THD Hellas website syndication http://www.thdhellas.gr Wed, 08 Feb 2012 13:45:43 +0200 FeedCreator 1.7.2 http://www.thdhellas.gr/labmethod/thdmethod/thd-method.html Με το THD, θα χρειαστείτε μία ημέρα και... Θα ξεχάσετε τον πόνο Θα κάθεστε χωρίς κανένα πρόβλημα Θα μπορέσετε να γυρίσετε άμεσα στις καθημερινές σας δραστηριότητες http://www.thdhellas.gr/labmethod/thdmethod/what.html Η μέθοδος THD είναι η πιο αποτελεσματική απάντηση στα προβλήματα που σχετίζονται με την αιμορροϊδοπάθεια. Οι πάσχοντες απο αιμορροϊδοπάθεια γνωρίζουν τις σοβαρές συνέπειες αυτής της ασθένειας πολύ καλά: η αφαίμαξη, η πρόπτωση του βλεννογόνου του ορθού και του πόνου που προκύπτουν από μια χειρουργική επέμβαση που γίνεται με τις συμβατικές μεθόδους. Η μέθοδος THD αντιμετωπίζει και επιλύει τα προβλήματα αυτά αποτελεσματικά: μειώνει την αρτηριακή εισροή στούς αιμορροϊδικούς όζους και επισκευάζει την πρόπτωση αν υπάρχει, πραγματοποιώντας αιμορροϊδοπηξία, και έτσι επανατοποθετεί τούς αιμορροϊδικούς όζους. Η επέμβαση πραγματοποιείται σε μία περιοχή οπου δεν υπάρχουν νευρικές απολήξεις, ετσι εξαλείφεται το κύριο πρόβλημα που σχετίζεται με τις παραδοσιακές χειρουργικές μεθόδους :Ο ΠΟΝΟΣ. Οι επεμβάσεις που πραγματοποιούνται με την μέθοδο THD είναι ελάχιστα επεμβατικές διότι σε αυτές δεν συνεπάγεται καμία εκτομή ιστού, και είναι απολύτως ασφαλείς. Η μέθοδος THD είναι μια πρωτοποριακή χειρουργική επέμβαση για την θεραπεία των αιμορροϊδων, που επαναπροσδιορίζει την χειρουργική προσέγγιση της αιμορροϊδοπάθειας, διασφαλίζει την μέγιστη αποτελεσματικότητα και ταυτόχρονα ελαχιστοποιεί τα επίπεδα της επεμβατικότητας, του πόνου και του αγχους στον ασθενή. http://www.thdhellas.gr/labmethod/thdmethod/methodos-thd.html Η Μέθοδος THD είναι η λιγότερο τραυματική και επεμβατική χειρουργική θεραπεία τών αιμορροΐδων. Με την μέθοδο THD ο ασθενής μπορεί να επανέλθει στις συνήθεις δραστηριότητες του, μέσα σε 24 - 48 