Evidence map›Paper›PMID 33959805›Full record

ArticleLangenbeck's archives of surgery2021

Safety and effectiveness of hemorrhoidal artery ligation using the HAL-RAR technique for hemorrhoidal disease.

Konstantinos Karkalemis, Petros Loukas Chalkias, Anna Kasouli, Elina Chatzaki, Spilios Papanikolaou, Georgia Dedemadi

Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article in Langenbeck's archives of surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04778124 (Safety and Effectiveness of Hemorrhoidal Artery Ligation Using the HAL-RAR Technique for Hemorrhoidal Disease), which is not on this map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 21% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04778124 nacompletednot on this map

Safety and Effectiveness of Hemorrhoidal Artery Ligation Using the HAL-RAR Technique for Hemorrhoidal Disease

TypeinterventionalSponsorAmalia Fleming General HospitalRan2010 to 2019Enrolled105ConditionsHemorrhoidal DiseaseArmsHemorrhoidal Arterial Ligation (HAL) and Recto Anal Repair (RAR), Excision of thrombosed hemorrhoid / Hemorrhoidectomy /
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Guideline
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Konstantinos KarkalemisAmalia Fleming Surgical Department, Sismanoglio - Amalia Fleming General Hospital, Athens, Greece.ORCID https://orcid.org/0000-0001-6443-7621
Petros Loukas ChalkiasAmalia Fleming Surgical Department, Sismanoglio - Amalia Fleming General Hospital, Athens, Greece.ORCID https://orcid.org/0000-0002-3053-6768
Anna KasouliAmalia Fleming Surgical Department, Sismanoglio - Amalia Fleming General Hospital, Athens, Greece.
Elina ChatzakiAmalia Fleming Surgical Department, Sismanoglio - Amalia Fleming General Hospital, Athens, Greece.ORCID https://orcid.org/0000-0002-4752-1087
Spilios PapanikolaouAmalia Fleming Surgical Department, Sismanoglio - Amalia Fleming General Hospital, Athens, Greece.
Georgia DedemadiAmalia Fleming Surgical Department, Sismanoglio - Amalia Fleming General Hospital, Athens, Greece. gdedemadi@gmail.com.ORCID http://orcid.org/0000-0001-8422-5503
Simanogleio-Amalia Fleming General Hospital · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeA wide variety of methods has been proposed for treating hemorrhoidal disease. The aim of the study is to assess the safety and effectiveness of hemorrhoidal artery ligation with rectoanal repair (HAL-RAR).

methodsRetrospective study from January 2010 to November 2019 of patients who underwent HAL-RAR for grade II, resistant to conservative treatment, and grades III and IV hemorrhoidal disease. Demographics, degree of disease, hospital stay, postoperative pain, complications, and recurrence were recorded. Patients were followed up at postoperative days 1 and 8 and at 1, 6, and 12 months.

resultsA total of 105 patients (60 men, 45 women) underwent HAL-RAR. Median age was 49 (range, 20-86) years. Two patients with hemorrhoidal thrombosis underwent emergent excision of the hemorrhoid. Median length of hospital stay was 2 (range, 1-13) days. Patients reported median visual analog scale pain score 3 (range, 1-5) on the 1st postoperative day. At 1 month, no patient reported pain, 84.76% of patients confirmed complete resolution of symptoms, while complication rate was 7.61%: 2 patients presented urinary retention, 3 dyschezia, 2 bleeding, and 1 hemorrhoidal necrosis. At 6 months, 2 patients presented mild symptoms and 7 recurrence. At 12 months, 92.4% of patients experienced complete resolution of symptoms, 2 patients intermittent bleeding, and 2 recurrence. Overall recurrence and re-intervention rate were 8.57% rate and 10.5%, respectively.

conclusionHAL-RAR is a safe and effective minimal invasive operative technique related to a high percentage of success, low complication, and recurrence rates. Long-term follow-up is lacking and would better establish the results of this technique.

trial registrationTrial registration number NCT04778124 Date of registration 26/02/2021 "retrospectively registered".

Indexed as

HemorrhoidsAdultAgedAged, 80 and overArteriesFemaleHumansLigationMaleMiddle AgedRectumRetrospective StudiesTreatment OutcomeYoung AdultHALHemorrhoidal diseaseMucopexyRARTreatment

Identifiers

PMID33959805
OpenAlexW3157127023

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.