THD Doppler procedure for hemorrhoids: the surgical technique

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Transanal desarterialization guided by Doppler associated to anorectal repair in hemorrhoids: THD technic.

INTRODUCTION Surgical treatment for hemorrhoids should be indicated individually and is based on the predominant symptom (bleeding or prolapse), severity of disease and the presence or absence of external component (plicoma). Surgeons must choose among varied techniques the one suitable for each case. TECHNIC The THD procedure consists of Doppler guided high ligation, selective to up six subm...

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Histopathology and Physiological Alterations After Procedure for Prolapsed Hemorrhoids

cle, rather than the internal sphincter, may be injured during a PPH because it is recommended to perform the procedure two to five centimeters above the dentate line [7]. If the staple line is at the level of the dentate line and the specimen involves smooth muscle, one can conclude that an injury to the internal sphincter happened during the PPH. However, there was no change in continence, no...

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Surgical Management of Hemorrhoids: Harmonic Scalpel Compared with Fergusons Conventional Closed Technique

Surgical treatment is considered to be the best therapeutic modality for third and fourth degree hemorrhoidal disease. Many different methods of hemorrhoidectomy aim to decrease pain and complications. Harmonic scalpel is a device that simultaneously cuts and coagulates soft tissues through ultrasonic vibrations. The aim of this study was to compare the results of Harmonic scalpel hemorrhoidect...

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Laser Hemorrhoidoplasty Procedure vs Open Surgical Hemorrhoidectomy: a Trial Comparing 2 Treatments for Hemorrhoids of Third and Fourth Degree

OBJECTIVE According to the ''vascular'' theory, arterial overflow in the superior hemorrhoidal arteries would lead to dilatation of the hemorrhoidal venous plexus. Hemorrhoid laser procedure (LHP) is a new laser procedure for outpatient treatment of hemorrhoids in which hemorrhoidal arterial flow feeding the hemorrhoidal plexus is stopped by laser coagulation. AIM Our aim was to compare the h...

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ژورنال

عنوان ژورنال: Techniques in Coloproctology

سال: 2013

ISSN: 1123-6337,1128-045X

DOI: 10.1007/s10151-013-1062-3