Safe And Effective Transanal Hemorrhoidal Dearterialisation For Hemorrhoids

By Author: William Mason
Total Articles: 89
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Transanal hemorrhoidal dearterialisation for hemorrhoids is a minimally-invasive procedure that aims to eliminate the swelling and bleeding of the anal blood vessels without the need for the patient to suffer from pains that are usually experienced after undergoing surgical procedures like hemorrhoidectomy and stapled hemorrhoidopexy. With supporting findings from the series of medical tests that were performed starting in 1996, this innovative surgical procedure has found to be very safe and highly-effective in easing the pains caused by bleeding anal blood vessels.

How It Is Done

In this surgical operation, a proctoscope with a Doppler apparatus is inserted in the anal canal to locate the affected blood vessels and also to ease the performing of this procedure. Then, while the patient is in general anesthesia (sometimes in local anesthesia or even both, or only in sedation), the inflamed blood vessel is ligated by stitching it in order to narrow the vessel, thus reducing the blood flow in that affected vessel. In cases of recurring or larger prolapses, mucopexy is also performed. In this follow-up procedure, ...
... the mucosal membrane that covers the prolapsed area is lifted and stitched together with the distressed anal blood vessel to reposition them.

Recovery

After the transanal hemorrhoidal dearterialisation for hemorrhoids procedure is done, a day of stay in the hospital is needed to heal the wounds that were incurred from such surgical operation; normal activities can be done again two to three days after the operation. High-dietary fiber diets with intakes of approximately two liters of liquids daily are highly-recommended. Total healing and recovery of the parts that were subjected to such surgical operation usually takes two to three months.]

Does It Work?

Findings from the medical tests that were done concerning this surgical procedure starting in 1996 showed that this operation has a success rate of 91% (meaning problems on bleeding, defecation pains, and prolapses were totally-resolved); although there is an 11% chance of recurring such experienced problems.

The same medical findings showed only single-digit rates of incurring complications from the surgical procedure. Complications include nausea that requires intravenous fluid replacements, thrombosis (swelling of the external anal blood vessels) that requires hospitalization to manage the pain, pains and bleeding that require readmission, urinary retention that requires catheterization, itching, mucosal prolapses, skin tags, constipation, tenesmus (feeling of incomplete defecation), anal fistula and/or fissures, submucosal hematoma, hematuria, and dyschezia (painful defacation). There were also reports of a few patients who suffered from hemorrhage after they underwent this surgical procedure – they were then subjected to blood transfusions.

According to the British National Institute for Health and Clinical Excellence that published a literary study regarding the transanal hemorrhoidal dearterialisation for hemorrhoids procedure in September 2009, most of the case subjects that were involved in the medical and statistical researches that were performed regarding this surgical procedure have 2nd- to 4th-grade bleeding anal blood vessels.

A dissenting opinion made by a medical specialist stated that the efficacy of this procedure is uncertain, most especially in the long run. But nevertheless, this procedure was found to be as safe as (and even has lesser risks than) other procedures of the same type.

To learn about other treatments for hemorrhoids please visit http://how-to-cure-hemorrhoids-fast.blogspot.com and http://how-to-get-rid-of-hemorrhoids-at-home.blogspot.com

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