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'Piles' is the common term for haemorrhoids. Haemorrhoids are common in the general population although their symptoms vary widely. Symptoms may include minor intermittent bleeding, discomfort and a feeling of incomplete evacuation (tenesmus); external piles may be troublesome by their very presence and cause difficulty with anal cleanliness. More extensive piles may ‘prolapse’ and come outside the anus.

For most people with haemorrhoids, the condition is mild and can be treated with over the counter (OTC) medicines that tackle the symptoms, usually in the form of ointments or suppositories. However patients with persistent symptoms who require surgery can now be offered minimally invasive approaches:

HALO treatment for haemorrhoids

The Haemorrhoidal Artery Ligation Operation (HALO) has revolutionised the treatment of haemorrhoids. The use of Doppler ultrasound enables accurate identification and tying off of the blood supply to the haemorrhoids allowing them to shrivel up. For more details, click the heading below.

THD treatment for haemorrhoids

Transanal Haemorrhoidal De-Arterialisation (THD) is an innovative minimally invasive surgical procedure used to treat haemorrhoids (piles). It can also be called haemorrhoid ligation, haemorrhoidal artery ligation or Doppler guided ligation. The THD procedure is approved by the National Institute for Clinical Excellence (NICE)[i] and designed to cure haemorrhoids in a gentle way while focusing on achieving excellent long term results. For more details, click the heading below.

[i] https://www.nice.org.uk/guidance/ipg342

HALO treatment for haemorrhoids

The Haemorrhoidal Artery Ligation Operation (HALO) has revolutionised the treatment of haemorrhoids. The use of Doppler ultrasound enables accurate identification and tying off of the blood supply to the haemorrhoids allowing them to shrivel up. Further internal stitches help prevent piles from protruding. By avoiding painful cuts on the outside recovery is dramatically improved with a very low risk of any complications. The procedure is performed as a day case and can be carried out under sedation as well as general anaesthesia. 

Mr Jonathan Gilbert is an experienced consultant at Spire Thames Valley Hospital and provides the HALO technique. "The Haemorrhoidal Artery Ligation Operation (HALO) is an operation designed to eradicate piles without the need for cutting and is therefore a less painful procedure with many patients returning home within 24 hours." – Mr Jonathan Gilbert, Consultant in Colorectal and General Surgery.

THD treatment for haemorrhoids

Transanal Haemorrhoidal De-Arterialisation (THD) is a minimally invasive surgical procedure used to treat haemorrhoids (piles). It can also be called haemorrhoid ligation, haemorrhoidal artery ligation or doppler guided ligation.

The THD procedure is an innovative surgical treatment for haemorrhoids, approved by the National Institute for Clinical Excellence (NICE)[i] and designed to cure haemorrhoids in a gentle way while focusing on achieving excellent long term results.

The THD Procedure

The THD procedure does not cut or remove any haemorrhoidal tissue, minimising invasiveness and discomfort for patients.

It is a day surgery procedure.

During the THD procedure, the haemorrhoid’s feeding arteries are precisely located via a Doppler ultrasound probe, mounted on a specially designed proctoscope.

Each of these arteries is then sutured through a small operating window of the same proctoscope, making this technique minimally invasive.

The procedure is carried out in the area above the dentate line, (an area without sensory nerves); the patient doesn’t feel any stitches during or after the intervention.

The THD procedure can also re-position prolapsed tissue, helping to restore “ normal” anatomy and physiology.

After the procedure

THD does not cut or remove any haemorrhoidal tissue; hence pain and post-operative complications are significantly reduced, with a long term positive outcome.  

In most cases, patients resume their normal activities within 24 – 48 hours.

After the intervention, some patients might feel a slight discomfort in the rectal area which usually disappears within a few days. If any prolapse has been sutured, some patients might feel a slight urge to defecate, related to the repaired prolapse, which will gradually disappear.

The patient can be discharged a few hours after the operation, with pain killer tablets to be taken for any mild discomfort.

[i] publications.nice.org.uk/haemorrhoidal-artery-ligation-ipg342

Our specialist team

Meet the consultant who specialises in the HALO treatment of haemorrhoids.

Mr Jonathan Gilbert

Meet the consultant who specialises in the THD treatment of haemorrhoids.

Mr Bob Soin

To arrange your initial consultation

Call our enquiry line on 01753 665404
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