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THD Procedure Reduces Pain And Recovery Time

on January 26, 2019 - 10:52am

Dr. Salim Amrani

Los Alamos Surgical Associates News:

Dr. Salim Amrani, MD offers a non-excisional surgical technique for the treatment of internal hemorrhoids.

Transanal hemorrhoidal dearterialization (THD) is a minimally invasive surgery that does not require incisions or removal of the hemorrhoidal tissue. For most patients, the procedure is done on an outpatient basis and normal activities can be resumed two to three days post-operatively.

What Are Hemorrhoids?

Hemorrhoids are necessary, normal, vascular veins found in the anal canal. Hemorrhoids are fed by arteries and drained by veins. For example when a person coughs or sneezes the hemorrhoids will engorge with blood to help hold gas and stool. Hemorrhoids are either internal or external based on their position.

Aggravated hemorrhoids are often caused by a combination of many things. Some reasons include straining during a bowel movement, frequent constipation (hard or difficult bowel movements), diarrhea (frequent, loose, watery stool), pregnancy, or cirrhosis of the liver.

Symptoms and severity of hemorrhoids vary. Symptoms may include pain and pressure in the anal canal; a grapelike lump on the anus; itching and soreness in and around the anus; and blood on underwear, toilet paper, on the surface of the stool or in the toilet bowl.

When veins become varicose, they weaken become prominent. Hemorrhoidal veins also may become varicose, resulting in internal hemorrhoids. THD uses a specially developed anoscope combined with a doppler transducer to identify the hemorrhoidal arteries. Once the arteries are isolated, a suture ligation is used to decrease blood flow to the hemorrhoid.

This is different from a traditional hemorrhoidectomy, which surgically removes the hemorrhoidal bundle. In THD there is no tissue that is removed, and post-operative pain is minimized for patients.

After the operation, a high-fiber diet with plenty of fluid is recommended. Reports on this procedure showed low complication rates and lower postoperative pain.

Hemorrhoid Treatment Options

In addition to THD there are several other treatment options you may want to consider depending on the severity of the hemorrhoids:

  • Rubber band ligation: the doctor ties a rubber band around the hemorrhoid to cut off the circulation; the hemorrhoid then shrivels and disappears.
  • Sclerotherapy: the doctor injects a chemical solution into the hemorrhoid to shrink it.
  • Infrared coagulation: the physician burns the hemorrhoid off.
  • Hemorrhoidectomy: this is a surgical procedure to remove hemorrhoids.

Remember, hemorrhoids occur naturally. You can prevent aggravating hemorrhoids by keeping bowel movements regular and stool soft. Try relieving constipation with a high fiber diet. Also, avoid prolonged standing, sitting, and heavy lifting, chronic coughing, straining at stool, and aggressive wiping.

If you would like more information on THD, or if you would like to consult with Dr. Salim Amrani about any colorectal concern, please call Los Alamos Surgical Associates at 505.661.3030.