Doppler guided haeinorrhoidal artery ligation: a minimally invasive technique for hacmorroids treatment

Haemorrhoids are common health problems afflicted man since the dawn of history. As a benign condition its management should be as minimally aggressive as possible. This study aimed to evaluate the DGHAL as a new minimally invasive approach in managing cases of symptomatic grade III and IV piles. A total of 24 patients of grade III and IV piles were studied using Doppler guided hemorrhoidal artery ligation "DGHAL". DGHAL is considered to be successful in 91.6%and poor in 8.2%. Follow-up of 6 months, provided that 18 patients were free of symptoms, 4 patients had significant symptom relief but the procedure failed in 2 patients. DGHAL is a simple, safe and well-tolerated technique treating grade III piles