IPG342

Haemorrhoidal artery ligation (IPG342)

  • Interventional procedures IPG342
  • Issued: May 2010
    • Haemorrhoidal artery ligation

      The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on Haemorrhoidal artery ligation.

      • Description

        Haemorrhoids (also known as piles) are enlarged mucosal folds containing blood vessels in or around the lower part of the bowel (not inside the anus itself). They may cause itching, bleeding or pain.

        Some types of surgery to treat haemorrhoids involve their removal and often result in pain after the procedure. This procedure is done on an area higher up in the bowel which is relatively less sensitive to pain. In this region, the blood vessels are tied and part of the inside lining of the bowel in the lower area is folded up reducing blood supply to the haemorrhoids and making them shrink inside the bowel. Since there is no excision of tissue, post-operative pain and complications are meant to be significantly lower than other surgical methods which involve the excision of tissue.

      • OPCS4.6 Code(s)

        L70.3 Ligation of artery NEC

        Y53.2 Approach to organ under ultrasonic control (if a Doppler probe guidance is used)

        Z37.8 Specified lateral branch of abdominal aorta NEC

        If an adjunctive mucosal plication procedure is carried out (haemorrhoidopexy) the following codes are assigned in addition:

        H53.8 Other specified other operations on haemorrhoid

        Y26.8 Other specified other repair of organ NOC

        In addition an  ICD-10 code from category I84.- Haemorrhoids is assigned.

        The NHS Classifications Service of NHS Connecting for Health is the central definitive source for clinical coding guidance and determines the coding standards associated with the classifications (OPCS-4 and ICD-10) to be used across the NHS.   The NHS Classifications Service and NICE work collaboratively to ensure the most appropriate classification codes are provided.  www.connectingforhealth.co.uk/clinicalcoding

      • Other information

      This page was last updated: 15 June 2012

    • Guidance formats

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      Information for the public Haemorrhoidal artery ligation

      Information for the public

Patient

The summary of the key recommendations in the guidance written for patients, carers and those with little medical knowledge and may be used in local patient information leaflets.

Quick Reference Guide

The quick reference guide presents recommendations for health professionals

NICE Guidance

The published NICE clinical guidance, contains the recommendations for health professionals and NHS bodies.

Full Guidance

The published full clinical guidance for specialists with background, evidence, recommendations and methods used.

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Accessibility | Cymraeg | Freedom of information | Vision Impaired | Contact Us | Glossary | Data protection | Copyright | Disclaimer | Terms and conditions

Copyright 2014 National Institute for Health and Care Excellence. All rights reserved.