چکیده (انگلیسی):

Aim: To evaluate the surgical outcomes of 47 patients who underwent hemorrhoidal
arterial ligation under vision (LUV) for symptomatic Grade II and Grade III hemorrhoids.
Methods: A total of 47 patients who underwent LUV between May 2005 and February 2009 were
analyzed retrospectively. The patients were evaluated with regard to demographic data, grade
of the disease, symptoms, medical and/or surgical treatment previously received, operation
time, pain scores, analgesic requirement, length of hospital stay, and complications related
to the procedure.
Results: The study population (n Z 47) included 31 (65.9%) men and 16 (34.1%) women with a
median age of 37.4
11.7 (range, 19e63) years. Of these 47 patients, 18 (38.3%) patients had
Grade II hemorrhoidal disease (HD) and 29 (61.7%) patients had Grade III HD. On average, six
ligatures (range, 3e8) were used. The mean operation time was 27
4.8 (range, 15e35) minutes.
No major complication that required surgical intervention occurred in the early postoperative
period for any of the patients except for two patients with rectal submucosal
hematoma. The mean hospital stay was 1.2
0.65 (range, 1e4) days. The median follow-up
period was 21.5
7.7 (range, 12e44) months. At the last follow-up, 38 (80.8%) patients remained
asymptomatic; two (4.2%) patients with Grade II HD and four (8.5%) patients with
Grade III HD were still suffering from bleeding but with a reduction in the frequency; prolapsed
hemorrhoids were detected only in three (6.3%) patients. Conclusion: LUV is a safe and easily applied alternative technique with low postoperative complications
for the surgical treatment of symptomatic Grade II and III HD.