{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T14:59:34Z","timestamp":1785337174403,"version":"3.55.0"},"reference-count":0,"publisher":"Bentham Science Publishers Ltd.","issue":"1","content-domain":{"domain":["eurekaselect.com"],"crossmark-restriction":true},"short-container-title":["RRCT"],"published-print":{"date-parts":[[2021,2,15]]},"abstract":"<jats:sec>\n<jats:title\/>\n<jats:p>Several minimally invasive surgical procedures have been recently developed to treat hemorrhoids\nwithout any excision. About 25 years ago, a non-excisional procedure providing doppler-\nguided ligation of the hemorrhoidal arteries has been proposed - named \u201chemorrhoidal dearterialization\u201d.\nThe original technique has been modified over the years, and indications were expanded.\nIn particular, a plication of the redundant and prolapsing mucosa\/submucosa of the rectum\n(named \u201cmucopexy\u201d) has been introduced to treat hemorrhoidal prolapse, without excision of the\nhemorrhoidal piles. At present, the THD\u00ae Doppler procedure is one of the most used techniques to\ntreat hemorrhoids. Aim of this technique is to realize a target dearterialization, using a Doppler\nprobe with the final purpose to reduce the arterial overflow to the hemorrhoidal piles. In the case of\nassociated hemorrhoidal prolapse, a mucopexy is performed together with Doppler-guided dearterialization.\nThe entity and circumferential extension of the hemorrhoidal prolapse guide the mucopexy,\nwhich can be considered tailored to a single patient; the dearterialization should be considered\nmandatory. Advantages of this surgical technique are the absence of serious and life-threatening\npostoperative events, chronic complications, and limited recurrence risks. The impact of the\nprocedure on the anorectal physiology is negligible. However, careful postoperative management\nis mandatory to avoid complications and to guarantee an improved long-term outcome. Therefore,\nregular physiologic bowel movements, excessive strain at the defecation and strong physical activity\nare advisable.<\/jats:p>\n<\/jats:sec>","DOI":"10.2174\/1574887115666200506091306","type":"journal-article","created":{"date-parts":[[2020,5,6]],"date-time":"2020-05-06T08:50:27Z","timestamp":1588755027000},"page":"60-66","update-policy":"https:\/\/doi.org\/10.2174\/bsp_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["The Management of Hemorrhoidal Disease by Dearterialization and Mucopexy"],"prefix":"10.2174","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8628-2640","authenticated-orcid":true,"given":"Veronica","family":"De Simone","sequence":"first","affiliation":[{"name":"Proctology Unit, Fondazione Policlinico Universitario \u201cA. Gemelli\u201d IRCCS, Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1415-621X","authenticated-orcid":true,"given":"Francesco","family":"Litta","sequence":"additional","affiliation":[{"name":"Proctology Unit, Fondazione Policlinico Universitario \u201cA. Gemelli\u201d IRCCS, Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5092-9158","authenticated-orcid":true,"given":"Angelo","family":"Parello","sequence":"additional","affiliation":[{"name":"Proctology Unit, Fondazione Policlinico Universitario \u201cA. Gemelli\u201d IRCCS, Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2172-3334","authenticated-orcid":true,"given":"Paola","family":"Campenn\u00ec","sequence":"additional","affiliation":[{"name":"Proctology Unit, Fondazione Policlinico Universitario \u201cA. Gemelli\u201d IRCCS, Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3848-3998","authenticated-orcid":true,"given":"Raffaele","family":"Orefice","sequence":"additional","affiliation":[{"name":"Proctology Unit, Fondazione Policlinico Universitario \u201cA. Gemelli\u201d IRCCS, Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8384-5081","authenticated-orcid":true,"given":"Angelo Alessandro","family":"Marra","sequence":"additional","affiliation":[{"name":"Proctology Unit, Fondazione Policlinico Universitario \u201cA. Gemelli\u201d IRCCS, Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3763-8847","authenticated-orcid":true,"given":"Marta","family":"Goglia","sequence":"additional","affiliation":[{"name":"Proctology Unit, Fondazione Policlinico Universitario \u201cA. Gemelli\u201d IRCCS, Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0556-0037","authenticated-orcid":true,"given":"Carlo","family":"Ratto","sequence":"additional","affiliation":[{"name":"Proctology Unit, Fondazione Policlinico Universitario \u201cA. Gemelli\u201d IRCCS, Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"965","container-title":["Reviews on Recent Clinical Trials"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/eurekaselect.com\/article\/download\/181701","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.eurekaselect.com\/181701\/article","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/eurekaselect.com\/article\/download\/181701","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,2,16]],"date-time":"2021-02-16T04:24:30Z","timestamp":1613449470000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.eurekaselect.com\/181701\/article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,2,15]]},"references-count":0,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,2,15]]}},"alternative-id":["LiveAll1"],"URL":"https:\/\/doi.org\/10.2174\/1574887115666200506091306","relation":{},"ISSN":["1574-8871"],"issn-type":[{"value":"1574-8871","type":"print"}],"subject":[],"published":{"date-parts":[[2021,2,15]]},"assertion":[{"value":"Peer Reviewed","order":0,"name":"review_status","label":"Review Status","group":{"name":"peer_review_details","label":"Peer Review Details"}},{"value":"Single blind","order":1,"name":"review_process","label":"Review Process","group":{"name":"peer_review_details","label":"Peer Review Details"}},{"value":"Checked with iThenticate","order":0,"name":"screening_status","label":"Screening Status","group":{"name":"plagiarism_screening","label":"Plagiarism Screening"}},{"value":"2019-09-18","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-12-21","order":1,"name":"revised","label":"Revised","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-02-12","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-02-15","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}