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World J Gastrointest Surg. Mar 27, 2016; 8(3): 232-237
Published online Mar 27, 2016. doi: 10.4240/wjgs.v8.i3.232
Doppler-guided hemorrhoidal dearterialization/transanal hemorrhoidal dearterialization: Technical evolution and outcomes after 20 years
Marleny Novaes Figueiredo, Fábio Guilherme Campos
Marleny Novaes Figueiredo, Department of Gastroenterology, University of São Paulo Medical School, São Paulo, PC 01411-000, Brazil
Fábio Guilherme Campos, Department of Gastroenterology, Hospital das Clínicas, University of São Paulo Medical School, São Paulo, PC 01411-000, Brazil
Author contributions: Both authors performed research and wrote the paper.
Conflict-of-interest statement: None of the authors have any conflict of interest.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Fábio Guilherme Campos, MD, PhD, Associate Professor of Surgery, Colorectal Surgery Division Staff Surgeon, Department of Gastroenterology, Hospital das Clínicas, University of São Paulo Medical School, Rua Padre João Manoel, 222 - Cj 120 - Cerqueira César, São Paulo, PC 01411-000, Brazil. fgmcampos@terra.com.br
Telephone: +55-11-30610108 Fax: +55-11-30610108
Received: August 29, 2015
Peer-review started: September 7, 2015
First decision: December 7, 2015
Revised: December 19, 2015
Accepted: January 21, 2016
Article in press: January 22, 2016
Published online: March 27, 2016
Processing time: 204 Days and 19.2 Hours
Core Tip

Core tip: Management of hemorrhoidal disease is a tough task. First of all, because there are some technical alternatives that should be adequately indicated to different patients; secondly, because patients desire a good alternative associated with low morbidity, good long-term results and less postoperative pain. In this setting, the transanal hemorrhoidal dearterialization (THD) technique is considered a safe and effective choice for internal hemorrhoids of grades II to IV. The present paper reviews technical aspects and literature results of THD in comparison to other operative techniques.