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

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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 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 Presentation Transcript

  • THD America
    THD Procedure
    for Hemorrhoids A Kinder Gentler Approach
    David Zeiler, M.D.
  • Who Has Hemorrhoids?
    Actually, you do!
    EVERYONE does!
  • Normal Anatomy
    Normal Hemorrhoid
  • 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
  • Causes
    low-fiber diets
    straining with defecation
    Prolonged sitting on a toilet (eg, while reading)
    Pregnancy
    Age
    Genetics
  • Hemorrhoid Symptoms
    Bleeding: bright red blood in the toilet or on toilet tissue
    Pain
    Discomfort: itching and or burning
    Swelling
    Prolapse (protruding hemorrhoid tissue)
  • Enlarged
    Internal
    Hemorrhoid
  • Enlarged Internal Hemorrhoid with Prolapse
  • What Causes Hemorrhoid Disease?
    Patients with symptomatic Hemorrhoids appear to have excess blood flow into their Hemorrhoids.
  • What Causes Hemorrhoid Disease?
    Vessels
    Connective tissue
    Over time, this excess blood flow causes tissues to swell and stretch.
  • Eventually, swelling and stretching may lead to varying degrees of symptoms.
  • 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. 
  • Hemorrhoid Treatments
    Diet / Drugs
    Injection sclerotherapy
    Cryotherapy
    Photocoagulation
    Rubber Band Ligation
    Surgery
  • Rubber Band Ligation
  • Hemorrhoid Treatments
    Why might I consider a surgical treatment for my Hemorrhoids?
  • Surgical Treatments
    More Invasive
    Traditional
    surgery
    Stapled hemorroidopexy
    (PPH)
    Transanal hemorrhoidal dearterialization
    (THD)
    Hemorrhoidal tissue excision
    Rectal mucosal
    tissue excision
    No excision
    Less Invasive
  • Surgical Treatments
  • 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
  • Tying off of Hemorrhoidal Artery
  • Lifting of Hemorrhoidal Prolapse (Pexy)
  • Completion of Hemorrhoidal Lift (Pexy)
  • 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
  • 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
  • The End
    uranus
  • Thank You!
    David Zeiler, M.D.
    Triangle Surgical Associates
    115 Crescent Commons Drive Suite 200 Cary, NC 27518
     (919) 851-5055 Mon - Fri 9:00am - 5:00pm
    THD: Treating the Source –
    Not the Symptoms