Colorectal Surgery

Transanal hemorrhoidal dearterialization (THD) Procedure Specialist Los Angeles

Thanks to vast improvements and modernizations of hemorrhoid removal procedures, our skilled surgeons are proud to offer a the non-invasive the Transanal Hemorrhoidal Dearterialization (THD) procedure to efficiently and quickly remove painful hemorrhoids. The THD procedure is a minimally invasive way to treat hemorrhoids by reducing blood flow to swollen vessels. 

At Surgery Group LA, Dr. Yosef Nasseri and Dr. Moshe Barnajian have unparalleled expertise in the field of hemorrhoid treatment in Los Angeles and Beverly Hills. As two of the top hemorrhoids doctors in Southern California, they specialize in this advanced approach, offering less pain, faster recovery, and excellent long-term outcomes compared to traditional surgery.
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What is Transanal Hemorrhoidal Dearterialization (THD)?

Transanal Hemorrhoidal Dearterialization (THD) is a minimally invasive surgical technique used to treat symptomatic hemorrhoids. Unlike traditional hemorrhoidectomy, which involves removing the hemorrhoidal tissue, THD focuses on reducing the blood flow to the hemorrhoids, causing them to shrink and eventually subside. This procedure is particularly advantageous for patients seeking an effective solution with less postoperative pain and a quicker recovery time.
The THD hemorrhoid procedure employs a Doppler ultrasound device to accurately locate the arteries supplying blood to the hemorrhoids. By targeting these arteries, the procedure aims to cut off the blood flow, leading to the shrinkage of the hemorrhoidal tissue. This precision makes THD a highly effective treatment for internal hemorrhoids, particularly those classified as Grade II and III.

Why Choose the Transanal Hemorrhoidal Dearterialization Procedure?

Minimally Invasive Nature

One of the key advantages of the THD procedure is its minimally invasive nature. Unlike traditional surgical methods, THD does not involve extensive cutting or tissue removal, which significantly reduces postoperative pain and discomfort.

Quick Recovery

Patients undergoing the transanal hemorrhoidal dearterialization procedure often experience a faster recovery compared to those who opt for traditional surgery. Most patients can return to their normal activities within a few days, with full recovery typically occurring within a few weeks.

High Success Rates

Clinical studies have demonstrated high success rates for the THD procedure. According to research published in the World Journal of Gastrointestinal Surgery, the THD procedure boasts a success rate of over 90%, making it a reliable choice for treating symptomatic hemorrhoids.

Low Recurrence Rates

Recurrence of hemorrhoids is a common concern with many treatment methods. However, the THD procedure has shown low recurrence rates, providing long-term relief for patients.

Comparing THD with Other Hemorrhoid Treatments

  • Traditional Hemorrhoidectomy
    While traditional hemorrhoidectomy remains a viable option for severe cases, it is associated with more postoperative pain and a longer recovery period. In contrast, the THD hemorrhoid procedure offers a less painful and quicker recovery alternative for eligible patients.
  • Rubber Band Ligation
    Rubber band ligation is another common treatment for hemorrhoids, particularly effective for small to medium-sized internal hemorrhoids. However, it may not be suitable for larger or more advanced hemorrhoids, where the THD procedure could be more beneficial.
  • Sclerotherapy and Infrared Coagulation
    These minimally invasive treatments are often used for early-stage hemorrhoids. While effective, they may require multiple sessions and may not provide the same long-term relief as the THD procedure
Procedure Steps

Transanal Hemorrhoidal Dearterialization Steps

The THD procedure is performed in a series of carefully orchestrated steps to ensure precision and effectiveness:
  • Preoperative Preparation
    Before the procedure, patients undergo a thorough medical evaluation to determine their suitability for THD. This includes a detailed medical history, physical examination, and sometimes imaging studies. Patients are also advised to follow specific preoperative instructions, such as fasting for a certain period before surgery.
  • Anesthesia
    The procedure is typically performed under local anesthesia with sedation or general anesthesia, depending on the patient’s condition and preferences. This ensures that the patient remains comfortable and pain-free during the surgery.
  • Doppler Ultrasound Localization
    A Doppler ultrasound device is used to locate the arteries supplying blood to the hemorrhoids. This device emits sound waves that help the surgeon identify the precise location of the arterial branches.
  • Ligation of Hemorrhoidal Arteries
    Once the arteries are located, the surgeon uses a special suture material to ligate (tie off) these arteries. This step effectively reduces the blood flow to the hemorrhoids, causing them to shrink over time.
  • Mucosectomy (Optional)
    In some cases, a small amount of excess mucosal tissue may be removed (mucosectomy) to enhance the effectiveness of the procedure. This step is usually performed when there is significant prolapse of the hemorrhoidal tissue.
  • Completion and Recovery
    After the ligation is complete, the procedure is concluded, and the patient is monitored for a short period before being discharged. Most patients can go home the same day, with instructions on postoperative care and follow-up appointments.
Treatment

What Hemorrhoid Remedies Can I Try at Home?

For mild hemorrhoids you can try the following lifestyle and dietary changes at home.

What are the Minimally Invasive and Surgical Procedures for Hemorrhoid Treatment?

For mild hemorrhoid cases, lifestyle and dietary changes can offer significant relief. If your symptoms persist or worsen, Dr. Nasseri and Dr. Barnajian provide both minimally invasive and surgical options to treat your hemorrhoids.

Minimally Invasive Procedures

  • Rubber band ligation: This procedure involves placing a rubber band around the base of an internal hemorrhoid to cut off its blood supply, causing it to shrink and fall off.
  • Infrared coagulation (IRC): IRC uses heat to coagulate and shrink internal hemorrhoids.

