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

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.

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.

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.

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.