Page 15 - MuRAL Procedure
P. 15

􏰞􏰝􏰔􏰒􏰎 􏰊􏰏􏰍􏰑􏰍􏰜􏰐􏰏 􏰒􏰚􏰚􏰏􏰍􏰜􏰐􏰓􏰍􏰛􏰑􏰉     􏰊􏰛􏰀􏰚􏰐􏰃􏰐􏰓􏰍􏰠􏰙 􏰒􏰉􏰉􏰙􏰉􏰉􏰀􏰙􏰑􏰓 􏰟􏰙􏰃􏰍􏰛􏰝􏰉 􏰒􏰇􏰠􏰙􏰃􏰉􏰙 􏰬􏰠􏰙􏰑􏰓􏰉 􏰔􏰤􏰎 (􏰾) 􏰟􏰈 (􏱂) 􏰙􏰰􏰈􏰛􏰟 (􏰵) 􏰄􏰪􏰕􏰈􏰒􏰎 (􏰥) 􏰞􏰝􏰔􏰒􏰎 (􏰧)  􏱁% 􏰱% 􏱁% 􏰦%     􏰧%                                 􏰟􏰗􏰀􏰚􏰓􏰛􏰀􏰐􏰓􏰍􏰜 􏰈􏰙􏰀􏰛􏰃􏰃􏰽􏰛􏰍􏰇􏰉 􏰪􏰃􏰐􏰇􏰙 􏱍􏱍 – 􏱍􏰮 􏰔􏰙􏰜􏰝􏰃􏰃􏰙􏰑􏰓 􏰁􏰃􏰛􏰏􏰐􏰚􏰉􏰙􏰇 􏰈􏰙􏰀􏰛􏰃􏰃􏰽􏰛􏰍􏰇􏰉 􏰈􏰙􏰀􏰛􏰃􏰃􏰽􏰛􏰍􏰇􏰐􏰏 􏰄􏰙􏰐􏰃􏰓􏰙􏰃􏰍􏰐􏰏􏰍􏰡􏰐􏰓􏰍􏰛􏰑 􏰎􏰍􏰋􏰐􏰓􏰍􏰛􏰑 􏰛􏰌 􏰓􏰽􏰙 􏰇􏰍􏰉􏰓􏰐􏰏 􏰆􏰃􏰐􏰑􏰜􏰽􏰙􏰉 􏰛􏰌 􏰓􏰽􏰙 􏰉􏰝􏰚􏰙􏰃􏰍􏰛􏰃 􏰃􏰙􏰜􏰓􏰐􏰏 􏰐􏰃􏰓􏰙􏰃􏰗􏰂   􏰞􏰝􏰜􏰛􏰚􏰙􏰘􏰗 􏰁􏰏􏰍􏰜􏰐􏰓􏰍􏰛􏰑 􏰳 􏰃􏰙􏰚􏰛􏰉􏰍􏰓􏰍􏰛􏰑􏰍􏰑􏰋 􏰛􏰌 􏰚􏰃􏰛􏰏􏰐􏰚􏰉􏰙􏰇 􏰃􏰙􏰜􏰓􏰐􏰏 􏰀􏰝􏰜􏰛􏰉􏰐 􏰳 􏰉􏰝􏰆􏰀􏰝􏰜􏰛􏰉􏰐􏰂  􏰞􏰝􏰔􏰒􏰎 􏰜􏰛􏰀􏰆􏰍􏰑􏰙􏰇 􏱀􏰍􏰓􏰽 􏰤􏰏􏰛􏰜􏰅 􏰰􏰙􏰜􏰽􏰑􏰍􏰢􏰝􏰙     􏰟􏰗􏰀􏰚􏰓􏰛􏰀􏰐􏰓􏰍􏰜 􏰈􏰙􏰀􏰛􏰃􏰃􏰽􏰛􏰍􏰇􏰉 􏰪􏰃􏰐􏰇􏰙 􏱍􏱍 – 􏱍􏰮 􏰳 􏰔􏰙􏰜􏰓􏰛􏰜􏰙􏰏􏰙 – 􏰁􏰛􏰉􏰓􏰙􏰃􏰍􏰛􏰃 􏰁􏰃􏰛􏰏􏰐􏰚􏰉􏰙 􏰈􏰙􏰀􏰛􏰃􏰃􏰽􏰛􏰍􏰇􏰐􏰏 􏰄􏰙􏰐􏰃􏰓􏰙􏰃􏰍􏰐􏰏􏰍􏰡􏰐􏰓􏰍􏰛􏰑 􏰎􏰍􏰋􏰐􏰓􏰍􏰛􏰑 􏰛􏰌 􏰓􏰽􏰙 􏰇􏰍􏰉􏰓􏰐􏰏 􏰆􏰃􏰐􏰑􏰜􏰽􏰙􏰉 􏰛􏰌 􏰓􏰽􏰙 􏰉􏰝􏰚􏰙􏰃􏰍􏰛􏰃 􏰃􏰙􏰜􏰓􏰐􏰏 􏰐􏰃􏰓􏰙􏰃􏰗􏰂   􏰞􏰝􏰜􏰛􏰚􏰙􏰘􏰗  􏰁􏰏􏰍􏰜􏰐􏰓􏰍􏰛􏰑 􏰳 􏰃􏰙􏰚􏰛􏰉􏰍􏰓􏰍􏰛􏰑􏰍􏰑􏰋 􏰛􏰌 􏰚􏰃􏰛􏰏􏰐􏰚􏰉􏰙􏰇 􏰃􏰙􏰜􏰓􏰐􏰏 􏰀􏰝􏰜􏰛􏰉􏰐 􏰳 􏰉􏰝􏰆􏰀􏰝􏰜􏰛􏰉􏰐􏰂 􏰟􏰓􏰃􏰙􏰑􏰋􏰓􏰽􏰙􏰑􏰍􏰑􏰋 􏰃􏰙􏰜􏰓􏰛􏰠􏰐􏰋􏰍􏰑􏰐􏰏 􏰉􏰙􏰚􏰓􏰝􏰀􏰂 􏰰􏰃􏰙􏰐􏰓􏰀􏰙􏰑􏰓 􏰟􏰛􏰏􏰝􏰓􏰍􏰛􏰑 􏰬􏰑􏰽􏰐􏰑􏰜􏰍􏰑􏰋 􏰊􏰏􏰍􏰑􏰍􏰜􏰐􏰏 􏰬􏰸􏰙􏰜􏰓􏰍􏰠􏰙􏰑􏰙􏰉􏰉 􏰊􏰏􏰍􏰑􏰍􏰜􏰐􏰏 􏰬􏰸􏰙􏰜􏰓􏰍􏰠􏰙􏰑􏰙􏰉􏰉 􏰄􏰙􏰌􏰍􏰑􏰍􏰓􏰍􏰛􏰑 “􏰄􏰛􏰍􏰑􏰋 􏰓􏰽􏰙 􏰃􏰍􏰋􏰽􏰓 􏰓􏰽􏰍􏰑􏰋􏰭 