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2022, Number 2

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Acta Med 2022; 20 (2)

Experience with transanal haemorrhoidal dearterialisation as a minimally invasive approach for the treatment of haemorrhoidal disease

Gallo AB, Salazar HDL, Ruíz VFA, Gallo CB, Hidalgo VC, Andrade AB, Martínez DA

Language: Spanish
References: 26
Page: 145-150
PDF size: 215.04 Kb.


ABSTRACT

Introduction: Postoperative pain is the principal adverse effect of classic hemorrhoidectomy. Transanal hemorrhoidal dearterialization has emerged as a new surgical technique for hemorrhoidal disease treatment, this technique can result in less postoperative pain, with recurrence no higher than classic hemorrhoidectomy. Material and methods: A retrospective study evaluating 62 patients operated with this technique in the Colorectal Department in Hospital Angeles León, with hemorrhoidal disease grades 2, 3, and 4; from 2014 to 2020. We used the commercial device (THD® Doppler). Results: Postoperative pain was evaluated 24 h and one week postop, we followed the patients for 12 months. With a success rate of 96.77% with a VAS of 2-3 (74%) at 24 h and 0-1 (82%) at one week. Conclusion: Transanal hemorrhoidal dearterialization is a safe and effective minimally invasive procedure for the treatment of hemorrhoidal disease.


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