Traditional treatment of fourth-degree haemorrhoidal disease (HD) is conventional haemorrhoidectomy and is frequently associated with significant pain and morbidity. In recent years, the use of transanal haemorrhoidal dearterialization (THD) for the treatment of HD has increased. The procedure aims to decrease the arterial blood flow to the haemorrhoids. Moreover, since a rectal mucopexy to treat the prolapsing component has become part of the THD technique, this treatment is also indicated for more advanced HD. The aim of this study was to assess the possible role of THD in the treatment of fourth-degree HD.
Ratto, C., Giordano, P., Donisi, L., Parello, A., Litta, F., Doglietto, G., Transanal haemorrhoidal dearterialization (THD) for selected fourth-degree haemorrhoids, <<TECHNIQUES IN COLOPROCTOLOGY>>, 2011; 15 (2): 191-197. [doi:10.1007/s10151-011-0689-1] [http://hdl.handle.net/10807/5888]
Transanal haemorrhoidal dearterialization (THD) for selected fourth-degree haemorrhoids
Ratto, Carlo;Parello, Angelo;Doglietto, Giovanni
2011
Abstract
Traditional treatment of fourth-degree haemorrhoidal disease (HD) is conventional haemorrhoidectomy and is frequently associated with significant pain and morbidity. In recent years, the use of transanal haemorrhoidal dearterialization (THD) for the treatment of HD has increased. The procedure aims to decrease the arterial blood flow to the haemorrhoids. Moreover, since a rectal mucopexy to treat the prolapsing component has become part of the THD technique, this treatment is also indicated for more advanced HD. The aim of this study was to assess the possible role of THD in the treatment of fourth-degree HD.
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