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Ask Dr. Arun Phophalia Your Own Question
Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor (MD)
Category: Health
Satisfied Customers: 31330
Experience:  MBBS, MS (General Surgery), Fellowship in Sports Medicine
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Hemorroidal surgery. THD vs PPH ?

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Hemorroidal surgery. THD vs PPH ?
I am Dr. Arun and will be helping you today.

PPH is considered slightly superior surgery because; the recurrence rate of hemorrhoids is likely to be negligible. But it is slightly more expensive than Transanal hemorrhoidal arterial ligation (THD).

PPH has other slight advantages;

a) Admission is not required.
b) Only sedation is necessary for surgery.

Though there is no absolute consensus among the surgeons; usually surgical community keeps PPH (it needs spinal or general anesthesia) as a superior surgery as it removes all the tissue which causes formation of the hemorrhoids.

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Customer: replied 3 years ago.


Thanks for your answer. What about the recover time ? pain ?

Multiple studies have shown that in comparison with open or closed hemorrhoidectomy, stapled hemorrhoidopexy results in less pain and faster return to normal activity. Compared to PPH, THD too have almost same pain intensity and duration (mild pain for 2-4 days). Though recovery is slightly faster in THD by a day or so (average recovery time 2-3 days).

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