DGHAL is a new-millennium treatment for a centuries-old problem. It enables a patient, who previously was subjected to a very painful surgical operation (a haemorrhoidectomy), to be treated in approximately 20 minutes, without general anaesthetic or the need to spend the night in hospital (in fact, the treatment can be done in the surgery).
The KM25 is a modified proctoscope, only 25 cm in diameter, which includes a Doppler transducer and a working window which allows the surgeon to identify and tie the haemorrhoidal arteries.
Interview with Dr.Wafik about DGHAL technique (spanish version)
This simple operation ties and obstructs the terminal part of the upper rectal arteries which supply blood to the haemorrhoidal tissue. In the vast majority of cases, it is observed that the haemorrhoids begin to shrink immediately.
It is interesting to observe that in the past it was believed that there were three haemorrhoidal arteries. However, with this technique, it has been discovered that there are up to six arteries of this type. All six arteries are tied during the procedure.
Also with the DGHAL procedure, there is less pain than with a normal haemorrhoidectomy. The procedure involves much less pain, and it is more manageable. As result, it is possible to resume daily activities much more quickly.
It has been observed that 90% of patients go back to work within 48 hours, and some the following day. Given this option, it is not surprising that many patients, unwilling to undergo a traditional, painful haemorrhoidectomy, accept this very simple alternative. This DGHAL method is becoming the standard treatment for haemorrhoids all over the world.
Currently, surgeons all over Europe are beginning to use DGHAL as the first-option treatment, especially in Austria, Germany, Italy and Great Britain, where many operations are performed every day with excellent results.
Dr. K Morinaga, inventor of the KM25, along with Dr. Dennis Meintjes and Dr. Gorge Karam, world experts in DGHAL, has performed studies with interesting results. These studies have encouraged us to consider this treatment. In a study of 1,415 patients, the treatment was carried successfully in 93.2% of cases, and unsuccessfully in 6.8% of the patients, after 5-24 months. This is highly impressive. Our results in Catalonia are equally impressive. Approximately 600 patients have been treated so far in recent years.
The best candidates are patients with external and internal haemorrhoids and those who require a large amount of elastic bands. DGHAL is additionally used to treat bleeding haemorrhoids (which are large internal haemorrhoids), and it is also used to treat large internal haemorrhoids and large external haemorrhoids.
As a result of their experience with this new therapy with so many patients, the following additional advantages have been observed:
- THERE IS NO NECROSIS (tissue death due to inadequate blood flow)
- THERE IS NO SLOUGHING (tissue detachment)
- THERE IS NO ISCHEMIA (transient inadequate blood flow)
- THERE ARE NO PROBLEMS OF EVACUATION OF THE STOMACH FOLLOWING THE PROCEDURE(compared to traditional haemorrhoidectomy)
- THERE IS NO URINARY RETENTION
When a patient requires a haemorrhoidectomy, a DGHAL procedure is carried out in its place. This procedure has been demonstrated to be a safe, efficient alternative to haemorrhoidectomy. Our results are just as spectacular as the studies carried out around the world. At last, Mankind’s oldest problem has an easy, safe and simple solution, without general anaesthetic..