{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T05:29:40Z","timestamp":1792301380179,"version":"4.4.0"},"reference-count":15,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2012,10,9]],"date-time":"2012-10-09T00:00:00Z","timestamp":1349740800000},"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":[[2012,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:bold>Aim\u2002<\/jats:bold> Transanal haemorrhoidal dearterialization (THD\u00ae Doppler) is a surgical procedure involving Doppler\u2010guided ligation of haemorrhoidal arteries to reduce arterial flow. With proximal Doppler\u2010guided dearterialization, arterial ligation is achieved by introducing the proctoscope completely into the anal canal and lower rectum. In the present study, distal Doppler\u2010guided dearterialization (DDD) is performed in the distal 2\u2003cm of the lower rectum. Immediate and short\u2010term results were evaluated.<\/jats:p><jats:p><jats:bold>Method\u2002<\/jats:bold> One hundred patients with bleeding haemorrhoids, with or without muco\u2010haemorrhoidal prolapse, underwent THD\u00ae Doppler procedure, using DDD of the haemorrhoidal arteries 2\u2003cm above the anorectal junction. Mucopexy was performed in patients with haemorrhoidal prolapse.<\/jats:p><jats:p><jats:bold>Results\u2002<\/jats:bold> The operation time was 20\u2003\u00b1\u20037\u2003min for dearterialization alone (10 patients), and 30\u2003\u00b1\u200310\u2003min when mucopexy was added (90 patients). Morbidity included: transient haemorrhoidal thrombosis (two patients); urinary retention (five patients); submucosal abscess (one patient). No patient complained of faecal incontinence. At a median follow\u2010up of 7.3 (3\u201317)\u2003months, all patients reported an improvement in symptoms. No patients reported bleeding.<\/jats:p><jats:p><jats:bold>Conclusion\u2002<\/jats:bold> DDD of the haemorrhoidal arteries could be a simplified and more effective method of applying THD.<\/jats:p>","DOI":"10.1111\/j.1463-1318.2012.03146.x","type":"journal-article","created":{"date-parts":[[2012,6,25]],"date-time":"2012-06-25T19:31:48Z","timestamp":1340652708000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":47,"title":["\u2018Distal Doppler\u2010guided dearterialization\u2019 is highly effective in treating haemorrhoids by transanal haemorrhoidal dearterialization"],"prefix":"10.1111","volume":"14","author":[{"given":"C.","family":"Ratto","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L.","family":"Donisi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Parello","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F.","family":"Litta","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G.","family":"Zaccone","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V.","family":"De Simone","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2012,10,9]]},"reference":[{"key":"e_1_2_7_2_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.7700"},{"key":"e_1_2_7_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/DCR.0b013e3181cdafa7"},{"key":"e_1_2_7_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2002.11.003"},{"key":"e_1_2_7_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.gassur.2005.12.004"},{"key":"e_1_2_7_6_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1463-1318.2009.01812.x"},{"key":"e_1_2_7_7_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1463-1318.2008.01729.x"},{"key":"e_1_2_7_8_2","first-page":"693","article-title":"Doppler\u2010guided transanal haemorrhoidal dearterializaion","volume":"56","author":"Tagariello C","year":"2004","journal-title":"Chir Ital"},{"key":"e_1_2_7_9_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10151-007-0376-4"},{"key":"e_1_2_7_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0009-739X(08)70563-3"},{"key":"e_1_2_7_11_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1463-1318.2009.01915.x"},{"key":"e_1_2_7_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00384-009-0803-2"},{"key":"e_1_2_7_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2005.10.007"},{"key":"e_1_2_7_14_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-008-0030-x"},{"key":"e_1_2_7_15_2","doi-asserted-by":"publisher","DOI":"10.1007\/DCR.0b013e3181973639"},{"key":"e_1_2_7_16_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1463-1318.2009.02034.x"}],"container-title":["Colorectal Disease"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fj.1463-1318.2012.03146.x","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/j.1463-1318.2012.03146.x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,31]],"date-time":"2023-10-31T06:10:30Z","timestamp":1698732630000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/j.1463-1318.2012.03146.x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,10,9]]},"references-count":15,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2012,11]]}},"alternative-id":["10.1111\/j.1463-1318.2012.03146.x"],"URL":"https:\/\/doi.org\/10.1111\/j.1463-1318.2012.03146.x","archive":["Portico"],"relation":{},"ISSN":["1462-8910","1463-1318"],"issn-type":[{"value":"1462-8910","type":"print"},{"value":"1463-1318","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,10,9]]},"assertion":[{"value":"2012-10-09","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}