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Transanal dearterialization with targeted mucopexy is effective for advanced haemorrhoids
Author(s) -
Giordano P.,
Tomasi I.,
Pascariello A.,
Mills E.,
Elahi S.
Publication year - 2014
Publication title -
colorectal disease
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.029
H-Index - 89
eISSN - 1463-1318
pISSN - 1462-8910
DOI - 10.1111/codi.12574
Subject(s) - medicine , general surgery , surgery , medical physics
Aim Transanal haemorrhoidal dearterialization ( THD ) has become well established for the treatment of haemorrhoids. In this study we describe a technical modification of this technique, targeted mucopexy ( THD TM ), and report the results for advanced haemorrhoids. Method The study included a prospective evaluation of patients with Grade IV (fourth‐degree) haemorrhoids operated on with the THD TM technique. This consisted of an initial dearterialization when the haemorrhoidal arteries were transfixed and a second phase of mucopexy, using a different needle from that usually used in the original technique. Results From January 2007 to December 2011, 31 consecutive patients with Grade IV haemorrhoids were operated on using the THD TM technique. Postoperative pain was reported by 22 (70%) patients on day 1 and 19 (61%) on day 7, while nine (30%) did not experience any pain at all. Severe pain was reported by only nine (16%) patients. At a mean follow‐up of 32 months, two (6.4%) patients required a further intervention for on‐going symptoms. Conclusion Transanal haemorrhoidal dearterialization TM is effective for advanced haemorrhoids.