{"id":6074,"date":"2020-07-02T16:35:35","date_gmt":"2020-07-02T15:35:35","guid":{"rendered":"https:\/\/www.library.sath.nhs.uk\/research\/?p=6074"},"modified":"2020-07-02T16:35:35","modified_gmt":"2020-07-02T15:35:35","slug":"haemorrhoidal-artery-ligation-and-or-suture-mucopexy-for-haemorrhoidal-disease-with-or-without-the-use-of-doppler-ultrasonography-a-meta-analysis-of-randomized-controlled-trials-2019","status":"publish","type":"post","link":"https:\/\/www.library.sath.nhs.uk\/research\/2020\/07\/02\/haemorrhoidal-artery-ligation-and-or-suture-mucopexy-for-haemorrhoidal-disease-with-or-without-the-use-of-doppler-ultrasonography-a-meta-analysis-of-randomized-controlled-trials-2019\/","title":{"rendered":"Haemorrhoidal artery ligation and\/or suture mucopexy for haemorrhoidal disease with or without the use of Doppler ultrasonography: a meta-analysis of randomized, controlled trials (2019)"},"content":{"rendered":"<p><strong>Type of publication:<\/strong><br \/>\nConference abstract<\/p>\n<p><strong>Author(s):<\/strong><br \/>\n*Rehman S.; Miles W.; Sains P.; Sajid M.; Baig M.<\/p>\n<p><strong>Citation:<\/strong><br \/>\nBritish Journal of Surgery; Sep 2019; vol. 106, S5; p. 27-28<\/p>\n<p><strong>Abstract:<\/strong><br \/>\nAims: The objective of this article is to compare the surgical outcomes following haemorrhoidal artery ligation<br \/>\nand\/or suture mucopexy for haemorrhoidal disease with or without the use of Doppler ultrasonography.<br \/>\nMethod(s): The data retrieved from the published randomized, controlled trials (RCT) comparing the surgical<br \/>\noutcomes following haemorrhoidal artery ligation and\/or suture mucopexy for haemorrhoidal disease with or<br \/>\nwithout the use of Doppler ultrasonography (DUS) was analysed using the principles of meta-analysis. The<br \/>\nsummated outcome of dichotomous variables was expressed in risk ratio (RR) and continuous data was<br \/>\npresented in standardised mean difference (SMD).<br \/>\nResult(s): Four RCTs on 270 patients comparing the surgical outcomes following haemorrhoidal artery ligation<br \/>\nand\/or suture mucopexy for haemorrhoidal disease with or without the use of Doppler ultrasonography were<br \/>\nanalysed using the statistical software Review Manager 5.3. In the random effects model analysis no-DUS<br \/>\ngroup had shorter procedure time (SMD, 3.69; 95% CI, 2.73, 4.64; z = 7.56; P = 0.00001), better symptomatic<br \/>\nrelief rate (RR, 1.95; 95% CI, 1.07, 3.56; z = 2.19; P = 0.03) and lower risk of short or long term haemorrhoidal<br \/>\nbleed (RR, 2.27; 95% CI, 1.25, 4.11; z = 2.70; P = 0.0007). The recurrence rate (RR, 1.87; 95% CI, 0.66, 5.30; z =<br \/>\n1.18; P = 0.24), post-operative pain score and complication rate were similar in both groups.<br \/>\nConclusion(s): The use of DUS in haemorrhoidal artery ligation and\/or suture mucopexy for haemorrhoidal<br \/>\ndisease is not mandatory and better clinical outcomes may be achieved without its use.<\/p>\n<p><a href=\"https:\/\/bjssjournals.onlinelibrary.wiley.com\/doi\/10.1002\/bjs.11340\" target=\"_blank\" rel=\"noopener noreferrer\">Link to full-text<\/a> [NHS OpenAthens account required]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Type of publication: Conference abstract Author(s): *Rehman S.; Miles W.; Sains P.; Sajid M.; Baig M. Citation: British Journal of Surgery; Sep 2019; vol. 106, S5; p. 27-28 Abstract: Aims: The objective of this article is to compare the surgical<span class=\"ellipsis\">&hellip;<\/span><\/p>\n<div class=\"read-more\"><a href=\"https:\/\/www.library.sath.nhs.uk\/research\/2020\/07\/02\/haemorrhoidal-artery-ligation-and-or-suture-mucopexy-for-haemorrhoidal-disease-with-or-without-the-use-of-doppler-ultrasonography-a-meta-analysis-of-randomized-controlled-trials-2019\/\">Read more <span class=\"screen-reader-text\">Haemorrhoidal artery ligation and\/or suture mucopexy for haemorrhoidal disease with or without the use of Doppler ultrasonography: a meta-analysis of randomized, controlled trials (2019)<\/span><span class=\"meta-nav\"> &#8250;<\/span><\/a><\/div>\n<p><!-- end of .read-more --><\/p>\n","protected":false},"author":12,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"content-type":"","footnotes":""},"categories":[200],"tags":[832,953,299],"class_list":["post-6074","post","type-post","status-publish","format-standard","hentry","category-staff-publication","tag-832","tag-haemorrhoidal-disease","tag-ultrasound"],"_links":{"self":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts\/6074","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/users\/12"}],"replies":[{"embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/comments?post=6074"}],"version-history":[{"count":1,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts\/6074\/revisions"}],"predecessor-version":[{"id":6075,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts\/6074\/revisions\/6075"}],"wp:attachment":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/media?parent=6074"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/categories?post=6074"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/tags?post=6074"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}