The transanal hemorrhoidal de-arterialization (THD) procedure is an effective treatment of hemorrhoidal disease. The ligation of hemorrhoidal arteries ("de-arterialization") can provide a significant reduction of arterial blood flow to the hemorrhoidal tissues. Plication of redundant rectal mucosa/submucosa ("mucopexy") can reposition prolapsing tissue to its original anatomical site. In this paper the surgical technique using a specific device (THD(®) Doppler) and peri-operative patient management are illustrated.
Ratto, C., De Parades, V., Doppler-guided ligation of hemorrhoidal arteries with mucopexy: A technique for the future, <<JOURNAL OF VISCERAL SURGERY>>, 2015; 152 (2 Suppl): S15-S15-21. [doi:10.1016/j.jviscsurg.2014.08.003] [http://hdl.handle.net/10807/72244]
Doppler-guided ligation of hemorrhoidal arteries with mucopexy: A technique for the future
Ratto, Carlo;
2015
Abstract
The transanal hemorrhoidal de-arterialization (THD) procedure is an effective treatment of hemorrhoidal disease. The ligation of hemorrhoidal arteries ("de-arterialization") can provide a significant reduction of arterial blood flow to the hemorrhoidal tissues. Plication of redundant rectal mucosa/submucosa ("mucopexy") can reposition prolapsing tissue to its original anatomical site. In this paper the surgical technique using a specific device (THD(®) Doppler) and peri-operative patient management are illustrated.
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