ώρες. http://www.thdhellas.gr/anorectal/diseases/anorectal-diseases.html Χάρη στην αφοσίωση και στην εξειδίκευση των τεχνικών της η THD LAB έχει αποκτήσει μεγάλη εμπειρία στον τομέα των ιατρικών και χειρουργικών οργάνων για παθήσεις της ορθοπρωκτικής περιοχής. Ορθοπρωκτικές παθήσεις χαρακτηρίζονται όλες οι ασθένειες που επηρεάζουν την περιοχή μεταξύ του πρωκτού, δηλ. το άνοιγμα του ορθού από όπου αποβάλλονται τα περιττώματα από το ανθρώπινο σώμα, και του τελευταίου τμήματος του παχέως εντέρου μεταξύ του σιγμοειδούς κόλου και του πρωκτού. Ένας μεγάλος αριθμός ασθενειών υπάγεται σε αυτές τις παθήσεις και παρουσιάζουν διαφορετικά αίτια, συμπτώματα και επίπεδα σοβαρότητας. Αναμφισβήτητα η αιμορροειδοπάθεια είναι η πιο κοινή ασθένεια που επηρεάζει ανθρώπους άνω των 50 στις αναπτυγμένες χώρες. Ωστόσο, οι πρωκτικές ραγάδες, η εντερική δυσλειτουργία,  η πρωκτική φίστουλα, το πρωκτικό κονδύλωμα και η πρόπτωση ορθού είναι επίσης αρκετά κοινές. Ο στόχος της THD LAB είναι να παρέχει στους αναγνώστες μία κατανοητή περίληψη αυτών των παθήσεων βασισμένο στο υψηλό επίπεδο που κατέχει σ’αυτό το πεδίο. Κάθε τμήμα περιγράφει τα συμπτώματα και τα αίτια αυτών των παθήσεων με λεπτομέρεια και παρέχει μία λίστα όλων των διαθέσιμων θεραπειών. Όλα τα κείμενα έχουν ετοιμαστεί από τον Dr. Salafia, έναν ειδικό κολοπρωκτολόγο και πολύτιμο συνεργάτη μας. Αυτό εξασφαλίζει ακρίβεια, τόσο για το επιστημονικό περιεχόμενο όσο και για την χρησιμοποιούμενη ορολογία. Η THD LAB είναι πρόθυμη να δημιουργήσει το δικό της απόθεμα γνώσεων καθώς επίσης και την δική της τεχνογνωσία διαθέσιμη στους ασθενείς ώστε να ικανοποιήσει τις ανάγκες τους, να απαντηθούν οι ερωτήσεις τους και να εξαλυφθούν οι αμφιβολίες τους. Η παροχή σωστών πληροφοριών είναι το πρώτο βήμα στο να κάνεις κάτι καλό για την υγεία του ασθενούς. http://www.thdhellas.gr/faqs/questions/faqs-questions.html Συχνές Ερωτήσεις