THD America<br />THD Procedure<br /> for Hemorrhoids A Kinder Gentler Approach <br />David Zeiler, M.D.<br />
Who Has Hemorrhoids?<br />Actually, you do!<br />EVERYONE does!<br />
Normal Anatomy<br />Normal Hemorrhoid<br />
An Ancient problem<br />Hippocrates (460-377 BC)    Wrote:   On Hemorrhoids (400 BC) - A treatise on the nature and treatm...
Causes<br />low-fiber diets <br />straining with defecation<br />Prolonged sitting on a toilet (eg, while reading)<br />Pr...
Hemorrhoid Symptoms<br />Bleeding: bright red blood  in  the toilet or on toilet tissue<br />Pain<br />Discomfort: itching...
Enlarged<br />Internal<br />Hemorrhoid<br />
Enlarged Internal Hemorrhoid with Prolapse<br />
What Causes Hemorrhoid Disease?<br />Patients with symptomatic Hemorrhoids appear to have excess blood flow into their Hem...
What Causes Hemorrhoid Disease?<br />Vessels<br />Connective tissue<br />Over time, this excess blood flow causes tissues ...
Eventually, swelling and stretching may lead to varying degrees of symptoms.<br />
You Are Not Alone!<br />Hemorrhoids affect up to 86% of Americans and has no age barrier.<br />Hemorrhoids are a condition...
Hemorrhoid Treatments<br />Diet / Drugs<br />Injection sclerotherapy<br />Cryotherapy<br />Photocoagulation<br />Rubber Ba...
Rubber Band Ligation<br />
Hemorrhoid Treatments<br />Why might I consider a surgical treatment for my Hemorrhoids?<br />
Surgical Treatments<br />More Invasive<br />Traditional<br />surgery<br />Stapled hemorroidopexy <br />(PPH)<br />Transana...
Surgical Treatments<br />
What is THD?<br />“Transanal Hemorrhoidal Dearterialization”<br />THD treats the sourceof Hemorrhoid disease, not the symp...
Tying off of Hemorrhoidal Artery<br />
Lifting of Hemorrhoidal Prolapse (Pexy)<br />
Completion of Hemorrhoidal Lift (Pexy)<br />
THDProcedure Benefits Summary<br />Minimally-invasive<br />No excision of tissue, low/minimal complication rates<br />Oper...
David Zeiler, M.D.<br />Triangle Surgical Associates<br />115 Crescent Commons Drive Suite 200 Cary, NC 27518<br /> (919) ...
The End<br />uranus<br />
   Thank You!<br />David Zeiler, M.D.<br />Triangle Surgical Associates<br />115 Crescent Commons Drive Suite 200 Cary, NC...
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THD Procedure for Hemorrhoids: A Kinder, Gentler Approach - Presented by David Zeiler, M.D. at WakeMed's Men's Health Event on 9/21/11

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THD Procedure for Hemorrhoids: A Kinder, Gentler Approach - Presented by David Zeiler, M.D. at WakeMed's Men's Health Event on 9/21/11

  1. 1.
  2. 2. THD America<br />THD Procedure<br /> for Hemorrhoids A Kinder Gentler Approach <br />David Zeiler, M.D.<br />
  3. 3. Who Has Hemorrhoids?<br />Actually, you do!<br />EVERYONE does!<br />
  4. 4. Normal Anatomy<br />Normal Hemorrhoid<br />
  5. 5. An Ancient problem<br />Hippocrates (460-377 BC) Wrote: On Hemorrhoids (400 BC) - A treatise on the nature and treatment of hemorrhoids, a pain in the rectum<br />
  6. 6. Causes<br />low-fiber diets <br />straining with defecation<br />Prolonged sitting on a toilet (eg, while reading)<br />Pregnancy<br />Age<br />Genetics<br />
  7. 7. Hemorrhoid Symptoms<br />Bleeding: bright red blood in the toilet or on toilet tissue<br />Pain<br />Discomfort: itching and or burning<br />Swelling<br />Prolapse (protruding hemorrhoid tissue)<br />
  8. 8. Enlarged<br />Internal<br />Hemorrhoid<br />
  9. 9. Enlarged Internal Hemorrhoid with Prolapse<br />
  10. 10. What Causes Hemorrhoid Disease?<br />Patients with symptomatic Hemorrhoids appear to have excess blood flow into their Hemorrhoids.<br />
  11. 11. What Causes Hemorrhoid Disease?<br />Vessels<br />Connective tissue<br />Over time, this excess blood flow causes tissues to swell and stretch. <br />
  12. 12. Eventually, swelling and stretching may lead to varying degrees of symptoms.<br />
  13. 13. You Are Not Alone!<br />Hemorrhoids affect up to 86% of Americans and has no age barrier.<br />Hemorrhoids are a condition that will happen to 50% of Americans by the age of 50. <br />Hemorrhoids can occur at any age but are more common as people get older. <br />Among younger people, they are most common in women who are pregnant or have had a child. <br />
  14. 14. Hemorrhoid Treatments<br />Diet / Drugs<br />Injection sclerotherapy<br />Cryotherapy<br />Photocoagulation<br />Rubber Band Ligation <br />Surgery<br />
  15. 15. Rubber Band Ligation<br />
  16. 16. Hemorrhoid Treatments<br />Why might I consider a surgical treatment for my Hemorrhoids?<br />
  17. 17. Surgical Treatments<br />More Invasive<br />Traditional<br />surgery<br />Stapled hemorroidopexy <br />(PPH)<br />Transanal hemorrhoidal dearterialization<br />(THD)<br />Hemorrhoidal tissue excision<br />Rectal mucosal<br />tissue excision<br />No excision<br />Less Invasive<br />
  18. 18. Surgical Treatments<br />
  19. 19. What is THD?<br />“Transanal Hemorrhoidal Dearterialization”<br />THD treats the sourceof Hemorrhoid disease, not the symptoms<br />THD uses sound waves to locate the hemorrhoidal arteries<br />Once each artery is located the surgeon ties off the blood flow<br />If necessary your surgeon will repair the prolapse which restores and “lifts” the tissue back to a more natural position<br />No tissue is cut or excised<br />THD is performed as an out-patient surgery<br />Most patients get back to normal activities within 4 days<br />
  20. 20. Tying off of Hemorrhoidal Artery<br />
  21. 21. Lifting of Hemorrhoidal Prolapse (Pexy)<br />
  22. 22. Completion of Hemorrhoidal Lift (Pexy)<br />
  23. 23. THDProcedure Benefits Summary<br />Minimally-invasive<br />No excision of tissue, low/minimal complication rates<br />Operation in low/no pain zone of anal canal<br />Surgeon can hear and see that arteries are tied off<br />Venous outflow remains to dissipate blood supply<br />Restoration of prolapsed tissue (Lifting)<br />Minimized post-op pain and discomfort<br />Patients back to normal activities within 4 days<br />
  24. 24. David Zeiler, M.D.<br />Triangle Surgical Associates<br />115 Crescent Commons Drive Suite 200 Cary, NC 27518<br /> (919) 851-5055 <br />Patient Education<br />Please ask me for a THD patient education brochure<br />
  25. 25. The End<br />uranus<br />
  26. 26. Thank You!<br />David Zeiler, M.D.<br />Triangle Surgical Associates<br />115 Crescent Commons Drive Suite 200 Cary, NC 27518<br /> (919) 851-5055 Mon - Fri 9:00am - 5:00pm<br />THD: Treating the Source –<br />Not the Symptoms<br />
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