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Anorectal physiology is not changed following transanal haemorrhoidal dearterialization for haemorrhoidal disease: clinical, manometric and endosonographic features

2011; Wiley; Volume: 13; Issue: 8 Linguagem: Inglês

10.1111/j.1463-1318.2011.02665.x

1463-1318

Carlo Ratto, Angelo Parello, L. Donisi, Francesco Litta, Giovanni Battista Doglietto,

Colorectal Cancer Surgical Treatments

Colorectal DiseaseVolume 13, Issue 8 p. e243-e245 Original article Anorectal physiology is not changed following transanal haemorrhoidal dearterialization for haemorrhoidal disease: clinical, manometric and endosonographic features C. Ratto, C. Ratto Department of Surgical Sciences, Catholic University, Rome, ItalySearch for more papers by this authorA. Parello, A. Parello Department of Surgical Sciences, Catholic University, Rome, ItalySearch for more papers by this authorL. Donisi, L. Donisi Department of Surgical Sciences, Catholic University, Rome, ItalySearch for more papers by this authorF. Litta, F. Litta Department of Surgical Sciences, Catholic University, Rome, ItalySearch for more papers by this authorG.B. Doglietto, G.B. Doglietto Department of Surgical Sciences, Catholic University, Rome, ItalySearch for more papers by this author C. Ratto, C. Ratto Department of Surgical Sciences, Catholic University, Rome, ItalySearch for more papers by this authorA. Parello, A. Parello Department of Surgical Sciences, Catholic University, Rome, ItalySearch for more papers by this authorL. Donisi, L. Donisi Department of Surgical Sciences, Catholic University, Rome, ItalySearch for more papers by this authorF. Litta, F. Litta Department of Surgical Sciences, Catholic University, Rome, ItalySearch for more papers by this authorG.B. Doglietto, G.B. Doglietto Department of Surgical Sciences, Catholic University, Rome, ItalySearch for more papers by this author First published: 16 May 2011 https://doi.org/10.1111/j.1463-1318.2011.02665.xCitations: 22 Carlo Ratto MD, FASCRS, Department of Surgical Sciences, Catholic University, Largo A. Gemelli 8, Rome 00168, Italy.E-mail: [email protected]. Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onEmailFacebookTwitterLinkedInRedditWechat Abstract Aim The effect of transanal haemorrhoidal dearterialization (THD) on continence and anorectal physiology has not yet been demonstrated. Method Twenty patients suffering from 3rd degree haemorrhoids were enrolled and underwent THD, including both dearterialization and mucopexy. Clinical assessment, anorectal manometry, rectal volumetry and endoanal ultrasound were performed preoperatively and at 6 months postoperatively. Results Postoperatively two and six patients had transient rectal pain and tenesmus, respectively. No patient reported faecal urgency or minor or major incontinence. All patients remained able to discriminate gas from faeces. No significant variation of the mean values of anal manometric and rectal volumetric parameters was recorded at 6 months of follow-up compared with preoperative values. At 6 months both internal and external sphincters were endosonographically intact. Conclusion THD does not cause trauma to the anal canal and rectum. References 1 Ratto C, Donisi L, Parello A et al. Evaluation of transanal hemorrhoidal dearterialization as a minimally invasive therapeutic approach to hemorrhoids. Dis Colon Rectum 2010; 53: 803–11. 10.1007/DCR.0b013e3181cdafa7 PubMedWeb of Science®Google Scholar 2 Giordano P, Overton J, Madeddu F et al. Transanal hemorrhoidal dearterialization: a systematic review. 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