http://www.thdhellas.gr/labmethod/thdmethod/about.html Η THD Lab κατασκευάζει βιοϊατρικά βοηθήματα που συμμορφώνονται με τα υψηλότερα πρότυπα ασφαλείας και παρέχουν στους ασθενείς ασφάλεια. Τα λαμπρά αποτελέσματα αυτής της χειρουργικής διαδικασίας που έχουν επιτευχθεί μέχρι στιγμής, σε συνδυασμό με την ελάχιστη εισβολής, κάνουν την THD μέθοδο πολύ δημοφιλής στήν επιστημονική κοινότητα.Στο τμήμα αυτό μπορείτε να βρείτε τις μαρτυρίες ορισμένων ασθενών που υπέστησαν THD διαδικασία, ορισμένα άρθρα και συνεντεύξεις ιατρών καθώς και προϊόντα THD. http://www.thdhellas.gr/labmethod/thdmethod/how.html Η μέθοδος THD πραγματοποιείται απο χειρουργούς με ενα ειδικό μηχάνημα, που τους επιτρέπει να εντοπίζουν με μεγάλη ακρίβεια και ασφάλεια τις περιοχές στις οποίες πρεπει να πραγματοποιηθεί η επέμβαση. http://www.thdhellas.gr/labmethod/thdmethod/pou-eimaste.html http://www.thdhellas.gr/labmethod/thdmethod/where.html http://www.thdhellas.gr/labmethod/thdmethod/when.html Η μέθοδος THD είναι η σωστή μέθοδος οχι μόνο για εύκολες περιπτώσεις αλλα και για ποιό περίπλοκες, οι οποίες δημιουργουν μεγαλύτερο πρόβλημα στους αιμορροϊδοπαθείς. http://www.thdhellas.gr/labmethod/thdmethod/before-after.html Πρίν την επέμβαση Η επέμβαση με την μέθοδο THD μπορεί να πραγματοποιηθεί κατόπιν συστάσεως του χειρουργού. Αυτή η μέθοδος διασφαλίζει την μέγιστη ασφάλεια και άνεση τόσο κατα την διάρκεια της προετοιμασίας του ασθενή, όσο και κατα την μετεγχειρητική περίοδο μετά την επέμβαση. Μετά την επέμβαση Οι ασθενείς δεν αισθάνονται καθόλου πόνο κατα την μετεγχειρητική περίοδο. Παρόλαυτα μπορεί να έχουν αίσθημα βάρους. Αυτή η αίσθηση εξαφανίζεται προοδευτικά με την παρέλευση λίγων ημερών, και μπορεί να παραμείνει υπό έλεγχο με την πρόσληψη συνηθισμένων παυσιπόνων. Συνήθως δεν παρουσιάζεται καμμία σοβαρή επιπλοκή. Μπορεί να συμβεί ελαφριά αιμορραγία η οποία θα σταματήσει μετά απο λίγες ώρες. Οι ασθενείς επίσης ίσως νοιώσουν επιτακτική