{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T17:05:37Z","timestamp":1792170337231,"version":"4.4.0"},"reference-count":21,"publisher":"Wiley","issue":"1-2","license":[{"start":{"date-parts":[[2014,8,21]],"date-time":"2014-08-21T00:00:00Z","timestamp":1408579200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2016,1]]},"abstract":"Abstract<\/jats:title>Background<\/jats:title>Transanal haemorrhoidal dearterialization (THD<\/jats:styled-content>) is increasingly perceived as an effective and better tolerated alternative to excisional haemorrhoidectomy. The aim of this study was to evaluate outcomes and the patient experience of THD<\/jats:styled-content> in an A<\/jats:styled-content>ustralian population with grade III<\/jats:styled-content> or IV<\/jats:styled-content> haemorrhoids.<\/jats:p><\/jats:sec>Methods<\/jats:title>A retrospective review of prospectively maintained database on patients who had undergone THD<\/jats:styled-content> over a 3\u2010year period was performed. Data were collected on demographics, operative data, complications, recurrences and readmissions, postoperative pain and further interventions. Patient perceptions and satisfaction with the procedure were assessed with a telephone survey.<\/jats:p><\/jats:sec>Results<\/jats:title>A total of 85 patients with a mean age of 55 (\u00b114) years with grade III<\/jats:styled-content> (85%) or grade IV<\/jats:styled-content> (15%) haemorrhoids underwent THD<\/jats:styled-content>. Indications for surgery were predominantly bleeding (87%) and prolapse (41%). Median outpatients follow\u2010up was 42 days and median telephone follow\u2010up was 802 days. Median operating time was 25\u2009min (\u00b112). Twenty\u2010four per cent of patients suffered complications, including postoperative bleeding (7%), constipation (7%), local sepsis (6%), anal fissure (5%) and temporary incontinence (2%). Severe postoperative pain occurred in 16% of the patients. The symptom recurrence rate was 19% and reintervention rate was 14%. About 98.8% of patients reported good or excellent overall satisfaction with the procedure.<\/jats:p><\/jats:sec>Conclusion<\/jats:title>THD<\/jats:styled-content> is a relatively new technique for the treatment of haemorrhoids, which is increasingly being used as an alternative to excisional haemorrhoidectomy. This study shows that patients' satisfaction with THD<\/jats:styled-content> is high despite a moderate complication and recurrence rate and significant incidence of postoperative pain.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.12816","type":"journal-article","created":{"date-parts":[[2014,8,21]],"date-time":"2014-08-21T10:55:13Z","timestamp":1408618513000},"page":"59-62","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Transanal haemorrhoidal dearterialization for the treatment of grade III<\/scp> and IV<\/scp> haemorrhoids: a 3\u2010year experience"],"prefix":"10.1111","volume":"86","author":[{"given":"Arun","family":"Loganathan","sequence":"first","affiliation":[{"name":"Department of Colorectal Surgery The Queen Elizabeth Hospital Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Atandrilla","family":"Das","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery The Queen Elizabeth Hospital Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Luck","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery Lyell McEwin Hospital Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Hewett","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery The Queen Elizabeth Hospital Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,8,21]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cgh.2012.12.020"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD006761.pub2"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00384-008-0611-0"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10350-007-0308-4"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.3310\/hta12080"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.7833"},{"key":"e_1_2_6_8_1","first-page":"610","article-title":"A novel therapy for internal hemorrhoids: ligation of the hemorrhoidal artery with a newly devised instrument (Moricorn) in conjunction with a Doppler flowmeter","volume":"90","author":"Morinaga K","year":"1995","journal-title":"Am. 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