Transanal Hemorrhoidal Dearterialization (THD)
THD (TRILOGY) Hemorrhoid Removal Surgery is a minimally invasive procedure used to treat various stages of hemorrhoidal disease by ligating the arteries supplying blood to the hemorrhoids and repositioning prolapsed hemorrhoidal tissue.
About the HAL-RAR Method:
- No tissue excision, open wounds, or postoperative pain;
- Procedure duration: approximately 20–30 minutes;
- Rapid return to normal daily activities and work;
- A proven and successful technique used worldwide.
How Does HAL-RAR Work?
A Doppler ultrasound device is gently inserted into the anus. An acoustic signal allows the surgeon to precisely identify the arteries supplying blood to the hemorrhoids. Each pulsating artery is then ligated. The procedure is performed in the lower rectum rather than within the anal canal, where there are very few pain-sensitive nerves, making the procedure virtually painless. Once the blood supply to the hemorrhoids is reduced, the pressure within them immediately decreases, causing them to shrink. Hemorrhoid-related symptoms typically resolve within a few weeks. For Grade III or Grade IV hemorrhoids, the RAR (Recto-Anal Repair) technique is used to reposition prolapsed hemorrhoidal tissue. First, a continuous running suture is placed from top to bottom. The specialized device allows this to be performed with exceptional precision. The ends of the suture are then gently tightened and tied together, creating a lifting effect. This restores the hemorrhoidal cushion to its natural anatomical position. The tissues heal and become seamlessly reintegrated into the rectal wall.
This service may be compensated by the Compulsory Health Insurance Fund (PSDF)*
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