ανάγκη γιά αφόδευση. Αυτή είναι μία προσωρινή κατάσταση. Στίς περισσότερες περιπτώσεις η μέθοδος THDμπορεί να θεωρηθεί μία μόνιμη λύση στο πρόβλημα των αιμορροϊδων, διότι οι υποτροπές είναι πολύ σπάνιες. http://www.thdhellas.gr/partners/doctors/iatroi.html THD Συνεργάτες Αθήνας Γεώργιος Σάμπαλης - Γενικός ΧειρουργόςΙατρείοΑγίου Ιωάννου 37-Αγία Παρασκευή 1ος Οροφος Δευτέρα και Τετάρτη Απόγευμα 4μμ-7μμ (με ραντεβού) Τηλ.:210-6001302 Γραμματέας: Ματίνα Κουτουλίδη : 6932405108Ιατρικό ΑθηνώνΚηφισίας 56 και Δελφών Γραφεία Ιατρών 2ος Οροφος Tηλ.: 210 6198100-210 6862117 - Τρίτη και Πέμπτη από 9πμ έως και 1 μμ.Συνεχώς στο Κέντρο: 210-6198100Λευκός Σταυρός ΑθηνώνΠαπαδιαμαντοπούλου και Σισίνη 1 Ιλίσια 3oς Οροφος Τηλ.: 210-6001302 Δευτέρα - Τετάρτη και Παρακευή από 10 πμ έως 2μμ. Τηλέφωνο Κλινικής :210-7214156 E-mail: sambalis@sambalis.gr - Διαδίκτυο : www.sambalis.gr (http://www.sambalis.gr/) - www.surgeryonline.gr (http://www.surgeryonline.gr/surgeryonline/cmps_index.php) Κωνσταντίνος Μ. Κωνσταντινίδης - Γενικός ΧειρουργόςΙατρείο Κωνσταντίνου Μ. Κωνσταντινίδη Κηφισίας 354, Χαλάνδρι 152 33 Τηλ.: 210 6841398, 210 6891880Ιατρικό Κέντρο Αθηνών Κτίριο Δ, 8ος όροφος Διστόμου 3, Μαρούσι 151 25 Τηλ.: 210 6107165, 210 6107189 Fax: 210 6157375 E-mail: info@kkonstantinidis.com - Διαδίκτυο : www.kkonstantinidis.com Αναστάσιος Γ. Ξιάρχος, MD, PhD Γενικός ΧειρουργόςΙατρείοΣπευσίππου 26-28, Κολωνάκι Τηλ. 6977063099, 210 7296584Ιατρικό ΑθηνώνΔιστόμου 3, 15125, Μαρούσι Τηλ. 210 6198100, FAX: 210 6157375Eυγενίδειο Θεραπευτήριο Πανεπιστημίου Αθηνών Παπαδιαμαντοπούλου 20, Αθήνα, 11528 Τηλ. 210 7208100 Τηλέφωνο 24ωρης επικοινωνίας: 6977 063 099 E-mail: info@axiarchos.gr - Διαδίκτυο : www.axiarchos.gr Χαράλαμπος Επ. Στρατόπουλος, MD, PhD Γενικός ΧειρουργόςΙατρείοΓράμμου 18 και 28ης Οκτωβρίου, Πλ. Ελ.Βενιζέλου, 15235 ΒριλήσσιαΤηλ/fax: 2106848919, κιν: 6944742540Ιατρικό ΑθηνώνΔιστόμου 5-7, 15125, Μαρούσι Τηλ: 2106862193, 2106198100, fax: 2106862193Θεραπευτήριο Κυψέλης Ι.