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THD For Hemorrhoids – Is it Right For You?
If you are suffering from hemorrhoids, you may be wondering whether or not THD (transhiatal hemorrhoplasty) is the right procedure for you. There are a few things that you should know before deciding on a course of action. These include the stages of hemorrhoids, how long it will take to get rid of them, and if you can expect them to be successful.
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What is THD surgery for hemorrhoids?
THD surgery for hemorrhoids is a minimally invasive procedure performed by colorectal surgeons. It is an advanced surgical technique that ligates the vessels that bring arterial blood to the hemorrhoids. This reduces excessive blood flow and shrinks the hemorrhoids.
The procedure is safe and effective. Patients can resume their daily activities within three to four days after undergoing the treatment. Recovery depends on the doctor’s instructions. During recovery, patients are advised to continue consuming a high-fiber diet and drinking plenty of water.
Compared to conventional hemorrhoidectomy, THD has less pain, fewer complications, and quicker recovery time. It can also be done as an outpatient surgery. However, it is important to discuss all postoperative management and options with your surgeon.
Before performing the THD procedure, your surgeon will identify the vessels that are causing excessive blood flow. He or she will use a Doppler device to find them. Once the hemorrhoid arteries are located, they will be ligated using a suture. The hemorrhoids will then be repositioned back into the correct position.
Transanal hemorrhoidal dearterialization (THD) is a relatively new treatment option. A Doppler transducer is used to locate the hemorrhoidal arteries and tie them off. In addition, it is possible to perform mucopexy, which involves lifting the prolapsing hemorrhoids.
The procedure requires a short amount of recovery time and is considered to be a permanent cure for hemorrhoids. You can return to work after just three to four days. Your surgeon should prescribe one or two enema(s) during your treatment.
THD is a treatment option for patients with II- and III-degree hemorrhoids. Although it is not studied on patients with Crohn’s disease, it has been effective in patients with internal hemorrhoids that have failed conservative treatments.
How successful is THD surgery?
The technique of Transanal Hemorrhoidal Dearterialization (THD) is an important method in the management of hemorrhoids. It has been gaining popularity as an alternative to standard hemorrhoidectomy.
THD can be considered a safe and efficient procedure. Compared to conventional surgery, it has fewer complications and is also quicker in recovery. Patients can resume their daily activities within 3-4 days. However, there are certain precautions that must be followed.
For example, patients should take precautions against urinary retention, which is one of the common post-operative complications. They should also be told about the possible risks and benefits of the procedure.
To perform the THD, the surgeon uses a Doppler Ultrasound probe. This allows him to locate the abnormal blood vessels. A THD slide is then inserted into the lower rectum to correct the hemorrhoidal prolapse.
In addition, a mucopexy suture is applied to the prolapsing piles. Depending on the size of the pile, the number of mucopexy sutures is determined.
The aim of the running suture is to adhere the mucosa to deeper layers of the rectal wall. Moreover, the suture should not injure the anal sphincters.
Patients are usually prescribed antibiotic prophylaxis before the procedure. However, the author believes that the need for such a precaution is not essential.
Successful treatment of hemorrhoids involves targeting the artery that is responsible for the prolapse. Therefore, accuracy is key to therapeutic success. Using the Doppler device to determine the arteries that are associated with hemorrhoidal prolapse may be an effective approach.
The success of the procedure can depend on the surgeon’s judgment. For example, if the artery is not reducible, it will be difficult to control the bleeding.
Is THD for external hemorrhoids?
Hemorrhoidal surgery, especially Transanal Hemorrhoidal Dearterialization (THD), offers minimally invasive surgical treatment options for patients with hemorrhoids. The procedure works by tying off the main blood vessels that feed the hemorrhoids. It is performed in an anal canal and does not require the removal of any tissue.
THD is a safe, effective, and minimally invasive procedure that ligates arterial blood flow and prevents hemorrhoids from filling with blood. It is performed with a suture that will naturally dissolve over time.
Doppler-guided THD is a safe and effective alternative to conventional hemorrhoidectomy. During the procedure, a Doppler ultrasound probe is used to locate the hemorrhoidal arteries. A gentle suture is then gently tied at the proximal apex of the internal hemorrhoids.
