HAL/RAR® System

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
– Treatment of the three main symptoms – bleeding, itching, and pain – with HAL
– Treatment of the prolapse with RAR
– Minimally-invasive
– Very little pain and a quick recovery
– Fewer intra-operative complications
– Fewer intra- and post-operative complications


Roka et al. (2013). DG-RAR for the treatment of symptomatic grade III and grade IV haemorrhoids: a 12-month, multi-centre, prospective observational study. EUR SURG 2013. DOI 10.1007/s10353-012-0182-8.

Zagriadskiy et al. (2011). Transanal Doppler-guided Hemorrhoidal Artery Ligation and Recto Anal Repair vs Closed Hemorrhoidectomy for treatment of grade III-IV haemorrhoids. A randomized trial. Pelviperineology 2011. 30: 107-112.

Faucheron et al. (2011). Doppler-Guided Hemorrhoidal Artery Ligation and Rectoanal Repair (HAL-RAR) for the Treatment of Grade IV Hemorrhoids: Long-Term Results in 100 Consecutive Patients. DIS Colon Rectum 2011. 54: 226-231.

Satzinger et al. (2009). Recto Anal Repair (RAR): a viable new treatment option for high-grade haemorrhoids. One year results of a prospective study. Pelviperineology 2009. 28: 37-42.

Wilkerson et al. (2009). Doppler-guided hamorrhoidal artery ligation: long-term outcome and patient satisfaction. Colorectal Dis 2009. 11: 394-400.

Bursics et al. (2004). Comparison of early and 1-year follow-up results of conventional hemorrhoidectomy and haemorrhoid artery ligation: a randomized study. Int J Colorectal Dis 2004. 19: 176-80.

Forrest et al. (2010). Doppler-guided haemorrhoidal artery ligation with recto and repair: a new technique for the treatment of symptomatic haemorrhoids. Int J Colorectal Dis. 25:10 2010 Oct pg 1251-6.

Theodoropoulos et al. (2010). Doppler-Guided Haemorrhoidal Artery Ligation (DGHAL), Rectoanal Repair (RAR), Sutured Haemorrhoidopexy (SHP) and Minimal Mucocutaneous Excision (MMCE) for Grade III-IV Haemorrhoids: A Multicenter Prospective Study of Safety and Efficacy. Colorectal Dis 2010. 12:125-134.