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Updated: Jun 4, 2026
08:09
Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
[Transanal haemorridal dearterialisation: personal experience]
Andrea Tirone1, Giuseppe Vuolo, Ilaria Gaggelli
1U.O.C. Chirurgia 2-AOU Senese, Siena, Italia. andrea.tirone@alice.it
Annali Italiani Di Chirurgia
|February 17, 2011
Summary
Transanal hemorrhoidal dearterialization (THD) effectively treats grade 2 and 3 hemorrhoids by reducing blood flow. This minimally invasive, painless procedure offers a safe day-case option with few complications.
Area of Science:
- Colorectal surgery
- Vascular interventions
- Gastroenterology
Context:
- Hemorrhoids (piles) affect a significant portion of the adult population.
- Traditional surgical interventions can be painful and involve significant recovery time.
- Minimally invasive techniques are increasingly preferred for treating anorectal conditions.
Purpose:
- To evaluate the efficacy and safety of Transanal Hemorrhoidal Dearterialization (THD) for symptomatic hemorrhoids.
- To assess the pain profile and complication rates associated with the THD procedure.
- To determine the suitability of THD as a day-case surgical option.
Summary:
- Transanal Hemorrhoidal Dearterialization (THD) involves ligating distal branches of the superior rectal artery to reduce hemorrhoidal plexus blood flow.
- The technique is highly effective for grade 2 and 3 hemorrhoids, leading to decongestion.
- THD is characterized by minimal pain and a low complication rate.
Impact:
- THD offers an effective and less painful alternative for hemorrhoid treatment.
- Its suitability as a day-case procedure improves patient convenience and potentially reduces healthcare costs.
- The technique contributes to the advancement of minimally invasive surgical options in proctology.
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