2013

THD for chronic haemorrhoids treatment


Pyrogovskyy V., Sorokin B., Tachiev R., Zadorozhniy S., Plemyanik S., Taranenko A., Slobenets S., Lashchenko M., Murga P., Shetelinets U. & Noyes A.
Colorectal Disease 2013, 15 (Suppl. 3), 48-116, Poster P315 from ESCP Meeting 2013 in Belgrade

AIM:
Haemorrhoids are one of the most common conditions affecting working people. In CIS countries incl. Ukraine standard surgical treatment is performed in 97% with 25 days on disability leave. Less traumatic procedures are done only in 3% and not always effective. THD procedure suggested in 1995 became an alternative for surgery and out-patient treatment methods.

METHOD:
In Ukraine THD was firsty performed at Kiev Region Hospital. From November 2007 till March 2013 504 THD procedures were performed. Age 21-73 years (mean age 37.6 years). Males – 203 (40.3%), female – 301 (59.7%). 10% patients of grade II, 77.3% - grade III and 9.6% - grade IV. All six points were sutured using THD Evolution.

RESULTS:
Twenty-eight patients required analgesia mainly after anopexy. Post-op complications: 1 submucosal fistula, 5 massive bleeding, 36 thrombosis treated in a conservative manner, 24 patients reported prolapse after pexy. Hospital stay lasted 1 day with full recovery in 24-48 h. Only patients after anal fissure excision during THD had to stay at hospital 2-3 days.

CONCLUSION:
THD is an alternative compared to mini-invasive and traditional methods. This treatment option is highly effective, with minor pain and short recovery period. THD can be combined with anal fissure surgery.

Back