Experience of transanal hemorrhoidal dearterialization in the surgical treatment of grades II-IV hemorrhoids that bleeding

The aim of the work was to analyze use Transanal Hemorrhoidal Dearterialization (THD) in surgical treatment hemorrhoids various degrees. THD for complicated 514 patients period 2008–2021 analyzed on clinical basis Department Surgery No.3 Bogomolets National Medical University (Ukraine). average age 39.1 years. 159 (30.9%) had grade II hemorrhoid, 299 (58.2%) – III, 56 (10.9%) IV. All manifestations rectal bleeding and periodic prolapse hemorrhoidal nodes, 75 (14.6%) a pain syndrome associated with anal fissures, 19 (3.7%) underwent recurrent (after performing other operations) hemorrhoids. No severe postoperative complications were observed. length stay hospital 1.3 days. working capacity restored after 3–5 Since 2015, has been performed according method updated by authors, which called Distal Doppler-controlled (DDD). We compared results before supplementing her DDD. When comparing its DDD, significant (p=0.00007) increase specific gravity interventions stage III while preserving quality duration course revealed. Also, number combination surgery chronic fissure, operations increased significantly (p<0.05), indicates validity effectiveness technique as an operation choice II–IV Application using DDD facilitates performance mucopexy, allows at later stages Keywords: proctology, THD, dearterialization.