Δροσοπούλου 24, 11257 Αθήνα, τηλ: 21068236721 Λευκός ΣταυρόςΠαπαδιαμαντοπούλου 16 Γ.Σισίνη 1, 11528, Αθήνα, τηλ: 2107253961 E-mail: info@stratopoulos.gr - Διαδίκτυο : www.stratopoulos.gr Μιχαήλ Ν. Βοργιάς MD. FACS Γενικός ΧειρουργόςΙατρείοΣωκράτους 47 Αιξωνή ΓλυφάδαΔευτέρα Τετάρτη Παρασκευή απόγευμα 17:00- 21:00 Τηλ 2108982771Ιατρικό ΑθηνώνΔιστόμου 3 Μαρούσι Τρίτη Πέμπτη πρωί 09:00-14:00 210 6157131Mediterraneo HospitalΗλείας 10-12 Γλυφάδα Δευτέρα Τετάρτη Παρασκευή πρωί 09:00- 15:00 Τηλ 210 9117000 Τηλ 24ώρης επικοινωνίας 6977407508 E-mail: vorias@laparoboticsurgery.gr - Διαδίκτυο : www.laparoboticsurgery.gr Διαμαντής Ε. Θωμάς MD. Γενικός ΧειρουργόςΙατρείοΔημοσθένους Βασιλείου 11 Χαλκίδα Απόγευμα 17:00 με 21:00 Τηλ 22210 24226Mediterraneo HospitalΗλείας 10-12 Γλυφάδα Πρωί 09:00- 15:00 Τηλ 210 9117000 Τηλ 24ώρης επικοινωνίας 6977597085 E-mail: thomas@laparoboticsurgery.gr - Διαδίκτυο : www.laparoboticsurgery.gr Dr. ΑΠΟΣΤΟΛΟΣ ΣΤΑΜΑΤΙΑΔΗΣΧΕΙΡΟΥΡΓΟΣ - ΠΡΩΚΤΟΛΟΓΟΣ ΔΙΔΑΚΤΩΡ ΠΑΝΕΠΙΣΤΗΜΙΟΥ ΑΘΗΝΩΝ“ΕΥΓΕΝΙΔΕΙΟ” ΘΕΡΑΠΕΥΤΗΡΙΟ ΑΘΗΝΩΝΤΗΛ. ΕΠΙΚΟΙΝΩΝΙΑΣ: 210-7470555 Διαδίκτυο : www.proktos.gr - www.proctology.gr ΒΑΣΙΛΕΙΟΣ ΔΡΑΚΟΠΟΥΛΟΣΓΕΝΙΚΟΣ ΧΕΙΡΟΥΡΓΟΣ - ΓΕΝΙΚΟ ΝΟΣΟΚΟΜΕΙΟ ΑΘΗΝΩΝ "Ο ΕΥΑΓΓΕΛΙΣΜΟΣ" Α' ΧΕΙΡΟΥΡΓΙΚΗ ΚΛΙΝΙΚΗ - ΜΟΝΑΔΑ ΜΕΤΑΜΟΣΧΕΥΣΕΩΝ ΟΡΓΑΝΩΝ E-mail: vasilisdrakopoulos@hotmail.com ΔΕΣΠΟΙΝΑ Β. ΜΥΛΩΝΑΚΗ Md, PhdΓενικός Χειρουργός - Λαπαροσκοπική Χειρουργική - ΔΙΔΑΚΤΩΡ ΠΑΝΕΠΙΣΤΗΜΙΟΥ ΑΘΗΝΩΝΣεβαστείας 25 - ΖωγράφουΤΗΛ. ΕΠΙΚΟΙΝΩΝΙΑΣ: 210 77 52 181 - 694 46 12 016 Διαδίκτυο : www.dmilonaki.gr (http://www.dmilonaki.gr/) - E-mail: despoina_milonaki@yahoo.com Ιωάννης Κ. Μπολάνης, ΧειρουργόςDiplome de chirurgie Laparoscopique France Εξειδικευθείς στις παθήσεις του Γαστρεντερικού συστήματοςΕιδικός συνεργάτης "Μετροπόλιταν", "Ιατρικό"Ιατρείο "Μετροπόλιταν" (κτίριο β, 5ος όροφος): Εθν. Μακαρίου 9 Ελ. Βενιζέλου 