ArticleInternational journal of colorectal disease2025
Assessment of long-term outcomes following Milligan-Morgan hemorrhoidectomy with Doppler transperineal ultrasound and endoscopy: a pilot study.
Article in International journal of colorectal disease, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Early hemodynamic changes following endoscopic sclerotherapy for hemorrhoidal disease assessed by transperineal ultrasound and their relationship with clinical outcomes.International journal of colorectal disease · 2026Observational
- Arterial flow in healthy individuals and patients with hemorrhoidal disease: a Doppler ultrasound-based pathophysiological analysis.International journal of colorectal disease · 2025Observational
- Beyond recurrence detection: advancing TPUS applications in hemorrhoidal disease through context-specific protocols and AI integration.International journal of colorectal disease · 2025Article
- Transperineal ultrasound in hemorrhoidal disease: pioneering the unseen.International journal of colorectal disease · 2025Article
- Critical appraisal of transperineal Doppler ultrasound as a diagnostic tool for hemorrhoidal recurrence.International journal of colorectal disease · 2025Article
- Editorial: Haemorrhoidal Disease: Old solutions and future perspectives Volume II.Frontiers in surgery · 2025Article
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7 authors.
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Abstract
purposeHemorrhoidectomy remains the gold-standard treatment for advanced hemorrhoidal disease, but long-term outcomes vary depending on the surgical technique and assessment method. This study aims to show the long-term results achieved using a combination of transperineal ultrasound (TPUS) and endoscopy in patients who underwent Milligan-Morgan hemorrhoidectomy (MM).
methodsA consecutive series of MM patients treated between February 2020 and December 2023 were contacted and underwent a clinical proctological evaluation, a Doppler TPUS, and an endoscopic check of the anal canal. All investigations were performed using the ESAOTE MyLab XPRO80. TPUS anatomy, including Doppler views, was assessed on the axial, sagittal, and coronal planes. Outcome measures consisted of the description of Doppler TPUS modifications following MM, and their relationship with clinical and endoscopic findings.
resultsTwenty-three patients were available for the analysis at 26 months of follow-up (range 14-48). Fifteen patients had a Doppler vascular pattern (65.2%), eight patients a scattered pattern (34.8%). No correlation was present between residual symptoms and the Doppler vascular pattern (p = 0.089). The vascular pattern was associated with endoscopic signs of recurrences (p = 0.003), and its absence was able to predict the lack of internal recurrences in all patients (100%).
conclusionDoppler TPUS could help in the long-term assessment of patients presenting residual symptoms after MM. If confirmed in larger future cohort studies, the 100% negative predictive value of the vascular pattern could be used to exclude internal recurrences during postoperative follow-up.
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