{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,4,3]],"date-time":"2022-04-03T03:17:51Z","timestamp":1648955871679},"reference-count":34,"publisher":"FapUNIFESP (SciELO)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["ABCD, arq. bras. cir. dig."],"published-print":{"date-parts":[[2012,12]]},"abstract":"<jats:p>INTRODU\u00c7\u00c3O: O tratamento cir\u00fargico para hemorroidas deve ter indica\u00e7\u00e3o individual e baseia-se no sintoma predominante (sangramento ou prolapso), na gravidade da doen\u00e7a e na presen\u00e7a ou aus\u00eancia de componente externo (plicoma). Cabe ao cirurgi\u00e3o conhecer as mais variadas t\u00e9cnicas para que possa encontrar o tratamento mais adequado caso a caso. T\u00c9CNICA: O procedimento THD consiste na ligadura alta seletiva e guiada por Doppler de at\u00e9 seis ramos arteriais submucosos que irrigam as hemorroidas, levando \u00e0 sua desarterializa\u00e7\u00e3o, associada \u00e0 corre\u00e7\u00e3o do prolapso (reparo anorretal ou lifting). Utiliza equipamento e kit especiais. CONCLUS\u00c3O: A t\u00e9cnica do THD tem mostrado bons resultados iniciais. Por ser t\u00e9cnica cir\u00fargica em que se respeita a anatomia, ela age diretamente sobre a fisiopatologia da afec\u00e7\u00e3o e corrige suas principais consequ\u00eancias, ela parece bastante promissora. Sua aplica\u00e7\u00e3o inicial pode ser nos pacientes com doen\u00e7a hemorroid\u00e1ria de II grau, que tenham indica\u00e7\u00e3o de tratamento cir\u00fargico, e de III e IV graus, nestes \u00faltimos, podendo ser associada \u00e0 ressec\u00e7\u00e3o de plicomas.<\/jats:p>","DOI":"10.1590\/s0102-67202012000400016","type":"journal-article","created":{"date-parts":[[2013,2,9]],"date-time":"2013-02-09T11:36:57Z","timestamp":1360409817000},"page":"293-297","source":"Crossref","is-referenced-by-count":1,"title":["Desarterializa\u00e7\u00e3o transanal guiada por doppler associada ao reparo anorretal na doen\u00e7a hemorroid\u00e1ria: a t\u00e9cnica do THD"],"prefix":"10.1590","volume":"25","author":[{"given":"Carlos Walter","family":"Sobrado-Junior","sequence":"first","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jos\u00e9 Am\u00e9rico 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