Doppler-Guided Artery Ligation – A Sphincter-Saving, Painless Solution for Piles
Haemorrhoids (piles) are a common anorectal disorder causing bleeding, prolapse, pain, and discomfort during daily activities. Modern surgery has evolved beyond painful excisional techniques. Transanal Hemorrhoidal Dearterialization (THD), also known as Doppler-Guided Hemorrhoidal Artery Ligation, is a minimally invasive, stitch-only procedure that treats haemorrhoids at their root cause—excess arterial blood flow.
At Sukhayu Hospital, THD is performed by Dr Sachin Jadhav under the specialised Sukham Anocare Project, which focuses on advanced, compassionate care for anorectal diseases.
What Is THD (Doppler-Guided Artery Ligation)?
THD is a non-cutting, non-excisional procedure. Using a specially designed proctoscope fitted with a Doppler ultrasound probe, the surgeon accurately identifies hemorrhoidal arteries supplying excess blood to piles. These arteries are then ligated (tied off with sutures), reducing blood flow so the haemorrhoids shrink naturally.
When prolapse is present, a mucopexy (lifting stitch) is added to reposition the prolapsed tissue back to its normal anatomical location—without removing tissue.
Who Is an Ideal Candidate for THD?
THD is particularly suitable for:
- Grade II and Grade III haemorrhoids
- Selected Grade IV haemorrhoids (with reducible prolapse)
- Patients with bleeding piles as the main symptom
- Patients seeking painless surgery with a fast recovery
- Those wishing to avoid tissue removal and wound-related pain
A thorough evaluation by Dr Sachin Jadhav ensures correct case selection and optimal outcomes.
Key Advantages of THD Surgery
- Minimal to negligible postoperative pain
- No cutting, no raw wounds
- Preserves anal sphincter function
- Very low risk of incontinence or stenosis
- Short hospital stay (often daycare)
- Quick return to normal life
- Effective control of bleeding and prolapse
How THD Surgery Is Performed
- Surgery is done under spinal or short general anaesthesia
- A Doppler proctoscope identifies hemorrhoidal arteries
- Each artery is precisely ligated with absorbable sutures
- Mucopexy is added if prolapse is present
- No piles are cut or removed
⏱ Duration: Approximately 30–40 minutes
Postoperative Recovery & Care
- Mild pressure or fullness sensation for a few days
- Most patients resume routine activities within 2–4 days
- A high-fibre diet, adequate hydration, and stool regulation are advised
- Structured follow-up under the Sukham Anocare Project ensures long-term symptom relief and prevention of recurrence
THD vs Conventional Piles Surgery
AspectTHDConventional HemorrhoidectomyPainMinimalSignificantTissue RemovalNoYesWoundNo open woundOpen raw areaRecoveryFastProlongedSphincter SafetyExcellentRisk in some cases
Why Choose Sukhayu Hospital for THD?
- Experienced hands of Dr Sachin Jadhav in advanced anorectal procedures
- Modern Doppler-guided equipment
- Patient-centric, evidence-based protocols
- Dedicated anorectal care ecosystem under the Sukham Anocare Project
- Emphasis on pain-free recovery and long-term results
Book a Consultation Today
If you are suffering from bleeding or prolapsing piles and want a safe, modern, painless alternative to conventional surgery, THD may be the right solution for you.
📧 Email: connect@sukhayuhospital.in
📞 Call: 7420004242
Sukhayu Hospital – Treating piles at the root, not just the symptoms.
