Dr. Ibrahim Gamal: Consultant General Surgeon

Expert in Colorectal and Laparoscopic surgery in the heart of Abu Dhabi. Over 20 years of advanced surgical experience.

About Us

Guided by Heart and Hope

Our practice is dedicated to providing advanced, minimally invasive surgical solutions with a focus on same-day recovery and patient comfort.

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Patients Cared For
Our Services

Dedicated to Your Wellness

"Trusted Hands, Caring Hearts"

Hemorrhoid Treatment

Anal Fistula Treatment

Anal Fissure Treatment

Pilonidal Sinus Management

Anal Abscess Care

Anorectal Management

Anal Incontinence Management

Anorectal Cancer Screening

Laparoscopic Colorectal Surgery

Laparoscopic Hernia Repair

Laparoscopic Cholecystectomy

Laparoscopic Appendectomy

Breast Surgery

THD® Doppler for Anolift

Why to choose THD Anolift in treating hemorrhoidal disease?

THD technique treats the blood vessels that cause the hemorrhoidal disease

THD technique preserves the hemorrhoidal cushions and the anal tissue and does not compromise their function in controlling defecation

THD technique is a less invasive, less traumatic, and dramatically less painful surgical treatment

THD technique is an effective treatment, helps faster symptom relief with a minimal recurrence rate

THD technique has become the patient’s favorable choice due to the maximum convenience and the fast recovery offered

Based on clinical evidence and several scientific studies, the THD® Doppler for Anolift technique is indicated for the surgical treatment of all grades of hemorrhoidal disease.

The procedure has proved effective and safe for all grades of hemorrhoids that do not respond to conservative and outpatient treatments. Depending on the symptoms and the degree of the disease, the surgeon will evaluate whether to perform only the ligation of the hemorrhoidal arteries or a dearterialisation with mucopexy.

THD® Doppler for Anolift: surgical technique

The THD® Doppler for Anolift technique stems from constant research in the clinical field associated with cutting-edge technologies. THD® Doppler for Anolift surgery allows to effectively treat the causes of hemorrhoidal disease, resolving the symptoms.

The THD® Doppler for Anolift method is a surgical procedure which enables treatment of both the arterial overflow and of the hemorrhoidal prolapse. The haemorrhoidal disease is in fact connected to hypertension of the hemorrhoidal plexus (vascular component) and to degeneration of the connective tissue (mechanical component). Both the vascular component and the mechanical component can be associated with the characteristic symptoms of the haemorrhoidal pathology: bleeding and prolapse.

Aim of the THD® Doppler for Anolift technique is to act on the causes of the hemorrhoidal disease and thus to resolve the symptoms associated with it. This is why the THD® Doppler for Anolift method involves both dearterialisation and mucopexy.

Transanal hemorrhoidal dearterialisation makes it possible to reduce the arterial hyper-flow to the hemorrhoids through the ligation of the terminal branches of the superior rectal artery under the guide of a Doppler ultrasonography. While the purpose of the mucopexy is to reposition the prolapsed tissue in its original anatomical position by providing support to the connective tissue through scarring.

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مع دكتور ابراهیم جمال انتم في أيد أمينة

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FAQs

Hemorrhoids are not a strange or rare disease; they are essentially natural tissue and cushions present in everyone at the junction of the rectum and anus. This tissue works with the sphincter muscle to ensure complete anal closure and prevent involuntary leakage. The presence of these cushions is not the problem—the issue begins when they enlarge beyond normal size, causing symptoms like bleeding, pain, or the feeling of a lump to appear.

Several factors contribute to the enlargement of hemorrhoid tissue. Among the most prominent is severe straining during bowel movements, which often happens with chronic constipation. Pregnancy and childbirth also significantly increase pressure on this area. With aging, supporting tissues lose part of their natural elasticity. Finally, a sedentary lifestyle, lack of movement, and sitting or driving for long periods are all factors that increase pressure on the region and contribute to the problem over time.

Hemorrhoids are classified into four grades based on severity:

  • Grade I: Minor tissue enlargement without noticeable prolapse.

  • Grade II: Hemorrhoids prolapse during straining but spontaneously return to their place afterward.

  • Grade III: Requires manual intervention to push the prolapsed tissue back into its natural position.

  • Grade IV: The most advanced stage, featuring permanent prolapse outside the anus that cannot be reduced manually or on its own.

    Determining the grade dictates the appropriate course of treatment.

Many people delay visiting a doctor due to embarrassment, but the reality is that one in two adults experiences a hemorrhoidal issue at some point in their life. The condition is extremely common and nothing to be ashamed of. Crucially, do not wait until symptoms worsen; early intervention offers a greater chance for treatment via simpler, less invasive means and reduces the likelihood of needing complex surgery later.

Treatment does not immediately begin with surgery. In mild cases, conservative management and lifestyle adjustments are used, such as increasing dietary fiber and fluid intake. If the condition requires an intervention, advanced options like laser therapy offer minimal surgical intrusion and faster recovery. Another available modern option is the THD procedure. Each case is evaluated individually to determine the most suitable treatment.

The THD (Transanal Hemorrhoidal Dearterialization) technique uses a Doppler device to pinpoint the location of the hemorrhoidal arteries with high precision. These arteries are then ligated without cutting or excising tissue. The primary advantage is that it preserves the natural anatomy of the region, leading to less postoperative pain and a faster recovery period compared to traditional excisional surgery.