Introduction:

Postoperative pain is the principal adverse effect of classic hemorrhoidectomy. Transanal hemorrhoidal dearterialization has emerged as a new surgical technique for hemorrhoidal disease treatment, this technique can result in less postoperative pain, with recurrence no higher than classic hemorrhoidectomy.

Material and methods:

A retrospective study evaluating 62 patients operated with this technique in the Colorectal Department in Hospital Angeles León, with hemorrhoidal disease grades 2, 3, and 4; from 2014 to 2020. We used the commercial device (THD® Doppler).

Results:

Postoperative pain was evaluated 24 h and one week postop, we followed the patients for 12 months. With a success rate of 96.77% with a VAS of 2-3 (74%) at 24 h and 0-1 (82%) at one week.

Conclusion:

Transanal hemorrhoidal dearterialization is a safe and effective minimally invasive procedure for the treatment of hemorrhoidal disease.