Transanal Hemorrhoidal Dearterialization – THD

THD is indicated for symptomatic internal hemorrhoids that fail conservative management.

Q: What is the THD procedure?

A: During the THD procedure, which is INCISION-LESS and minimally invasive, the surgeon restricts only the blood vessels with Doppler-guided technology and suture. There is not excision or “cutting” of tissue. Because there is no tissue removal, there is less pain.

An Incision-Less, Minimally Invasive Procedure

THD uses a doppler to locate the terminating branches of the hemorrhoidal arteries. Once the artery is located the surgeon uses an absorbable suture to ligate or “tie-off” the arterial blood flow. The venous “out flow” remains to “shrink” the cushion. This is done without excision of tissue. If necessary the surgeon will perform a hemorrhoidopexy to repair the prolapse. Again, this is done with suture and no excision of tissue. This repair restores and “lifts” the tissue back to its anatomical position.

The entire procedure is performed above the dentate line so that there is minimal discomfort. The procedure takes about 20 minutes and is offered as an outpatient surgery.

Please consult with Doctor Akopian to fully understand the pros and cons of the THD procedure.

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Doctor Akopian is a professional, confident physician who will make himself your partner on this journey to a better, healthier you. He is compassionate, kind, caring and will take time to talk to you about your condition in order to find the best possible treatment. His bedside manner is like no other.

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Gabriel Akopian, MD
10 Congress Street, Suite 300
Pasadena, CA 91105

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