HAL / THD with Mucopexy
Doppler-guided technique that locates and ties off the arteries supplying piles — combined with mucopexy to lift prolapsed tissue, offering excellent results with minimal pain and quick recovery.
What is HAL / THD with Mucopexy?
HAL / THD (Haemorrhoidal Artery Ligation / Trans-anal Haemorrhoidal Dearterialisation) with Mucopexy is a precise, Doppler-guided procedure for piles. A specialised proctoscope with an inbuilt Doppler ultrasound locates the exact arteries feeding the haemorrhoids, which are then individually ligated with absorbable sutures. Mucopexy (lifting and securing prolapsed mucosa) is added to reposition any prolapsed tissue. The technique is virtually painless, has no external cuts, and offers excellent long-term outcomes. As a female proctologist in Hyderabad, Dr. Tejasree Vengala performs HAL / THD at Lux Hospitals, Hyderabad.
How the Procedure Works
Anaesthesia & Positioning
Surgery is performed under spinal or short general anaesthesia. The patient is positioned in lithotomy position.
Doppler-Guided Artery Identification
A specialised proctoscope with inbuilt Doppler is inserted, and the exact location of each haemorrhoidal artery is precisely identified by sound signal.
Targeted Artery Ligation
Each artery is individually ligated using absorbable sutures, cutting off the blood supply to the haemorrhoid above the pain-sensitive area.
Mucopexy for Prolapse
Continuous sutures lift and secure any prolapsed mucosa back into normal position, addressing both bleeding and prolapse.
Quick Recovery & Discharge
There are no external wounds. Most patients are discharged the same day or next, with quick return to routine activities.
Outcomes
Who Needs This Treatment?
- →Doppler-guided precision — only the feeding arteries are ligated
- →No external cuts on the anal area
- →Virtually painless recovery
- →Effective for both bleeding and prolapse
- →Quick return to office work in 2–3 days
- →Discreet, sensitive care by a female proctologist
HAL / THD with mucopexy is a beautifully targeted operation — Doppler tells us exactly where each artery is, we tie it off, and then we lift the prolapsed mucosa back where it belongs. The patient feels almost no pain, and that changes the entire experience of treating piles.
— — Dr. Tejasree Vengala, Consultant Proctologist & Laparoscopic Surgeon, Lux Hospitals, Hyderabad
Common Questions
Frequently Asked Questions
Not sure which treatment is right for you?
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