Tired of suffering? We Now Have Two Outstanding, Board Certified HAL-RAR Doctors Serving the San Diego California Area.
HAL-RAR SPECIALIST DR. BRET J. LANGENBERG
Dr. Bret J. Langenberg
Dr Langenberg is a board-certified general surgeon certified in 2006 and recertified in 2016. Dr Langenberg received his undergraduate degree from The Citadel and medical degree from Midwestern University. He trained and served in the United States Navy completing his general surgery training in 2005. Dr Langenberg completed his military service and subsequently transitioned into private practice in San Diego, California; where he has been in practice for nearly 20 years. His practice is Pacific Coast Surgical Group. Dr Langenberg specializes in robotic and minimally invasive surgery as well as colorectal disease including hemorrhoidal disorders and anorectal disease. Additionally, he cares for patients with simple to complex hernias, breast disease, gallbladder disease, soft tissue masses, gastrointestinal cancers, skin cancers, and dialysis access for kidney failure patients. Dr. Langenberg has also been officially recognized by the San Diego Medical Society for his surgical care for the underserved and uninsured in the city by participating in the program Project Access. He has served as teaching surgical faculty for the General Surgery program at the Naval Medical Center in San Diego and currently serves as clinical faculty for the Family Health Centers of San Diego.
Dr. Langenberg's expertise in the HAL-RAR procedure and other surgical techniques, combined with his dedication to patient care, make him an excellent choice for patients in need of a skilled and experienced general surgeon in San Diego, CA.
Contact:
Dr Bret J. Langenberg
Pacific Coast Surgical Group, 4033 Third Ave., Suite 204
San Diego, CA 92103
Hal-Rar Specialist Dr. Mathew Isho
Dr. Mathew Isho
Dr. Mathew S. Isho, MD is a highly experienced colorectal surgery specialist in San Diego, CA with over 28 years of experience in the medical field. He is board-certified by the American Board of Surgery and the American Board of Colon & Rectal Surgery. Dr. Isho graduated from Saddam University Saddam College of Medicine and received his medical degree from Al-Nahrain University School of Medicine.Dr. Isho's expertise in colon and rectal procedures is extensive, with broad interests in laparoscopic colon surgery, colon and rectal cancer, and the HAL-RAR (Hemorrhoidal Artery Ligation and Recto Anal Repair) procedure, minimally invasive treatment for hemorrhoids. The HAL-RAR procedure is an ideal treatment for symptomatic hemorrhoids that have not responded to conservative management, such as a high-fiber diet and regular bowel habits. Dr. Isho's expertise in this procedure, combined with his dedication to patient care, make him an excellent choice for patients in need of a skilled and experienced colorectal surgery specialist in San Diego, CA.Dr. Isho is dedicated to providing comprehensive and compassionate care to his patients, ensuring their well-being throughout their surgical journey. He has dual certifications by the American Board of General Surgery and the American Board of Colon and Rectal Surgery. Dr. Isho is affiliated with Scripps Mercy Hospital and Sharp Memorial Hospital, two leading healthcare institutions in the region. He is highly rated by his patients and has received numerous awards and recognitions for his exceptional care.
Contact:
Mathew S. Isho, MD
4060 Fourth Ave #510
San Diego, CA 92103
Learn More About the HAL RAR Hemorrhoid Removal Procedure
Why use HAL-RAR?
* Minimally-invasive.
* Very little pain.
* Quick recovery time.
* Fewer complications.
* Very Low recurrence rate.
* Highly effective hemorrhoid treatment.
What Is HAL-RAR?
HAL RAR is one of the most effective treatments of symptoms such as itching, bleeding and pain.
The HAL-RAR Doppler guided hemorrhoid procedures are appropriate for patients with internal diseased hemorrhoids grade II-IV. These have been developed to provide relief from bleeding, itching and prolapsed tissue. Compared to most surgical procedures for hemorrhoids, the HAL / RAR procedures are intended to provide the patient with less pain and faster recovery. The combined procedures (not including preparation of the patient) take approximately 45 minutes. No cutting or stapling is required.
For the HAL procedure, the surgeon will first use a Doppler to find the sub-arteries that “feed” the hemorrhoid veins. Once one is located, it is constricted by simply tying a suture around it. The RAR (Rectal Anal Repair) is performed if the hemorrhoid disease has caused the tissue to prolapse (bulge out). For the RAR procedure, the surgeon pulls the prolapsed tissue back in place by using a suture to first gather the tissue and then tie it up.
Both procedures are conducted above the patient’s dentate line, which is the area on the anus where the nerves begin. As long as the work is done above the dentate line, the resulting pain is minimal. Patient’s commonly describe the feeling after the procedure similar to the sensation of pushing when one is trying to defecate.
The procedure is very safe, with minimal post-surgical complications. As with all procedures involving the rectum, urinary retention can occur (particularly in male patients.
Please ask your doctor to determine if the HAL RAR procedure is the optimal choice for you, and find out more about the post-surgery experiences of his or her patients.