PATIENTS' CONTENTMENT WITH TRANSANAL HEMORRHOIDAL DEARTERIALISATION

Hemorrhoidectomy was the method of choice for treating grade 3 and 4 hemorrhoids. Due to a large number of complications, a new surgical treatment called transanal hemorrhoidal dearterialization (THD) was introduced. The aim of the study was to evaluate the effect of treatment with THD in patients with hemorrhoids. This study included 70 patients, 48 males and 22 females, who were hospitalized at the Clinical Center Nis in the period from September 2016 to September 2018. Fifteen patients had grade 4 hemorrhoids, 54 were with grade 3, one patient with grade 2. The average duration of the operation was 33.33 minutes, and patients were hospitalized for 1-2 days. We recorded: sex, age, stage, type of anesthesia, duration of surgery, length of stay, patient satisfaction, combinations of THD with other procedures, and surgical complications. In 46 patients, surgery was performed under general anesthesia, in 18 patients in spinal and in 6 patients in local anesthesia with analgesia. In 37 subjects we used THD only, and in 33 we used THD in combination with other methods. We observed the development of complications in 9 patients. Bleeding occurred in 2 patients, pain in 2, and urinary retention in 4, and abscess in 1. The majority of the patients (62.9%) were satisfied with this method, 27.1% were partially satisfied and 10% were unsatisfied. This method provides a shorter stay in the hospital, low complications rate and is a safe, fast and simple initial surgical option.