This allows communication of the IMA through the superior haemorrhoidal artery
, to the branches of internal iliac arteries including the middle and inferior haemorrhoidal arteries.
Clinical outcome following Doppler-guided haemorrhoidal artery
ligation: a systematic review.
Doppler Guided Haemorrhoidal Artery
Ligation + Recto-Anal Repair (DHAL+RAR)
The wall of the anorectum contains the terminal branches of the superior haemorrhoidal artery
in the internal haemorrhoidal plexus and the enlargement of these results in internal haemorrhoids.
In obstetrical hysterectomies the uterine artery is clamped on both sides; while in bilateral ligation of internal iliac artery the visceral branches clamped are the uterine, the superior vesical artery, the middle vesical artery, the inferior vesical artery, the middle haemorrhoidal artery
, the inferior haemorrhoidal artery
and vaginal artery
2] laser) and Doppler guided haemorrhoidal artery
ligation are new modality of treatment for pile.
5) In this method we excise a circumferential portion of lower rectal and upper anal canal mucosa and sub mucosa as circular strip and staple off the end branches of superior haemorrhoidal artery
and performs an anastomosis with a circular stapling device.