􏰍􏰑 􏰓􏰽􏰙 􏰃􏰍􏰋􏰽􏰓 􏱀􏰐􏰗􏰭 􏰌􏰛􏰃 􏰓􏰽􏰙 􏰃􏰍􏰋􏰽􏰓 􏰚􏰐􏰓􏰍􏰙􏰑􏰓􏰭 􏰐􏰓 􏰓􏰽􏰙 􏰃􏰍􏰋􏰽􏰓 􏰓􏰍􏰀􏰙”* * 􏰯􏰍􏰜􏰅􏰗 􏰊􏰝􏰏􏰏􏰝􏰀􏰭 􏰊􏰏􏰍􏰑􏰍􏰜􏰐􏰏 􏰬􏰸􏰙􏰜􏰓􏰍􏰠􏰙􏰑􏰙􏰉􏰉 􏰍􏰑 􏰯􏰝􏰃􏰉􏰍􏰑􏰋􏰭 􏰴􏰛􏰝􏰃􏰑􏰐􏰏 􏰛􏰌 􏰔􏰙􏰉􏰙􏰐􏰃􏰜􏰽 􏰍􏰑 􏰯􏰝􏰃􏰉􏰍􏰑􏰋 􏰮􏰛􏰏 􏰵􏰭 􏱍􏰉􏰉􏰝􏰙 􏰧􏰭 􏰚􏰚􏰂 􏰧􏰾 – 􏰧􏰨􏰭 􏰩􏰍􏰃􏰉􏰓 􏰁􏰝􏰆􏰏􏰍􏰉􏰽􏰙􏰇 􏰴􏰐􏰑􏰝􏰐􏰃􏰗 􏰧􏰭 􏰧􏰱􏰱􏰨      (2) & (5) Brown et al. Haemorrhoidal artery ligation versus rubber band ligation for the management of symptomatic second-degree and third-degree haemorrhoids (HubBLe): a multicentre, open-label, randomised controlled trial. The Lancet, July 2016 (3) & (4)Watson et al Comparison of stapled haemorrhoidopexy with traditional excisional surgery for haemorrhoidal disease (eTHoS): a pragmatic, multicentre, randomised controlled trial The Lancet, Volume 388, ISSUE 10058, P2375-2385, November 12, 2016            


































































































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