2014

Transanal haemorrhoidal dearteralization (THD): 1 year followup results, the Dubai experience


Al-Ozaibi L., Hazim W., Mazrouri A., Badri F. & Alani A.
Colorectal Disease, Volume 16, Supplement 3 (September 2014), P352

AIM:
To analyse the results of the THD technique in the treatment of haemorrhoidal disease.

METHOD:
This is a retrospective study of 42 patients who underwent haemorrhoidal artery ligation between September 2011 and October 2012 including 36 men and 6 women with stage II, and III haemorrhoids. Following surgery, patients were regu- larly evaluated after 1 week, 3 months, a year after operation.

RESULTS:
Eighty-six percent of the patients were male. Bleeding was the main pre- operative symptom, 52% of the patients had bleeding and prolapse and 24% had only bleeding. 62% of the patients had 6 ligations and 81% had mucopexy. Mean operative time 46.8 ± 9.4 min. 62% of the patients had postoperative pain, 76% of those were mild (score < 3).The postoperative complications were non-significant, 79% of the patients did not have any complications. After 1 year 17% had recurrence of symptoms. All cases done as a day case surgery.

CONCLUSION:
The THD technique has shown that it’s safe and effective in the treatment of haemorrhoids. It’s not a painless procedure but the postoperative pain is mild in the majority of the cases. The main advantage were less bleeding, fast recovery and no complications. It can be done safely as a day case surgery.

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