THD can be performed on all grades of hemorrhoids. However, it has not been studied on patients with ulcerative colitis or chronic radiation proctitis. Additional controlled trials need to be done to assess the efficacy of THD for these conditions.
Popov and colleagues conducted a prospective study comparing the early postoperative complications of conventional hemorrhoidectomy with Doppler-guided THD. They included 287 subjects. The participants were evaluated after two weeks and then at two and four months.
Overall success rates were high. Recurrence rates were higher for grade IV hemorrhoids. There was also a higher recurrence rate for pain at defecation, bleeding, and prolapse.
While the overall success rate was high, some participants experienced severe postoperative pain. In addition, a small number of patients needed additional procedures.
Although the procedure is a safe, effective, and minimally-invasive method for treating hemorrhoids, more studies need to be done to determine its effectiveness. One of the major limitations of this study is the lack of randomization. This makes it difficult to determine the true role of THD in the treatment of advanced hemorrhoids.
How long does THD surgery take?
The Doppler-guided transanal hemorrhoidal dearterialization(THD) procedure is effective in treating prolapsed or protruding piles. It is a minimally invasive procedure that is safe and has good long-term results. Using a Doppler ultrasound probe, the procedure locates the hemorrhoidal arteries and ties them off with a suture.
This procedure is mainly used for patients with hemorrhoids that are difficult to treat using conservative treatment methods. In addition, it may be useful in patients with chronic radiation proctitis.
THD is an outpatient surgery. The patient usually recovers within two to three days. Recovery is dependent on the doctor’s instructions. A high-fiber diet is recommended after the procedure.
Patients are generally advised to consume at least 2 liters of liquid per day after the procedure. However, there are temporary risks of mucous discharge and urinary retention.
There is also a small chance of rectal bleeding and pain. Patients are required to take one or two enemas after the operation.
During the first month after the operation, the majority of the patients reported minimal post-operative pain. On the other hand, only nine patients suffered from severe post-operative pain.
In some cases, the hemorrhoids did not improve after the procedure. Moreover, the recurrence rate was 16.7%. These results suggest that the THD procedure is not appropriate for patients with advanced stages of hemorrhoids.
The THD procedure is less painful than the conventional hemorrhoidectomy. This is because it does not involve the removal of tissue.
When performed accurately, the procedure is safe and results in fewer complications. However, it is important to consult your doctor and learn more about the pros and cons of the THD method.
What stage of hemorrhoids requires surgery?
Hemorrhoids are often a cause for discomfort, and they can be painful. They can be treated with over-the-counter treatments, such as a soft, absorbent cushion, or with more advanced procedures, such as surgery.
Surgical treatment can be necessary for hemorrhoids that are large, or prolapsed outside the anal canal. Some types of surgery are more effective than others. Surgery is also an option for people who have internal hemorrhoids, which may not respond to conservative management methods.
Hemorrhoids that have become prolapsed may require a surgical procedure called stapling. This is a type of surgery that can reduce bleeding and pain, but requires a commitment to post-operative care.
A stapler-like device is used to move hemorrhoids to fewer nerve endings and cut off the blood supply. It is often less painful than a hemorrhoidectomy, but can still be very painful if the hemorrhoids prolapse.
Surgery for internal hemorrhoids can be done in the doctor’s office or in a hospital. Surgery is generally performed for people who aren’t able to find relief with over-the-counter treatments, or if the hemorrhoids cause pain, bleeding, or other problems.
In the case of internal hemorrhoids, the most common surgical procedure is a hemorrhoidectomy. In this case, the surgeon will make a cut in the anal to remove the hemorrhoids.
Hemorrhoids can be removed with local or general anesthesia. Most patients will experience some pain after surgery. Recovery time can be quite short. However, some complications can arise, such as incontinence. After the hemorrhoidectomy, you will need to take stool softeners and avoid heavy lifting.
The recovery process can be difficult for many people, as they are not accustomed to having to sit for long periods of time. Your doctor can help you determine the best course of action for you.