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Hemorrhoids are one of the most
common diseases. Word «hemorrhoid»
translated from Greek language means
«bleeding», which directly connected
with the most prevalent symptom of this
disease – there is blood outflow from
anus. Hemorrhoids are equally common
among male and female. Frequently
females mark acute haemorrhoidal
thrombosis; usually it happens during
third trimester of pregnancy    
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Anorectal abscess signifies
inflammation of the fat in one of the
spaces surrounding the anorectum.
Infection from rectum by anal glands,
which are situated in anal crypts of the
anal canal penetrate perianal tissue.
Crypt abscess always is at the level of
the dentate line. The reasons of crypt
abscess are different: constipation,
hemorrhoids, anal fissure ecc. Anal
gland infection is also the principal
cause of anal fistulas.  
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Anal fissure is a spontaneously
appeared linear tear (ulcer) in the anal
mucosa. Anal fissure is quite common.
Among proctology disease this is one
of three the most frequent (11%-15%
or 20-23 cases amongst 1000 people).
Anal fissures are more prevalent
among young and middle- age females.    
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 Constipation.   Now constipation is
one of the most common conditions that
bring a patient to see a physician in al
the world.  For example, 2.5 million
people with constipation (1.2% in the
general population) visit each year
doctors and even more numbers try
to solve this problem by themselves
using laxatives. What is constipation?
Constipation is not separate disease.
There is symptom of many illness.  
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.
Ulcerative colitis is chronic recurrent
bowel disease, which is based on
manifest diffuse non-specific
inflammation of the mucosa of the
rectum and colon.
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Cron`s colitis is chronic, recurrent,
inflammatory disease of unknown
etiology that affects the gastrointestinal
tract This disease is characterized by
skip lesion and transmural inflammation,
and it can be affect any segment of the
gastrointestinal tract. This illness also
has tendency to early, local and system
complications.   
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Polyps and polyposis syndromes.
The definition of polyp is not clear at all.
Presently, only epithelial glands
excrescence, which rises above mucosa,
is called true polyp.   
 Read_______

 
Rectal cancer. These days rectal
cancer without exaggeration is the
problem of global degree.   
Read_______

Colon cancer.  Measurement of (CEA)
carcinoembryonic antigen, which was
found in embryonic cellules of
gastrointestinal tract, is another
direction in the early detection of colon
and rectal cancer.
Read_______
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Home>> Treatment >> Treatment of hemorrhoids >> Transanal Hemorrhoidal Dearterialisation (THD)

Transanal Haemorrhoidal Dearterialisation

THD (Transanal Haemorrhoidal Dearterialisation) is the least invasive new method for treatment of hemorrhoid. There is
painless technique, which doesn’t require the excision of hemorrhoidal tissue and in the same moment eliminates symptoms
of hemorrhoid.

This method comprise the ligation of hemorrhoidal arteries. The legation is applied in that area of rectum where sensory fibers
are minimal, that is why patient does not feel pain and discomfort.
The THD is equipped with a Doppler transducer (A) to locate the terminal branches (up to six) of the superior rectal artery,
which are then ligated, through an apposite slit (B) in the instrument, 2-3cm above the dentate line. Therefore, the  arterial
flow to the hemorrhoids is reduced and they shrink.    
THD can be applied also for fourth-degree hemorrhoid (in this case, other non invasive procedures are not effective).
If there is fourth-degree hemorrhoid, we ligate branches of superior rectal artery and after this we fix hemorrhoidal tissue in
anal canal (it eliminates prolapse of hemorrhoid).    

There is advantages of THD comparing with other less invasive methods of treatment of hemorrhoid (sclerotherapy, rubber
band ligation, infrared photocoagulation)

1. Radicalism
Transanal Haemorrhoidal Dearterialisation (THD) is based on reducing of arterial flow to the hemorrhoids and is high-effective
in 95% of cases (elimination the symptoms of hemorrhoid).  The radicalism of this technique is so high that it is even
comparable with traditional operations.

2. One phase- technique
All hemorrhoidal arteries are ligated at once in this case. Instead, other less invasive methods require 3-4 phase ( 1 phase –
1hemorrhoidal piles).

3. Less traumatic
THD doesn’t cause necrosis of hemorrhoidal tissue or wound. This method requires only ligation of hemorrhoidal arteries, that’s
why discomfort and duration of rehabilitation after this procedure is minimal.       
After this operation patient can go home next day and can go to his normal activity in 3-4 days. In our department, we with our
Italian colleagues performed THD firstly in Ukraine (at this moment we already accomplish 150 this operations). We have as well
results as our foreign colleagues.
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