Transanal Hemorrhoidal Dearterialization

Mayo stand and back table instruments for Transanal Hemorrhoidal Dearterialization surgery setup

Clamping & Occluding

  • Curved Hemostat

    Curved Hemostat

  • Pennington Forceps

    Pennington Forceps

  • Straight Hemostat

    Straight Hemostat

Cutting & Dissecting

  • #3 Knife Handle

    #3 Knife Handle

  • Metzenbaum Scissor

    Metzenbaum Scissor

  • Straight Mayo Scissor

    Straight Mayo Scissor

Grasping & Holding

  • Adson Forceps

    Adson Forceps

  • Debakey Forcep

    Debakey Forcep

  • Forester Sponge Forceps

    Forester Sponge Forceps

  • Toothed Forcep

    Toothed Forcep

Retracting & Exposing

  • Hill Ferguson Rectal Retractor

    Hill Ferguson Rectal Retractor

  • Pratt Rectal Speculum

    Pratt Rectal Speculum

  • Sawyer Retractor

    Sawyer Retractor

Suctioning

  • Yankauer Suction

    Yankauer Suction

Suturing & Stapling

  • Mayo-Hegar Needle Holder

    Mayo-Hegar Needle Holder

What to expect during Transanal Hemorrhoidal Dearterialization

For this specific hemorrhoidal surgery, a Doppler proctoscope is usually used to visualize the arteries/blood supply. There isn’t much that techs need to do with the scope besides passing off the cords, and making sure it doesn’t fall from the field.

For retraction, most doctors I’ve worked with prefer either the Hill Ferguson retractor, or the Pratt rectal speculum.

Once a hemorrhoid has been located, a Pennington clamp is usually placed on it, and cautery is used to take the hemorrhoid off. Make sure you suction the smoke during this because it can get pretty nasty.

The spots are usually sutured up with an absorbable suture, toothed pickups or debakeys, and straight mayo scissors.

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