The
new, smooth HAL Procedure!
-
least invasive - no open wounds
- least trauma to tissue – no cutting, no destroying of tissue
- 95% success rate on Stage II and Stage III haemorrhoids
- procedure takes about 30 Minutes and 1 day hospitalisation
- patient can return to work the next day
HAL – 1000’s of European
patients have benefited from this procedure since its introduction
in late 2000. Offered by several hundred Surgeons and Hospitals
throughout Europe. Contact
us to find out more
Haemorrhoids
Removal
Our Price £450,
UK
Price £2500,
What are haemorrhoids ?
haemorrhoids
are dilated veins within the anal canal and distal area of rectum.
Internal haemorrhoids are derived from the internal
haemorrhoidal plexus above the dentate line and are covered
by rectal mucosa. External haemorrhoids are derived from the
external haemorrhoidal plexus below the dentate line and are
covered by stratified squamosus epithelium.
What causes
haemorrhoids?
An
exact cause is unknown; however, the upright posture of humans
alone forces a great deal of pressure on the rectal veins, which
sometimes causes them to bulge.
Other
contributing factors include: aging, chronic constipation or
diarrhea, pregnancy,
heredity, faulty bowel function due to overuse of laxatives
or enemas; straining during
bowel movements. Spending long periods of
time on the toilet.
Whatever
the cause, the tissues supporting the veins stretch. As a result,
the veins dilate; their walls became thin and bleed. If the
stretching and pressure continue, the weakened veins protrude.
Approximately
50% of all people do suffer once in their life from enlarged,
protruding and / or bleeding haemorrhoids.
Your surgeon will determine what kind of procedure to treat your
diseased haemorrhoids will be best and most effective for you!
This decision will depend upon the stage of your haemorrhoids.
The size and presence of enlarged haemorrhoidal tissue cushions
is usually divided in a group of 4 stages.
How are haemorrhoids classified?
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Stage I
Enlarged tissue cushions.
Usually no surgical treatment required! |
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Stage II
Enlarged tissue cushions, protruding into anal canal.
Surgical treatment advisable! |
|  |
Stage III
Enlarged tissue cushions, protruding to the outside, manual
repositioning possible.
Surgical treatment required! |
|  |
Stage IV
Enlarged tissue cushions, permanent protrusion.
Surgical treatment required! |
Today,
there are many surgical methods applied to treat this kind of
disease. Some of these methods are also promoted as pain free
and less invasive. Others are effective but associated to post
operative pain and discomfort.
In almost all standard surgical methods, the enlarged tissue
cushion is considered to be diseased tissue, which needs to
be removed!
The
area of the anus, where this surgical removal of tissue occurs
is very sensitive and full of nerves. Any cutting / tissue destroying
instrument (no matter a scalpel, laser -, infrared-, ultrasound-,
kryogen- or cautery instrument) applied, in the anal region
will create post operative pain.
Today
commonly applied surgical techniques:
Rubber
Band Ligation:
A rubber band is placed around the base of the enlarged tissue
cushion, the blood supply to this cushion is stopped, and
the tissue will die and fall off within a period of several
days after surgery! Very often considered to be the method
of choice for Stage I, II and III haemorrhoids.
Advantage:
nearly pain free, outpatient method, very
low risk
Disadvantage:
not very effective,
30 to 50% of patients have to see their surgeon again after 2 years and later, more then
one surgeons visit required if more then two enlarged cushions
are present.
LONGO
procedure:
Often referred to as a new, minimal invasive, low pain method.
A circular stapling device is used to resect the protruding
tissue.
Advantage:
less pain when compared to traditional surgical
methods, but certainly not pain free.
Disadvantage: serious complications reported after LONGO procedures, hospitalisation
required, several days of recovery!
MILLIGAN
– MORGAN, FERGUSON,
PARKS – Procedures:
Various surgical techniques used
for the resection of the enlarged tissue cushions.
Advantage:
proven, effective surgical methods to treat
Stage III and Stage IV Haemorrhoids.
Disadvantage:
rather painful,
hospitalisation and several
weeks of recovery required.
INFRARED,
LASER, CAUTERY, SCLEROTHERAPY
….other
methods used for the treatment of haemorrhoids. Not very common, not very effective.
DGHAL - a new,
smooth Procedure
DGHAL is a new technique, known as
Doppler Guided Hemorrhoidal Artery Ligation.
This method has proven to be a simple, safe, highly effective,
and relatively painless method of treating haemorrhoids in
our experience with many patients.
DGHAL - Procedure
information
1.
The patient is positioned in lateral recumbent
or in a lithotomy position.
2. A special instrument with an outside diameter
of 28mm only is gently inserted through the anus until the
tip of the instrument reaches the area of the haemorrhoidal arteries.
The A.M.I. HAL Unit detects by means of Doppler Ultra Sound these
arteries and makes their location identifiable for your surgeon.
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3.
Applying the HAL method, requires ligation of the
identified haemorrhoidal arteries. The blood inflow to
the haemorrhoidal tissue cushions is reduced – the inner
pressure of these enlarged tissue cushions is reduced
– and they start to shrink back to their original size
within 2 to 6 weeks after the procedure. |
This
least invasive procedure takes about 30 minutes!
Ligation of the arteries occurs in an area of the rectum where
no pain is recognised by the patient. The procedure can be done
without applying anaesthesia – a soft sedation of the patient
is recommended. Usually a HAL patient can return to work the day
after the procedure.
Get
rid of your enlarged haemorrhoids today!
Contact
us to find out more