{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T17:08:54Z","timestamp":1792170534685,"version":"4.4.0"},"reference-count":24,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2013,1,25]],"date-time":"2013-01-25T00:00:00Z","timestamp":1359072000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Colorectal Disease"],"published-print":{"date-parts":[[2013,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>The effectiveness of <jats:styled-content style=\"fixed-case\">D<\/jats:styled-content>oppler guided transanal haemorrhoidal dearterialization (<jats:styled-content style=\"fixed-case\">THD<\/jats:styled-content>) for arresting persistent haemorrhoidal bleeding in patients admitted as an emergency was studied.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Eleven patients with severe anal bleeding underwent emergency <jats:styled-content style=\"fixed-case\">THD<\/jats:styled-content> as definitive treatment for haemorrhoids. In the majority of patients antiplatelet or anticoagulant therapy was ongoing and severe anaemia was present in six patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The mean operative time was 39.7\u00a0min. Six to nine feeding arteries were ligated. Intra\u2010operative blood loss was nil. Bleeding was well controlled in all patients. No blood transfusion was required. Mean pain score per verbal numeric scale was 3.6 and 1.4 on day 1 and day 3 respectively. The mean time to resumption of normal activities was 8\u00a0days. No major complications were experienced. Six months follow\u2010up demonstrated good control of haemorrhoidal disease.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p><jats:styled-content style=\"fixed-case\">THD<\/jats:styled-content> is effective in controlling acute haemorrhoidal bleeding with a low incidence of postoperative complications.<\/jats:p><\/jats:sec>","DOI":"10.1111\/codi.12053","type":"journal-article","created":{"date-parts":[[2012,10,10]],"date-time":"2012-10-10T09:22:21Z","timestamp":1349860941000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Emergency transanal haemorrhoidal <scp>D<\/scp>oppler guided dearterialization for acute and persistent haemorrhoidal bleeding"],"prefix":"10.1111","volume":"15","author":[{"given":"E.","family":"Cavazzoni","sequence":"first","affiliation":[{"name":"Department of Surgery University of Perugia Perugia 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