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?
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Doppler-guided precision — only the feeding arteries are ligated
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No external cuts on the anal area
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Virtually painless recovery
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Effective for both bleeding and prolapse
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Quick return to office work in 2–3 days
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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
HAL / THD with Mucopexy Cost in Hyderabad
The cost of HAL / THD with mucopexy in Hyderabad depends on the grade and severity of piles, extent of hemorrhoidal prolapse, complexity of the procedure, investigations required, and the care needed before and after surgery.
For patients requiring hemorrhoidal artery ligation with mucopexy for suitable prolapsing haemorrhoids, the approximate cost ranges between ₹80,000 and ₹1,50,000.
| Procedure | Approximate Cost Range |
|---|---|
| HAL / THD with Mucopexy | ₹80,000 – ₹1,50,000 |
The final cost may vary depending on your individual condition, findings during evaluation, number of hemorrhoidal arteries treated, and whether any additional procedures are required.
Factors That Influence HAL / THD with Mucopexy Cost
The overall cost may depend on:
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Grade and severity of piles: The extent of hemorrhoidal prolapse, number of affected haemorrhoids, and severity of symptoms may influence treatment planning.
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Pre-operative evaluation: Required clinical examination, investigations, blood tests, and medical assessments before surgery may affect the overall cost.
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Additional procedures: If procedures such as rubber band ligation, hemorrhoidectomy, or other proctology interventions are required along with HAL / THD, the cost may vary.
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Hospital stay and post-operative care: The duration of admission, medicines, dietary guidance, and follow-up requirements may influence the final estimate.
Is HAL / THD with Mucopexy Covered by Insurance?
HAL / THD with mucopexy may be covered by health insurance when it is performed for a medically necessary condition. Coverage depends on your insurance policy, inclusions, and approval process.
Our insurance support team can assist you with checking your policy coverage, required documentation, cashless approval process, and insurance-related queries before the procedure.
- Checking your policy coverage
- Cashless approval process
- Required documentation
- Insurance-related queries before the procedure
Dr. Tejasree Vengala
Consultant Proctologist & Laparoscopic Surgeon
During consultation, Dr. Tejashree Vengala, General & Laparoscopic Surgeon in Hyderabad, will evaluate your symptoms, medical history, and examination findings to determine whether HAL / THD with mucopexy is suitable for you. She will explain the procedure, expected outcomes, and guide you regarding the estimated cost based on your individual condition and treatment requirements.
Common Questions
Frequently Asked Questions
Not sure which treatment is right for you?
Book a consultation with Dr. Tejasree Vengala and get a personalised treatment plan.