Effectiveness of haemorrhoidal artery ligation by palpatory method
Jyothi S Uliger, Gopinath Pai, Jagadish B
Background: Haemorrhoidal disease is a condition where patients complain of painless bleeding per rectum during defecation possibly accompanied by the prolapsing tissue. Haemorrhoid is a common condition one in three people has this disease.1. In 2014/15 more than 30,000 procedures were done in England2. Haemorrhoids result from a laxity of supporting tissue with age that causing mucosal prolapse3, 4, for others; haemorrhoids are due to dysfunction of blood flow in the arterio-venous shunts with dilatation and bleeding eventually resulting in prolapse.5 Aim: To determine the effectiveness of the haemorrhoidal artery ligation via palpatory method among patients with grade II and III haemorrhoids. Methods: This observational prospective study was conducted at KVGMCH, sullia, where patients with hemorrhoids were operated between 1st October 2020 to 1st August 2021. Patients aged between 20-60 years with grade II and III hemorrhoids were included in the study. Patients were selected from out-patient department. Results: Male respondents accounted for 33 (41.3%) whereas their female counterparts comprised 47 (58.7%). The mean age of the male and female respondents was 43.76 ± 10.08 and 44.52 ± 10.59 years respectively. Out of 80 patients that underwent haemorrhoidal artery ligation, only 25(27.3%) had post-operative complications. Most of the patients had rectal bleeding followed by post-operative defecation pain, anal fissure, fistula in Ano and recurrence. Patients were discharged on postop day 2 and all patients returned to normal daily activity within 5 days. Conclusion: In conclusion, palpatory method is painless, less invasive, has less complications and is safe alternative to open haemorrhoidectomy where Doppler guided haemorrhoidal ligation equipment is not available.