Transanal haemorrhoidal dearteralization – 1-year follow-up results, the Dubai experience

Abstract

The aim of this article was to analyse the results of the transanal haemorrhoidal dearteralization (THD) technique in the treatment of haemorrhoidal disease. A case series of 42 patients (36 men and six women) with grade II and III haemorrhoids who underwent THD between September 2011 and October 2012 was carried out. Patients were subjected to three to six ligations and those with prolapse had mucopexy. Following surgery, patients were evaluated after 1 week, 3 months and 1 year. Forty-one patients presented with bleeding per rectum as the main complaint and one had only discharge. All cases were carried out as day-case surgeries. Twenty-six patients had six ligations, and 16 had between three and five. The mucopexy was carried out in 34 patients. The mean operative time was 46.8±9.4 minutes. Twenty-six patients (62%) had post-operative pain, four of whom had severe pain (score >7) which required analgesia. Thirty-three patients (79%) did not have any complications and nine (21%) had an immediate post-operative complication which was not severe. After 1 year, seven patients (17%) had recurrence of bleeding. The THD technique has shown that it is effective in terms of less pain and fewer complications in the population we studied. It can be carried out safely as a day-case surgery.