Haemorrhoidal Artery Ligation Operation (HALO)

The Haemorrhoidal Artery Ligation Operation (HALO) is a new operation designed to eradicate piles without the need for cutting. As such, it is relatively pain free, and most patients are back to work after 24-48 hours with only a minimum of discomfort, which if there is any, is no more than a mild a throbbing in the rectum.

The HALO procedure Mr Saeed performing the HALO procedure

The basis of the operation is to restore the haemorrhoids back to their anatomical position, and occlude the blood supply to the vascular cushions forming the haemorrhoids, resulting in them shrinking. The operation is best performed under general or spinal anaesthesia.

All stages, including stage III and IV haemorrhoids can now be treated with this technique by the addition of an Anopexy, or Recto-Anal Repair. The latter is performed in addition to the HALO and involves the application of internal sutures designed to restore normal anatomy. The Anopexy can be associated with some post-operative discomfort which can last 24-48 hours.

A miniature Doppler ultrasound device locates branches of arteries supplying the haemorrhoids. These blood vessels are tied off, and the haemorrhoid shrinks over the subsequent days and weeks.

Because the stitch is placed in the lower rectum where there are virtually no sensory nerves the procedure is pain-free.

The HALO procedure

New developments to this technique now means that in addition, an Anopexy to return the prolapsing haemorrhoids back into rectum can now be performed.

Anopexy procedure

Other treatments: early haemorrhoids (grade 1 and 2)

Dependent on the severity of haemorrhoids, symptoms arising from very early haemorrhoids can be treated by adopting a high fibre diet. If symptoms donít resolve then banding or injection of the haemorrhoids may be advised.

Banding of haemorrhoids

This treatment works by a rubber band cutting through tissue and causing an ulcer which heals by fibrosis, "fixing" the haemorrhoid in its normal anatomical position.

Complications:

Injection Sclerotherapy

The rational of injecting chemical agents into haemorrhoids is to create fibrosis so that prolapse cannot occur.

Complications:


Other treatments: advanced haemorrhoids (grade 3 and 4)

Haemorrhoidectomy

This is a radical surgical treatment for grade 3 and 4 haemorrhoids and is performed under general or spinal anaesthetic. The operation involves cutting out the haemorrhoids and is an effective treatment but is associated with considerable pain on opening bowels on the first few occasions. Pain can sometimes persist for several weeks.

Complications:

Stapled Haemorrhoidectomy

This technique involves the removal of excess prolapsing tissue above the haemorrhoids resulting in the restoration of the haemorrhoids to their normal anatomical position.

After successfully undergoing the HALO procedure carried out by your good self I know I should make the time to explain how grateful I am to you for making such a significant difference to the quality of my life. Most pleasing has been how easily things have been corrected despite me having left it far too long before seeking your help.

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