TRILOGY

Doppler-Ultraschallsystem für HAL-RAR Behandlung

Locate. Ligate. Lift.

Indikation: Chirurgische Behandlung von Hämorrhoidalleiden.

HAL-RAR Verfahren mit der Flexibilität der drahtlosen Technologie

TRILOGY ist ein wiederverwendbares Ultraschallsystem zur Erkennung und chirurgischen Behandlung von Hämorrhoidalleiden.

Kernkomponenten von TRILOGY

Eigenschaften

Vorteile

[1] T. Sherif and A. Amin Sarhan, “Doppler-guided hemorrhoidal artery ligation with recto-anal repair versus Milligan Morgan hemorrhoidectomy for grade IV hemorrhoids,” Egypt. J. Surg., vol. 35, no. 3, p. 155, Jul. 2016, doi: 10.4103/1110-1121.189431.

[2] F. C. López et al., “Prospective Randomized Trial Comparing HAL-RAR Versus Excisional Hemorrhoidectomy: Postoperative Pain, Clinical Outcomes, and Quality of Life,” Surg. Innov., vol. 26, no. 3, pp. 1–9, 2019, doi: 10.1177/1553350618822644.

[3] M. DeVos et al., “A retrospective, single-centre analysis on Hemorrhoidal Artery Ligation (HAL) and Recto-Anal Repair (RAR) after ten years,” Ambul. Surg., vol. 25, no. 1, pp. 5–14, 2019.

[4] B. Trilling, A. Mancini, F. Reche, H. Pfl ieger, P. Y. Sage, and J. L. Faucheron, “Assessment of haemorrhoidal artery network using Doppler-guided hemorrhoidal artery ligation for hemorrhoids and pathogenesis implications,” ANZ J. Surg., vol. 89, no. 7, pp. E288–E291, 2019, doi: 10.1111/ans.15143.

[5] H.-U. U. Dorn, “Hemorrhoidal artery ligation/Rectoanal Repair,” Coloproctology, vol. 40, no. 3, pp. 195–203, Jun. 2018, doi: 10.1007/s00053-018-0243-y.

[6] S. R. Brown et al., “Hemorrhoidal artery ligation versus rubber band ligation for the management of symptomatic second-degree and third-degree hemorrhoids (HubBLe): a multicentre, open-label, randomised controlled trial,” Lancet, vol. 388, no. 10042, pp. 356–364, 2016, doi: 10.1016/S0140-6736(16)30584-0.

[7] P. Sirivongs and R. Thiengthiantham, “Short- and Long-term 5-year Clinical Outcomes of Dopplerguided Hemorrhoidal Artery Ligation and Rectoanal Repair,” Vajira Med. J. J. Urban Med., vol. 60, no. 1, pp. 5–14, 2016.

[8] C. Hoyuela et al., “HAL-RAR (Doppler guided hemorrhoid artery ligation with recto-anal repair) is a safe and effective procedure for hemorrhoids. Results of a prospective study after two-years follow-up,” Int. J. Surg., vol. 28, no. February, pp. 39–44, Apr. 2016, doi: 10.1016/j.ijsu.2016.02.030.

[9] R. Yamoul, G. Attolou, N. Njoumi, S. Alkandry, and M. E. H. Tahiri, “The effectiveness of Doppler controlled hemorrhoidal artery ligation based on preliminaries results,” Pan Afr. Med. J., vol. 15, pp. 1–8, 2013, doi: 10.11604/pamj.2013.15.159.2190.

[10] E. Al Zagryadskiy and S. I. Gorelov, “Transanal Doppler-guided Hemorrhoidal Artery Ligation and Recto Anal Repair vs Closed Hemorrhoidectomy for treatment of grade III-IV hemorrhoids. A randomized trial,” Pelviperineology, vol. 30, no. 4, pp. 107–112, 2011.

[11] N. P. Forrest, J. Mullerat, C. Evans, and S. B. Middleton, “Doppler-guided hemorrhoidal artery ligation with recto anal repair: a new technique for the treatment of symptomatic hemorrhoids,” Int. J. Colorectal Dis., vol. 25, no. 10, pp. 1251–1256, Oct. 2010, doi: 10.1007/s00384-010-0951-4.

[12] A. Testa, G. Torino, and A. Gioia, “DG-RAR (Doppler-guided recto-anal repair): a new mini invasive technique in the treatment of prolapsed hemorrhoids (grade III-IV): preliminary report.,” Int. Surg., vol. 95, no. 3, pp. 265–9, 2010, Accessed: Oct. 31, 2019.

[13] G. E. Theodoropoulos et al., “Doppler-guided hemorrhoidal artery ligation, rectoanal repair, sutured hemorrhoidopexy and minimal mucocutaneous excision for grades III-IV hemorrhoids: A multicenter prospective study of safety and effi cacy,” Color. Dis., vol. 12, no. 2, pp. 125–134, Feb. 2010, doi: 10.1111/j.1463-1318.2008.01739.x.

[14] P. M. Wilkerson, M. Strbac, H. Reece-smith, and S. B. Middleton, “Doppler-guided hemorrhoidal artery ligation: Long-term outcome and patient satisfaction,” Color. Dis., vol. 11, no. 4, pp. 394–400, 2009, doi: 10.1111/j.1463-1318.2008.01602.x.

[15] U. Satzinger, W. Feil, and K. Glaser, “Recto Anal Repair (RAR): a viable new treatment option for high-grade hemorrhoids. One year results of a prospective study,” pelviperineology, vol. 28, pp. 37–42, 2009.

[16] J.-L. Faucheron and Y. Gangner, “Doppler-Guided Hemorrhoidal Artery Ligation for the Treatment of Symptomatic Hemorrhoids: Early and Three-Year Follow-up Results in 100 Consecutive Patients,” Dis. Colon Rectum, vol. 51, no. 6, pp. 945–949, Jun. 2008, doi: 10.1007/s10350-008-9201-z.

[17] M. Scheyer, E. Antonietti, G. Rollinger, H. Mall, and S. Arnold, “Doppler-guided hemorrhoidal artery ligation,” Am. J. Surg., vol. 191, no. 1, pp. 89–93, Jan. 2006, doi: 10.1016/j.amjsurg.2005.10.007.

Funktionsprinzipien von TRILOGY

Doppler-Ultraschalltechnologie

Signal zur präzisen Erkennung von Hämorrhoidal-Arterien

Operationstechnik - Hämorrhoidalarterienligatur (HAL)

Die HAL-Methode ist für die Behandlung von leichten bis mittelschweren Hämorrhoiden geeignet. Die Ligatur reduziert die arterielle Blutzufuhr, wodurch die Hämorrhoidalkissen wieder auf ihre normale Größe schrumpfen.

Operative Technik - Rekto-Anal-Reparatur (RAR)

Die RAR-Methode wird zur Behandlung von prolabierenden Hämorrhoiden eingesetzt, die in fortgeschritteneren Stadien der Erkrankung auftreten. Bei der RAR-Methode werden eine oder mehrere Mukopexien der prolabierenden Schleimhaut durchgeführt, nachdem die Hämorrhoidalarterien ligiert wurden.