HAL - RAR Trilogy (Doppler Guided Artery Ligation for Haemorrhoids)

Locate. Ligate. Lift. All with no cables.

The new wireless way to treat haemorrhoids. The third generation of HAL-RAR equipment combines all the advantages of these procedures with the world’s first wireless technology for Doppler-guided treatment of haemorrhoids.

HAL-RAR with TRILOGY

• Comfort and convenience for the patient.
• Comfort and convenience for the surgeon.

The new generation TRILOGY combines all the proven advantages of the HAL-RAR procedures with the flexibility of wireless technology. For patients, HAL-RAR offers a safe and gentle alternative to conventional treatment methods that provides effective relief from all the symptoms of haemorrhoids, even in the more advanced stages. Artery ligation and mucopexy of prolapsing mucosa can be carried out in one procedure under local anaesthetic, depending on the individual patient and the prevailing healthcare system.

For surgeons, TRILOGY gives you the benefit of Doppler-ultrasound technology with no strings attached. Literally. With a Bluetooth connection between the unit and speaker, you can hear the system’s signals for precise, customised detection of haemorrhoidal arteries while enjoying absolute freedom to manoeuvre the unit and attached probe as required. In addition, the absence of a cable - which acts as an antenna for surrounding electromagnetic radiation - means the equipment is less sensitive to interference and the arteries can be heard more clearly than ever before.

One Device - All grades of Haemorrhoids.

One Device - All kinds of Advantages.

• New Bluetooth technology
• Improved light sources for better visibility
• Clearer Doppler signal for easier artery detection
• Greater working space

HAL (Haemorrhoidal Artery Ligation)

The HAL method is suitable for treating low to medium grade haemorrhoids, and is extremely effective in addressing the symptoms of haemorrhoidal disease. The ligations serve to reduce the arterial blood supply, causing the haemorrhoidal cushions to shrink back to normal size. This method can be carried out with ease using the TRILOGY Probe.

1. Attached to the TRILOGY Unit, the probe is introduced into the rectum and the unit with attached probe then rotated slowly to search for arteries. The loudest Doppler signal indicates the centre of the artery.
2. Once the first artery has been found, it is ligated using an A.M.I. Suture with 5/8 needle.
3. The unit is then turned again to locate further arteries. Once found, each artery is ligated as described in step 2.

As a rule, between five and eight arteries will be found during the procedure. However this number can vary from patient to patient, and will also depend on the severity of the haemorrhoids in each case.

RAR (Recto Anal Repair)

The RAR method is used to treat the prolapsing haemorrhoids that occur during more advanced stages of the disease. RAR involves one or more mucopexies of prolapsing mucosa, carried out after the haemorrhoidal arteries have been ligated.

1. The TRILOGY Unit with attached probe is placed in the starting position as for ligation. The ligation window points towards the prolapse position requiring treatment.
2. First, an initial stitch is made as far proximal as possible. The unit and probe are then turned slightly to reveal more mucosa distally.
3. Now a running suture is started, and then continued with gradual turning of the unit, leaving 7 to 10 mm between each stitch. After the last stitch, which ends proximal of the Linea Dentata, the needle is cut off and the suture material knotted up near the initial stitch. This causes the prolapsing tissue to be pulled up towards the initial stitch, where it is then secured in place with a sliding knot.

Effective

• Treatment with HAL of the three main symptoms bleeding, itching and pain
• Treatment of the prolapse with RAR

Patient-friendly

• Minimal pain
• No cutting and no open wound
• Quick recovery and return to work
• Local anaesthesia sufficient in many case

Safe

• Fewer intra-operative complication
• Fewer post-operative complication

Product Specification