Treatment of hemorrhoids with infrared rays

Treatment Description

Transanal Hemorrhoidal Dearterialization (ultrasound) is known as one of the newest techniques in the treatment of hemorrhoids, which may be resorted to by many surgeons after the failure of drugs and the usual methods like changing the quality of food and others in ridding the patient of hemorrhoid.

A hemorrhoid is defined as a group of swollen blood vessels (such as veins) that appear around the anus or in the inner cavity of it (external hemorrhoid) or in the lower rectum (internal hemorrhoid). Hemorrhoids are four stages, vary depending on their severity, while grade 1 and 2 symptoms are slightly discomfort and some pain during abowel movement, grade 3 and 4 hemorrhoids are often more severe and may be associated with bleeding, so the medical intervention is necessary.

The surgeon relies on ultrasound waves to locate the blood vessels responsible for supplying the hemorrhoid, thus inhibits blood flow to the hemorrhoid, which leads to its atrophy after a period and disappearance, and is done in a short time and with very little pain compared to other techniques.

This technique is characterized by the possibility of returning the patient to practice his normal activities after two days of the operation.

What is the reason to undergo Transanal Hemorrhoidal Dearterialization (THD)?

Transanal Hemorrhoidal Dearterialization (ultrasound) is known as one of the newest techniques in the treatment of hemorrhoids, which may be resorted to by many surgeons after the failure of drugs and the usual methods like changing the quality of food and others in ridding the patient of hemorrhoid.

A hemorrhoid is defined as a group of swollen blood vessels (such as veins) that appear around the anus or in the inner cavity of it (external hemorrhoid) or in the lower rectum (internal hemorrhoid). Hemorrhoids are four stages, vary depending on their severity, while grade 1 and 2 symptoms are slightly discomfort and some pain during abowel movement, grade 3 and 4 hemorrhoids are often more severe and may be associated with bleeding, so the medical intervention is necessary.

The surgeon relies on ultrasound waves to locate the blood vessels responsible for supplying the hemorrhoid, thus inhibits blood flow to the hemorrhoid, which leads to its atrophy after a period and disappearance, and is done in a short time and with very little pain compared to other techniques.

This technique is characterized by the possibility of returning the patient to practice his normal activities after two days of the operation.

Pre-requisite tests before Transanal Hemorrhoidal Dearterialization

The patient undergoes a series of tests before Transanal Hemorrhoidal Dearterialization, including:

  • Blood tests.
  • Pregnancy test.

It should be noted that some cases in which the patient is old and accompanied by pain in the anus bleeding, he should undergo a gastrointestinal endoscopy to rule out any other problems.

 

Complications of Transanal Hemorrhoidal Dearterialization (THD)

Although the complications of Transanal Hemorrhoidal Dearterialization are rare but they may occur, including:

  • Problems due to anesthesia; include respiratory problems and other allergic reactions.
  • Infection.
  • Bleeding.
  • Pain.
  • Gases in the intestinal area, but they disappear after a few hours.

Steps of Transanal Hemorrhoidal Dearterialization (THD)

Transanal Hemorrhoidal Dearterialization can be divided into three stages:

  • Patient preparation

The patient is asked to stop taking medications such as blood thinners, in addition to herbal supplements to avoid bleeding during and after the surgery, and to refrain from smoking and drinking alcohols for a week or two before the surgery.

 

  • During the surgery:
  1. Anesthesia of the patient (general, regional or local anesthetic).
  2. Insert a laparoscope through the anus to find the arteries supplying the hemorrhoid through Doppler-guided technique.
  3. Ties the arteries in determined areas and pushing the external hemorrhoids back to the anus.

 

  • After the surgery:

Patient can leave the hospital on the same day if he is healthy, sometimes he have to stay overnight in the hospital, usually this technique is not accompanied with significant pain; sometimes mild analgesics like Panadol are enough to relieve pain.

Recovery period

The patient can often return to normal activities after two to three days, considered as very short period compared to traditional hemorrhoid surgery, the patient needs rest and sitz baths sometimes to help relieve the pain and swelling caused by the surgery during this period.

The patient then has to adhere to a new healthy lifestyle changes that includes improving the quality of food and adopting sports activities as a part of daily life; to avoid the return of hemorrhoids again.

Patients are advised to rely mainly on the fiber-rich food such as: whole grains, vegetables and fruits. In addition, drinking enough water is very important in preventing the patient from getting constipated and thus having hemorrhoids again.

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