaj +2 more sources
Arterial Embolization for the Internal Hemorrhoids Management: A Systematic Review. [PDF]
ABSTRACT Background and Aims Hemorrhoids are common vascular structures that can become symptomatic when prolapsed, representing the most prevalent benign anorectal condition worldwide. Despite affecting up to 11% of the population with symptoms including pain, bleeding, and discomfort, hemorrhoids remain underdiagnosed and often inappropriately ...
Golezar MH +7 more
europepmc +2 more sources
The value of routine histopathological examination after haemorrhoidectomy in patients at low and high risk of anal squamous intraepithelial lesions and cancer. [PDF]
Abstract Aim Routine histopathological evaluation of haemorrhoidectomy specimens is not ubiquitous amongst surgeons as its utility is debatable. This is the first study to assess the detection rate of anal squamous intraepithelial lesions (aSIL) and anal squamous cell carcinoma (aSCC) in low‐ and high‐risk patients.
Pornkul P +6 more
europepmc +2 more sources
Cost-Effectiveness of Haemorrhoidal Artery Ligation versus Rubber Band Ligation for the Treatment of Grade II–III Haemorrhoids: Analysis Using Evidence from the HubBLe Trial [PDF]
Steven Brown +2 more
exaly +2 more sources

