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Hemorrhoids pp 345-367 | Cite as

Dearterialization of Hemorrhoids and Mucopexy: Techniques and Results

  • Carlo Ratto
  • Angelo Parello
  • Francesco Litta
  • Veronica De Simone
Reference work entry
Part of the Coloproctology book series (COLOPROCT, volume 2)

Abstract

The ligation of hemorrhoidal arteries and pexy of prolapsing rectal mucosa/submucosa seem to be one of the most effective therapeutic approaches in the treatment of hemorrhoidal disease. This surgical procedure is primarily aimed toward the management of the main symptoms, i.e., bleeding, prolapse, and pain, intervening on its pathophysiological processes. It is based on two technical steps: first, the targeted ligation of hemorrhoidal arteries (called “dearterialization”); second, the plication and lifting of redundant and prolapsing rectal mucosa/submucosa (called “mucopexy”). This chapter examines technical aspects and perioperative management of the procedure. Moreover, results of dearterialization of hemorrhoids and mucopexy, as described in the Literature, are critically evaluated.

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Carlo Ratto
    • 1
  • Angelo Parello
    • 1
  • Francesco Litta
    • 1
  • Veronica De Simone
    • 1
  1. 1.Proctology Unit, University Hospital “A. Gemelli”Catholic UniversityRomeItaly

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