The Haemorrhoidal Artery Ligation - Recto Anal Repair (HAL-RAR) operation is a new operation designed to eradicate piles without the need for cutting or a general anaesthetic.

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HAL-RAR has an in-built miniature Doppler ultrasound device. This audible signal allows to pinpoint the exact location of the arteries supplying blood to the piles. Your surgeon then ties off each artery by placing a stitch around it and knotting the ends, hence cutting the blood supply to the pile. This is called ligation (HAL).

In the case of prolapsing haemorrhoids, your surgeon then runs a stitch from the top to the bottom and pulls the thread. This lifts up the tissue that is hanging down (RAR).

As a result, over the next few days and weeks the pile shrinks away and the symptoms resolve.

The ligation occurs in the lower rectum, where there are almost no pain nerves. Therefore, your doctor may perform the procedure under mild sedation. Naturally, patients who are squeamish about being awake during a procedure can elect to have a general anaesthetic.

Most patients are back to work after 24-48 hours with minimum discomfort. If there is any, it is no more than a mild throbbing in the rectum.

HAL-RAR has been performed in Europe and North America for many years with excellent results:

  • 85% of patients have a complete resolution of symptoms.
  • Over 90% are very pleased with the result, even if there are very minor residual symptoms (click here for publications).

This is due to the relative ease of recovery from the operation compared to other treatment options.

The Haemorrhoid Information Service is delighted to announce that HAL-RAR is available in Australia. Highly trained Australasian surgeons specialising in haemorrhoids and proctology (disorders of the anus and rectum) currently perform the procedure.

Important Disclaimer about HAL-RAR

The information contained within this website is a a source of general reference material only. Therefore, do not rely on this information as a source of medical opinion. Nothing contained within this website should be construed as medical fact.  Above all, if you have any symptoms whatsoever we urge you to visit your medical specialist or GP.

Within this website you will see the term HAL-RAR. This refers to Haemorrhoid Artery Ligation – Recto Anal Repair.

If you would like more information on the HAL-RAR treatment please click here or you can contact us directly.

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Most patients are back to work after 24-48 hours with only a minimum of discomfort

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