The THD Procedure
The THD Procedure is an innovative surgical treatment for Haemorrhoids, approved by the National Institute for Clinical Excellence (NICE).
THD is designed to cure haemorrhoids in a gentle way while focusing on excellent long term results. The procedure is a minimally invasive type of surgery (i.e. no cuts are made into the tissue), and it is carried out under general anaesthetic.
During the THD procedure, the blood-supplying arteries of the haemorrhoid are precisely located with a fine, specially designed proctoscope allowing maximum precision via a Doppler ultrasound probe.
Each of these arteries is then gently sutured through a small operating window of the same proctoscope, making this technique extremely gentle and safe.
As the procedure is carried out in the area above the dentate line (an area without sensory nerves), the patient doesn’t feel any stitches during or after the intervention.
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The THD procedure differs from other surgical techniques in the following ways:
– It does not cut or remove any haemorrhoidal tissue, hence post-operative complications are significantly reduced compared to a haemorrhoidectomy.
– Since the blood-supplying arteries are but sutured, the THD procedure has been associated with far less post-operative complications and better long-term results.
– In most cases, patients resume their normal activities within 24 – 48 hours.
– Due to its low recurrence rates compared to traditional types of surgery, the THD procedure has been adopted in numerous hospitals throughout Europe.
It is now also available in over 150 hospitals and medical centres throughout the UK, including NHS and Private hospitals.
GPs can find more information on the THD procedure here.
A haemorrhoidectomy is an operation to remove the haemorrhoids (piles). It is performed under general anaesthetic and involves the surgical excision and removal of the bulk of the haemorrhoid.
This procedure may be suggested if injections or banding have not worked, or if you have large piles causing severe pain and discomfort.
The haemorrhoidectomy procedure has a number of drawbacks and complications:
– Patients may experience severe pain, particularly after the first few bowel motions.
– Secondary bleeding from the open wounds can occur a few days after the operation.
– Delayed wound healing could occur for up to 4 to 6 weeks.
– Recurrence of haemorrhoids.
– Leakage of fluid fecal materials for a few months after the operation.
– It is not advisable to re-perform this operation if haemorrhoids do return.
Conventional Open & Closed Haemorrhoidectomy
The surgeon will cut the pile away from the anal sphincter muscle using an electric current.
With the closed haemorrhoidectomy procedure, the surgeon may use dissolvable stitches to close the wound.
In an open haemorrhoidectomy procedure the wound may be left open to heal naturally.
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