The treatment of hemorrhoids by THD method

Novelties in the treatment of hemorrhoids

THD-1Hemorrhoids are one of the most common health problems of modern man. It is believed that every second person after they turn fifty has problems with hemorrhoids, usually in the form of frequent bleeding and pain. Sometimes serious complications may occur such as severe anemia, thrombosis and infection. Therefore, hemorrhoids must be treated. A variety of methods are available, from creams and suppositories to surgical techniques. Unfortunately, the treatment, in most cases, does not provide lasting results and the problems usually return. On the other hand, operational methods can have serious side effects. It is also known that the pain after the surgery is extremely strong and last for several weeks. A significant innovation in the treatment of hemorrhoids is the introduction of new technologies (THD and HALL). They are based on a new concept of treatment which does not touch the piles but it ligates the arterial entrance to the “shunt” and thus stops filling the hemorrhoids with blood. This leads to permanent disappearance of symptoms.   

Polyclinic K-center in Zagreb was among the first in the region to introduced THD (Transanal Hemorrhoidal Dearterialization). This is a non-invasive method which without surgery permanently solves the problem associated with the expanded hemorrhoidal nodes.


What are hemorrhoids?

We are all born with small pads in the end part of the large intestine. They consist of vein plexus and the binder. It is believed that these pads have a function in a bowel movement. Vein plexus in the pads is connected directly to the surrounding arteries. This compound is called “shunt” and it is normally closed. If it remains open, the veins fill with blood from an artery causing the pad to expand, consequently moving towards the anus. Formations like these are called hemorrhoids. Hence, open “shunt” is the main cause of hemorrhoids. Occurrence of hemorrhoids is influenced by several factors; from genetics to lifestyle and diet.


How is the TDH method performed?

THD method is a non-invasive procedure that is performed on an outpatient basis. There is no need for hospital treatment and most patients can return to their normal activities within a few days. A special instrument with a Doppler probe is used to locate the “shunt” and ligate the arterial entrance to the shunt. There are no cuts or bleeding and the surgery can be done without anesthesia, but as the anal area is very sensitive at the Polyclinic K-center the surgery is performed with the short intravenous anesthesia or general local analgesia. Ligation of the arterial entrance to the “shunt” prevents the flow of blood which leads to a reduction of hemorrhoidal cushions to a normal size within several weeks after the surgery.

In this period it is very important to maintain regular, soft stools. It is recommended for patients to drink one tablespoon of paraffin oil every night for a month. Paraffin oil is not absorbed; it passes through the intestines, carrying the stool and lubricating the intestines easing the process. Since it is not absorbed there is no risk of harmful effects. The THD procedure does not touch the hemorrhoids. The ligation of the arterial entrance to the “shunt” prevents the filling of hemorrhoids with blood. Therefore, the results do not appear immediately. It takes a few weeks for hemorrhoids to empty and reduce to normal size and for all of the symptoms to disappear. Precisely because this procedure addresses the root cause of the problem the effect is lasting and the complications are extremely rare. According to past experience, the recurrence rate after the THD method is below 3%. The big advantage is the fact that the pain after the procedure is minimal and it lasts considerably less time compared to a surgery.


What is the procedure of preparation for the THD method?

Another advantage of this procedure is that it does not require any advance preparations or processing. The check is a part of the process and it is done immediately before the procedure. Just contact the Polyclinic K-center (+385 1 6391 561) and make an appointment. Based on the examination and a conversation with the patient, our medical team will make a decision on the treatment and give recommendations to the patient. The procedure will be approached immediately if there are indications for it. After the procedure there is no need for a longer stay in the clinic and the patient can go home. In addition to maintaining a regular and soft stool and analgesics in the case of pain, there is no need for other postoperative treatments. After the THD procedure the pain duration is significantly than after surgery and the patient can return to normal life within 5 to 7 days.