Hemorrhoids THD Procedure: Transanal Hemorrhoids Dearterialization (THD)

charles coleman
Written by Charles Coleman, MD on May 11, 2022

f you are suffering from painful hemorrhoids, you should consider having Transanal Hemorrhoid Dearterialization (THD) procedure. The procedure involves the use of ultrasound technology to help the doctor find the problem area and to remove the affected tissue.

The procedure is a quick and outpatient procedure, and people usually feel well after the procedure. To help with the recovery process, it is advisable to continue eating a high fiber diet and drinking plenty of water.

Doppler guided transanal hemorrhoidal dearterialization

Transanal hemorrhoidal dearterization (THD) is a minimally invasive procedure that uses Doppler guidance to guide the surgeon. Unlike conventional hemorrhoidal artery ligation, which is performed above the dentate line, THD is not medically necessary. Rather, it interrupts blood flow to the hemorrhoidal artery, shrinking the hemorrhoidal cushion and reducing the associated pain.

The authors of the study compared the effectiveness of Doppler-guided transanal hemorrhoidal dearthroscopy to conventional hemorrhoidal surgery. Although they found similar short-term results, there is little evidence to show if Doppler-guided THD reduces the incidence of recurrence. This is why the authors chose this method as a comparison.

Doppler guided transanal hemorroid dearterialization has many benefits over traditional surgery. It has low postoperative pain and similar long-term outcomes compared with hemorrhoids treated with traditional surgery. However, this technique may not be appropriate for all hemorrhoids. The patient selection process and lack of randomization pose limitations. While this procedure is an alternative to conventional hemorrhoidal dearterialization, it is important to know what to expect.

Outpatient procedure

Transanal Hemorrhoidal Dearterialization (THD) is a surgical procedure that uses doppler technology to identify blood vessels near hemorrhoids and tie them off with sutures. This technique stops blood flow to the hemorrhoid, turning it into a prune. This procedure replaces the traditional hemorrhoid procedure, which involved cutting each growth individually and required six to eight weeks of recovery. However, this modern method only requires twenty minutes of surgery and patients are back to work or normal activity within one to two weeks.

The study included a sample of 30 patients with HD, with a range of severities. In the THD group, three patients required further procedure due to recurrence of their hemorrhoids. In grade II hemorrhoids, the sphincter muscle reduces the hemorrhoid spontaneously during the Valsalva maneuver, but in grade III, the surgeon must perform a manual reduction. The patient must be aware of all risks and side effects associated with treatment.

Complications

A minimally invasive hemorrhoid dilation (THD) procedure is a highly successful treatment for prolapsed and thrombosed hemorrhoids. It has several advantages, including a shorter recovery period, lower pain, and a decreased risk of hemorrhoidal recurrence. It is also the most effective treatment for thrombosed and prolapsed hemorrhoids.

After the procedure, the patient will be moved to the recovery room. The stitches will dissolve on their own in a week. However, some patients may experience bleeding or itching for several days following the procedure. Bleeding is normal and will increase with bowel movements, but should not be severe. The procedure is generally safe and is considered a permanent solution for hemorrhoids.

Approximately 10% of patients will undergo surgery for hemorrhoids. However, the number of surgical procedures required to treat hemorrhoids is much higher than in the general population. In fact, the risk of complications for patients undergoing surgery varies widely. In addition to pain and complications, patients must consider the cost of surgery, the risks of anesthesia, and the recovery time. There are several different types of hemorrhoid surgeries, including those performed for cosmetic purposes.

Results

The results of a Hemorrhoid THD procedure are typically permanent and require less recovery time than a standard hemorrhoidectomy. This procedure is also performed on an outpatient basis. Patients can typically expect to be back to normal within two to three days. In most cases, patients report a significant decrease in pain, pressure, or bleeding. It is one of the most effective treatments for hemorrhoids.

The postoperative complications for the THD procedure were similar to those of the SH procedure. Postoperative bleeding was less in the THD group and the total recurrence rate was higher. However, both procedures showed comparable long-term results. While these results are encouraging, future studies should evaluate the effectiveness of THD in treating hemorrhoids and to determine which patients should undergo it. In addition, longer follow-up periods will help determine which patients should undergo the procedure.

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