Surgical Procedures

  • Hemorrhoid Stapling (Procedure for Prolapse and Hemorrhoids – PPH): This surgical procedure is primarily used for the treatment of prolapsed hemorrhoids. It involves stapling the hemorrhoid tissue to reduce blood flow and shrink the hemorrhoids.
  • Hemorrhoidectomy
Recovery

Transanal Hemorrhoidal Dearterialization Recovery

Immediate Postoperative Period

Following the THD procedure, patients can expect some mild discomfort, which is typically manageable with over-the-counter pain medication. Most patients are encouraged to resume light activities within a day or two.

First Few Days

During the first few days after surgery, patients should avoid strenuous activities and follow a diet rich in fiber to prevent constipation and straining during bowel movements. Drinking plenty of water is also crucial to facilitate smooth bowel movements and reduce the risk of complications.

Weeks Following Surgery

Patients can gradually return to their normal routines within a week, although complete recovery may take a few weeks. Follow-up appointments with the surgeon are essential to monitor the healing process and address any concerns.

Long-Term Outlook

The long-term outlook for patients undergoing the transanal hemorrhoidal dearterialization recovery process is generally positive. The procedure not only provides immediate relief from symptoms but also reduces the likelihood of recurrence, offering lasting benefits.

THD Surgery Success Rate and Patient Satisfaction

The effectiveness of the THD procedure is backed by numerous studies and patient testimonials. A study published in the International Journal of Colorectal Disease reported a significant reduction in hemorrhoid-related symptoms in over 85% of patients who underwent the THD procedure. Additionally, patient satisfaction rates are high, with many patients expressing relief from chronic hemorrhoid symptoms and a return to normal activities with minimal downtime.
Summary
The transanal hemorrhoidal dearterialization procedure offers a compelling treatment option for patients seeking a minimally invasive solution for symptomatic hemorrhoids. With its high success rates, quick recovery, and low recurrence rates, THD stands out as an effective and patient-friendly approach to hemorrhoid management.
If you are experiencing hemorrhoid symptoms and are considering treatment options, give us a call at 310-861-7493 to schedule a consult with one of our colorectal specialists to determine if the THD procedure is right for you. With the right medical advice and care, you can achieve relief and improve your quality of life through this advanced and effective treatment method.

Minimally Invasive Procedures

Frequently Asked Questions

How can I tell if my symptoms are caused by hemorrhoids?

Symptoms like itching, swelling, and occasional bleeding during bowel movements may indicate hemorrhoids. A professional evaluation can confirm the diagnosis.

Are there lifestyle changes that can help prevent hemorrhoids?

Colorectal is a collective term that refers to the colon, rectum, and anus. Similarly, colorectal cancer refers to cancer that originated in the colon or rectum. Colorectal surgeons like Dr. Nasseri and Dr. Barnajian are experts in the surgical and nonsurgical treatment of colon and rectal problems. They have completed extensive training to specialize in the diagnosis, treatment, and repair of disorders affecting these areas, in addition to full training in general surgery.

How long does it take for hemorrhoid treatments to work?

Colorectal is a collective term that refers to the colon, rectum, and anus. Similarly, colorectal cancer refers to cancer that originated in the colon or rectum. Colorectal surgeons like Dr. Nasseri and Dr. Barnajian are experts in the surgical and nonsurgical treatment of colon and rectal problems. They have completed extensive training to specialize in the diagnosis, treatment, and repair of disorders affecting these areas, in addition to full training in general surgery.

Do all hemorrhoids require medical treatment?

Colorectal is a collective term that refers to the colon, rectum, and anus. Similarly, colorectal cancer refers to cancer that originated in the colon or rectum. Colorectal surgeons like Dr. Nasseri and Dr. Barnajian are experts in the surgical and nonsurgical treatment of colon and rectal problems. They have completed extensive training to specialize in the diagnosis, treatment, and repair of disorders affecting these areas, in addition to full training in general surgery.

Can untreated hemorrhoids lead to complications?

Colorectal is a collective term that refers to the colon, rectum, and anus. Similarly, colorectal cancer refers to cancer that originated in the colon or rectum. Colorectal surgeons like Dr. Nasseri and Dr. Barnajian are experts in the surgical and nonsurgical treatment of colon and rectal problems. They have completed extensive training to specialize in the diagnosis, treatment, and repair of disorders affecting these areas, in addition to full training in general surgery.

What are some signs that I might need hemorrhoid surgery?

Colorectal is a collective term that refers to the colon, rectum, and anus. Similarly, colorectal cancer refers to cancer that originated in the colon or rectum. Colorectal surgeons like Dr. Nasseri and Dr. Barnajian are experts in the surgical and nonsurgical treatment of colon and rectal problems. They have completed extensive training to specialize in the diagnosis, treatment, and repair of disorders affecting these areas, in addition to full training in general surgery.

Experience matters. Our surgeons have achieved the highest standard of recognition for their expertise and skill.

36,782

+

Successful Surgeries

126

Years of Combined Experience

More importantly, our team of world-renowned surgeons have saved countless lives, and have enabled countless more to live healthy, happy lives.

Schedule a consultation with a Transanal Hemorrhoidal Dearterialization Specialist Near Me

Seeking care from Hemorrhoid specialists is essential for effective management. Our dedicated team of doctors are experienced in the THD procedure, ensuring that you receive expert care tailored to your condition. We're here to answer your questions and guide you on your journey to better health.

310-861-7493

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