Transanal Haemorrhoidal Dearterialisation and Rectal Mucopexy: Clinical Outcomes and Patient Perspectives

Waterman JL, Abdeldayem MA and Haray PN

Department of Colorectal Surgery, Prince Charles Hospital, Merthyr Tydfil, UK
Department of Colorectal Surgery, University of South Wales, UK

^*Correspondance to: Mahmoud Abdeldayem 

 PDF  Full Text DOI: 10.25107/2474-1647.2656

Abstract

Introduction: Transanal Haemorrhoidal Dearterialisation (THD) has evolved as a surgical technique over time. THD can be combined with Rectal Mucopexy (THD-RM) to aid in the reduction of haemorrhoidal prolapse. Aims: Our aims were to assess short and long term clinical outcomes after THD-RM and to assess patients’ satisfaction following THD-RM. Methods: All patients who underwent THD-RM at our Hospital from 2014 were included. Data analysis included a structured questionnaire administered via telephone. Results: A total of 55 patients underwent a THD-RM between 2014 and 2019. There was a response rate of 87.27%, 48 patients. The most common presenting symptom was bleeding (85.42%). Within 48 h post-operative, 32 patients (66.67%) complained of discomfort or mild pain. Length of time to normal activities varied between 1 day to 57 days (median 14 days). Long term, 37 patients (77.08%) described complete resolution of symptoms. The patient satisfaction questionnaire found 40 patients (83.33%) were very satisfied with their outcomes. Follow-up ranged from 3-65 months (mean 27 months). Seven patients (14.58%) reported recurrence of some symptoms. Conclusion: Our initial experience with short and long term follow up after THD-RM procedure has been very positive and our results are in line with many others.

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Cite the article

Waterman JL, Abdeldayem MA, Haray PN. Transanal Haemorrhoidal Dearterialisation and Rectal Mucopexy: Clinical Outcomes and Patient Perspectives. Clin Surg. 2019; 4: 2656.