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Hemorrhoidal Artery Ligation (Doppler Hemorrhoid Treatment)

About the Treatment Method

Hemorrhoidal Artery Ligation (HAL) is an extremely modern and painless closed surgical method used in the treatment of hemorrhoid disease, popularly known as "piles", performed without a scalpel and without cutting tissue. During the procedure, the anal region is entered with a special device equipped with a tiny Doppler ultrasound at its tip; the arteries supplying blood to the hemorrhoid cushions are found one by one and ligated with sutures. The hemorrhoid cushions, deprived of their blood supply, spontaneously deflate and disappear within a few weeks.

Incisionless Hemorrhoid Surgery

Differences of the Doppler method compared to laser and classical surgeries.
What is the difference from classical surgery performed by cutting?

In classical surgery, hemorrhoid cushions are cut out with a scalpel or cautery, and this situation causes the patient excruciating pain for days while going to the toilet after the surgery. In the Doppler method, however, since "no tissue is cut" and the stitches are placed in a deep area where there are no pain nerves, postoperative pain is almost non-existent.

How do prolapsed (sagging) cushions recover?

After the vessels are ligated, in the same session, the mucosal tissue sagging outward is suspended upward toward the intestinal wall with special stitches (Mucopexy). Thus, the sagging tissues instantly recover and return to their former anatomical position.

Is hospitalization required, when can one go to the toilet?

The procedure takes about 30 minutes, and patients are usually discharged on the same day or the next morning. Since tissue is not cut, the patient can easily go to the toilet even the day after the surgery and quickly return to work.

The information on this page is for general health advice. Please consult specialized physicians for personalized treatment or advice.


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