Treatment of haemorrhoidal disease with desarterialization and fixing guided by Doppler
Alejandro Barrera Escobar
Published 2018-09-20
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Abstract
Introduction: Hemorrhoidal disease can be treated by many surgical options. One of them are Transanal Haemorroidal Dearterialization (THD®).
Objective: To present our initial experience with this technique.
Material and Methods: Prospective, consecutive, non-random series. It includes patients treated for haemorrhoidal disease unresponsive to no operative management.
Results: The series consists of 11 patients, 7 male gender. All were operated on an outpatient basis. The average operating time was 35 minutes and the immediate post-operative pain assessment did not exceed an AVS of 3 in all patients. The average follow up was 12 month. Only one patient needed a rubber band ligation for hemorrhoidal bleeding control.
Conclusion: The THD technique is simple, with good initial results and minimal post-operative pain.