Emergency transanal haemorrhoidal Doppler guided dearterialization for acute and persistent haemorrhoidal bleeding
Article first published online: 25 JAN 2013
© 2012 The Authors Colorectal Disease © 2012 The Association of Coloproctology of Great Britain and Ireland
Volume 15, Issue 2, pages e89–e92, February 2013
How to Cite
Cavazzoni, E., Bugiantella, W., Graziosi, L., Silvia Franceschini, M., Cantarella, F., Rosati, E. and Donini, A. (2013), Emergency transanal haemorrhoidal Doppler guided dearterialization for acute and persistent haemorrhoidal bleeding. Colorectal Disease, 15: e89–e92. doi: 10.1111/codi.12053
- Issue published online: 25 JAN 2013
- Article first published online: 25 JAN 2013
- Accepted manuscript online: 10 OCT 2012 04:02AM EST
- Manuscript Accepted: 28 AUG 2012
- Manuscript Received: 30 APR 2012
- Anal bleeding;
- haemorrhoidal surgery;
- Doppler guided dearterialization;
The effectiveness of Doppler guided transanal haemorrhoidal dearterialization (THD) for arresting persistent haemorrhoidal bleeding in patients admitted as an emergency was studied.
Eleven patients with severe anal bleeding underwent emergency THD as definitive treatment for haemorrhoids. In the majority of patients antiplatelet or anticoagulant therapy was ongoing and severe anaemia was present in six patients.
The mean operative time was 39.7 min. Six to nine feeding arteries were ligated. Intra-operative blood loss was nil. Bleeding was well controlled in all patients. No blood transfusion was required. Mean pain score per verbal numeric scale was 3.6 and 1.4 on day 1 and day 3 respectively. The mean time to resumption of normal activities was 8 days. No major complications were experienced. Six months follow-up demonstrated good control of haemorrhoidal disease.
THD is effective in controlling acute haemorrhoidal bleeding with a low incidence of postoperative complications.