5. An Ancient problem Hippocrates (460-377 BC) Wrote: On Hemorrhoids (400 BC) - A treatise on the nature and treatment of hemorrhoids, a pain in the rectum
6. Causes low-fiber diets straining with defecation Prolonged sitting on a toilet (eg, while reading) Pregnancy Age Genetics
7. Hemorrhoid Symptoms Bleeding: bright red blood in the toilet or on toilet tissue Pain Discomfort: itching and or burning Swelling Prolapse (protruding hemorrhoid tissue)
13. You Are Not Alone! Hemorrhoids affect up to 86% of Americans and has no age barrier. Hemorrhoids are a condition that will happen to 50% of Americans by the age of 50. Hemorrhoids can occur at any age but are more common as people get older. Among younger people, they are most common in women who are pregnant or have had a child.
14. Hemorrhoid Treatments Diet / Drugs Injection sclerotherapy Cryotherapy Photocoagulation Rubber Band Ligation Surgery
17. Surgical Treatments More Invasive Traditional surgery Stapled hemorroidopexy (PPH) Transanal hemorrhoidal dearterialization (THD) Hemorrhoidal tissue excision Rectal mucosal tissue excision No excision Less Invasive
19. What is THD? “Transanal Hemorrhoidal Dearterialization” THD treats the sourceof Hemorrhoid disease, not the symptoms THD uses sound waves to locate the hemorrhoidal arteries Once each artery is located the surgeon ties off the blood flow If necessary your surgeon will repair the prolapse which restores and “lifts” the tissue back to a more natural position No tissue is cut or excised THD is performed as an out-patient surgery Most patients get back to normal activities within 4 days
23. THDProcedure Benefits Summary Minimally-invasive No excision of tissue, low/minimal complication rates Operation in low/no pain zone of anal canal Surgeon can hear and see that arteries are tied off Venous outflow remains to dissipate blood supply Restoration of prolapsed tissue (Lifting) Minimized post-op pain and discomfort Patients back to normal activities within 4 days
24. David Zeiler, M.D. Triangle Surgical Associates 115 Crescent Commons Drive Suite 200 Cary, NC 27518 (919) 851-5055 Patient Education Please ask me for a THD patient education brochure