HAL-RAR UNDER ANESTHESIA
HAL-RAR under anesthesia is a modern minimally invasive treatment for hemorrhoids without pain and recurrence.
What is the HAL-RAR method?
HAL-RAR is an innovative, minimally invasive, and highly effective surgical technique for treating hemorrhoids, based on a two-step approach:
HAL (Hemorrhoidal Artery Ligation) — ligation of hemorrhoidal arteries under the guidance of an ultrasound sensor, which stops blood flow to the hemorrhoids.
RAR (Recto Anal Repair) — lifting and fixing the prolapsed hemorrhoids back to their anatomical position.
Unlike traditional surgeries, HAL-RAR does not require tissue excision and is associated with minimal trauma. The procedure is performed under intravenous or spinal anesthesia, ensuring patient comfort and complete absence of pain.
When is HAL-RAR recommended?
The method is indicated for internal and combined hemorrhoids of stages II–IV, as well as in cases where conservative treatment is ineffective. Indications include:
- Rectal bleeding
- Prolapse of hemorrhoidal nodes
- Discomfort, itching, burning in the anal area
- Pain and sensation of a foreign body
- Frequent inflammations and exacerbations
How is the HAL-RAR operation performed under anesthesia?
The procedure is conducted on an outpatient basis or with short-term hospitalization and takes about 30–40 minutes.
Steps of the operation:
1. The patient is given general intravenous or spinal anesthesia — the procedure is completely painless.
2. Using a special anoscope with a Doppler sensor, the surgeon locates and ligates the feeding arteries (HAL stage).
3. The prolapsed hemorrhoidal nodes are lifted and fixed back in place, where they gradually shrink and completely disappear (RAR stage).
4. Sutures are applied with self-absorbing threads, and hospitalization is usually not required.
Advantages of HAL-RAR:
✅ Complete absence of pain — the operation is performed under anesthesia
✅ No incisions or tissue removal — preservation of the anal canal anatomy
✅ Minimal trauma and quick recovery
✅ No postoperative scars or deformities
✅ Low risk of recurrence — elimination of the disease cause (blood flow)
✅ Outpatient procedure — the patient can go home the same day or the next
Recovery after HAL-RAR:
- Return to normal activities within 1–3 days
- Minimal or no pain syndrome
- Possibility of normal bowel movements within the first day
- No need for prolonged hospital stay
- Follow-up examination by a proctologist in 7–10 days
Most patients fully recover within 5–7 days, and the effect lasts for many years.
💡 HAL-RAR under anesthesia is a modern, painless, and minimally invasive alternative to traditional hemorrhoid surgeries. The procedure eliminates not only the symptoms but also the cause of the disease, allowing patients to forget about discomfort and recurrences permanently.
HAL-RAR is an innovative, minimally invasive, and highly effective surgical technique for treating hemorrhoids, based on a two-step approach:
HAL (Hemorrhoidal Artery Ligation) — ligation of hemorrhoidal arteries under the guidance of an ultrasound sensor, which stops blood flow to the hemorrhoids.
RAR (Recto Anal Repair) — lifting and fixing the prolapsed hemorrhoids back to their anatomical position.
Unlike traditional surgeries, HAL-RAR does not require tissue excision and is associated with minimal trauma. The procedure is performed under intravenous or spinal anesthesia, ensuring patient comfort and complete absence of pain.
When is HAL-RAR recommended?
The method is indicated for internal and combined hemorrhoids of stages II–IV, as well as in cases where conservative treatment is ineffective. Indications include:
- Rectal bleeding
- Prolapse of hemorrhoidal nodes
- Discomfort, itching, burning in the anal area
- Pain and sensation of a foreign body
- Frequent inflammations and exacerbations
How is the HAL-RAR operation performed under anesthesia?
The procedure is conducted on an outpatient basis or with short-term hospitalization and takes about 30–40 minutes.
Steps of the operation:
1. The patient is given general intravenous or spinal anesthesia — the procedure is completely painless.
2. Using a special anoscope with a Doppler sensor, the surgeon locates and ligates the feeding arteries (HAL stage).
3. The prolapsed hemorrhoidal nodes are lifted and fixed back in place, where they gradually shrink and completely disappear (RAR stage).
4. Sutures are applied with self-absorbing threads, and hospitalization is usually not required.
Advantages of HAL-RAR:
✅ Complete absence of pain — the operation is performed under anesthesia
✅ No incisions or tissue removal — preservation of the anal canal anatomy
✅ Minimal trauma and quick recovery
✅ No postoperative scars or deformities
✅ Low risk of recurrence — elimination of the disease cause (blood flow)
✅ Outpatient procedure — the patient can go home the same day or the next
Recovery after HAL-RAR:
- Return to normal activities within 1–3 days
- Minimal or no pain syndrome
- Possibility of normal bowel movements within the first day
- No need for prolonged hospital stay
- Follow-up examination by a proctologist in 7–10 days
Most patients fully recover within 5–7 days, and the effect lasts for many years.
💡 HAL-RAR under anesthesia is a modern, painless, and minimally invasive alternative to traditional hemorrhoid surgeries. The procedure eliminates not only the symptoms but also the cause of the disease, allowing patients to forget about discomfort and recurrences permanently.
