Endoskopie 2010; 19(1): 38-41

THD - Transanal hemorrhoidal dearterialisation

MUDr.Július Örhalmi, MUDr.Stanislav Jackanin, MUDr.Karel Klos, MUDr.Pavol Biath, doc.MUDr.Pavol Holéczy, CSc.
Chirurgické oddělení, Vítkovická nemocnice a. s., Ostrava

Transanal Hemorrhoidal Dearterialisation (THD) is provided in Vitkovice Hospital since 2007. There is a semiinvasive surgical procedure,

when the artery hemorrhoidales’ signal is detected by Doppler ultrasound probe. The artery is ligated after its detection. Indication for

THD is hemoroidal disease from the 1st to the 3rd degree and beginning of the 4th degree. THD is provided in one day surgery in Vitkovice

Hospital. Authors have an experience with treatment of 74 patients. There is lower postoperative pain and shorter healing in comparison

of Longo procedure and classical hemoroidectomy. The big advantage is absence of risk in wound healing and risk of postoperative

complications. Disadvantage is the price for patient.

Keywords: THD, hemorrhoids, Doppler guided ultrasound

Published: April 28, 2010  Show citation

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Örhalmi J, Jackanin S, Klos K, Biath P, Holéczy P. THD - Transanal hemorrhoidal dearterialisation. Endoskopie. 2010;19(1):38-41.
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    References

    1. Hoch J. Hemoroidy - musí bolet? Urolog. pro Praxi 2007; 2: 93-94.
    2. Hetzer FH, Wildi S. New modalities and concepts in the treatment of hemorrhoids. Praxis (Bern 1994). 2003; 92(38): 1579-1583. Go to original source... Go to PubMed...
    3. Vávra P. První zkušenosti s D. G. H. A. L. (Doppler Guided Hemorrhoidal Artery Ligation). Rozhledy v chirurgii, 2004; 2: 79-91.
    4. Cantero R, Balibrea JM. Doppler-guided transanal haemorrhoidal dearterialisation. An alternative treatment for haemorrhoids, Cir Esp. 2008; 83(5): 252-255. Go to original source... Go to PubMed...
    5. Dal Monte PP, Tagariello C. Transanal Hemorrhoidal dearterialisation: non-excisional surgery for the tratment of haemorrhoidal disease. Techniques in Coloproctology 2007; 11(4). Go to original source... Go to PubMed...

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