Brisbane Haemorrhoid Clinic

Brisbane Haemorrhoid Clinic

What is HAL-RAR?

The Haemorrhoidal Artery Ligation – Recto Anal Repair (HAL-RAR) operation is a new operation designed to eradicate piles without the need for cutting or extensive recovery times and minimal discomfort.

Dr McGregor now uses HALRAR to manage minor haemorrhoids, persistent bleeding without substantial haemorrhoids and recurrent thrombosed haemorrhoids

The Haemmorrhoid Artery Ligation operation uses a miniature Doppler ultrasound device to locate all the arteries supplying the haemorrhoids as they come down from the rectum under the lining of the bowel.  The device also has a small window which allows a stitch to be placed around the artery thus cutting off the blood supply to the pile. During the course of the procedure all the arteries supplying the piles are located (up to 6) and tied off. 

Over the next few days and weeks the pile shrinks away and the symptoms resolve. Because the stitch is placed in the lower rectum, where there are virtually no pain nerves, rather than in the anus the procedure is much less painful than conventional operations. Because all of the blood vessels to the piles are accurately located the operation is more successful than injection; and as the blood vessels are properly ligated rather than just looped with a band they will not dislodge, producing a better response with far less risk of bleeding after the procedure.

Most patients are back to work after a few days. While some patients experience some pain, this usually resolves after a few days compared to several weeks with conventional techniques.

This procedure has been performed in Europe and North America now for many years with excellent results.  85% of patients have a complete resolution of their symptoms and over 90% are thoroughly pleased with the result even if there are some very minor residual symptoms. This is due to the relative ease of recovery from the operation compared to more conventional treatment options.


HAL-RAR Procedure for the Treatment of Haemorrhoids and Piles

The HAL-RAR procedure for the treatment of haemorrhoids and piles.Visit for your nearest treatment centre in Australia. Email