1, Ν. Φάληρο, τηλ: 210 4807122, κιν: 6945 588540 Διαδίκτυο : www.bolanis.gr (http://www.bolanis.gr/) - E-mail: bolanis@yahoo.com ΧΡΗΣΤΟΣ ΛΑΜΠΡΑΚΗΣ MD - ΧΕΙΡΟΥΡΓΟΣ Λ. ΑΛΕΞΑΝΔΡΑΣ 150 - ΑΘΗΝΑ ΤΗΛ. ΙΑΤΡΕΙΟΥ : 210 6410428 ΠΑΠΑΔΗΜΗΤΡΙΟΥ ΔΗΜΗΤΡΙΟΣ - ΜΑΡΙΑ ΓΚΟΥΒΕΛΗ - ΓΕΝΙΚΟΙ ΧΕΙΡΟΥΡΓΟΙ - ΥΓΕΙΑ 210 6867133 dpsurg@gmail.com ΜΙΧΑΗΛ Κ. ΓΕΩΡΓΙΟΥ - ΓΕΝΙΚΟΣ ΧΕΙΡΟΥΡΓΟΣΛΑΠΑΡΟΣΚΟΠΙΚΗ ΧΕΙΡΟΥΡΓΙΚΗ-ΧΕΙΡΟΥΡΓΙΚΗ LASER-ΙΑΤΡΙΚΟ ΑΘΗΝΩΝ ΤΗΛ.: 210 6157133ΙΑΤΡΕΙΟ ΠΡΑΞΙΤΕΛΟΥΣ 123 ΠΕΙΡΑΙΑΣ ΤΗΛ.: 210 4117032 - FAX: 210 4117042 - ΚΙΝΗΤΟ: 6943 499500 - e-mail: mgeorgiou30@yahoo.gr ΔΗΜΗΤΡΗΣ ΜΑΓΓΑΝΑΣ - ΕΠΙΜΕΛΗΤΗΣ Α.Χ. ΕΥΑΓΓΕΛΙΣΜΟΣ THD Συνεργάτες στην ΚρήτηΧΑΛΚΙΑΔΑΚΗΣ ΓΕΩΡΓΙΟΣ ΚΑΘΗΓΗΤΗΣ ΧΕΙΡΟΥΡΓΙΚΗΣ -ΔΙΕΥΘΥΝΤΗΣ ΧΕΙΡΟΥΡΓΙΚΗΣ ΚΛΙΝΙΚΗΣ ΠΑΝΕΠΙΣΤΗΜΙΑΚΟ ΝΟΣΟΚΟΜΕΙΟ ΗΡΑΚΛΕΙΟΥ 6944558308 ΚΑΙ 2810392380 chalk@med.uoc.gr ΑΘΑΝΑΣΑΚΗΣ ΗΛΙΑΣ ΕΠΙΜΕΛΗΤΣ Β ΧΕΙΡΟΥΡΓΙΚΗΣ ΚΛΙΝΙΚΗΣ ΠΑΝΕΠΙΣΤΗΜΙΑΚΟ ΝΟΣΟΚΟΜΕΙΟ ΗΡΑΚΛΕΙΟΥ 6977413848 eliasathanasakis@yahoo.gr ΞΥΝΟΣ ΕΥΑΓΓΕΛΟΣ ΑΝΑΠΛΗΡΩΤΗΣ ΚΑΘΗΓΗΤΗΣ ΧΕΙΡΟΥΡΓΙΚΗΣ CRETA INTERCLINIC ΗΡΑΚΛΕΙΟ 2810280002 ΚΑΙ 6972080159 exynos@gmail.com και exynos@med.uoc.gr ΣΕΒΡΙΣΕΡΙΑΝΟΣ ΝΙΚΟΛΑΟΣ ΧΕΙΡΟΥΡΓΟΣ CRETA INTERCLINIC ΗΡΑΚΛΕΙΟ 6944570410 sevriserianos@yahoo.gr ΒΕΛΕΓΡΑΚΗΣ ΜΙΧΑΗΛ ΔΙΕΥΘΥΝΤΗΣ Β ΧΕΙΡΟΥΡΓΙΚΗΣ ΚΛΙΝΙΚΗΣ ΒΕΝΙΖΕΛΕΙΟ ΝΟΣΟΚΟΜΕΙΟ ΗΡΑΚΛΕΙΟΥ 6944391926 ΟΙΚΟΝΟΜΟΥ ΚΩΝΣΤΑΝΤΙΝΟΣ ΕΠΙΜΕΛΗΤΗΣ Α, Β ΧΕΙΡΟΥΡΓΙΚΗΣ ΚΛΙΝΙΚΗΣ ΝΟΣΟΚΟΜΕΙΟ ΑΓ. ΓΕΩΡΓΙΟΣ ΧΑΝΙΩΝ 6944441545 ΑΝΤΩΝΙΟΥ ΧΑΡΑ ΕΠΙΜΕΛΗΤΡΙΑ Α, Β ΧΕΙΡΟΥΡΓΙΚΗΣ ΚΛΙΝΙΚΗΣ ΝΟΣΟΚΟΜΕΙΟ ΑΓ. ΓΕΩΡΓΙΟΣ ΧΑΝΙΩΝ 6945933341 ΤΣΙΝΙΝΙΓΚΑΚΗΣ ΝΙΚΟΛΑΟΣ ΕΠΙΜΕΛΗΤΗΣ Β, Β ΧΕΙΡΟΥΡΓΙΚΗΣ ΚΛΙΝΙΚΗΣ ΝΟΣΟΚΟΜΕΙΟ ΑΓ. ΓΕΩΡΓΙΟΣ ΧΑΝΙΩΝ 6944247252 nikostsim@hotmail.com ΧΡΙΣΤΟΔΟΥΛΑΚΗΣ ΜΑΝΟΥΣΟΣ ΕΠΙΜΕΛΗΤΗΣ Α ΚΛΙΝΙΚΗΣ ΧΕΙΡΟΥΡΓΙΚΗΣ ΟΓΚΟΛΟΓΙΑΣ ΠΑΝΕΠΙΣΤΗΜΙΑΚΟ ΝΟΣΟΚΟΜΕΙΟ ΗΡΑΚΛΕΙΟΥ 6977861617 christom7@gmail.com ΜΕΛΙΣΣΑΣ ΙΩΑΝΝΗΣ ΚΑΘΗΓΗΤΗΣ ΧΕΙΡΟΥΡΓΙΚΗΣ- ΔΙΕΥΘΥΝΤΗΣ ΚΛΙΝΙΚΗΣ ΧΕΙΡΟΥΡΓΙΚΗΣ ΟΓΚΟΛΟΓΙΑΣ ΠΑΝΕΠΙΣΤΗΜΙΑΚΟ ΝΟΣΟΚΟΜΕΙΟ ΗΡΑΚΛΕΙΟΥ 6932250015 ΚΑΙ 2810392387 ΕΥΘΥΜΙΟΣ ΚΟΥΜΕΝΤΑΚΗΣ ΓΕΝΙΚΟΣ ΧΕΙΡΟΥΡΓΟΣΑβέρωφ 13 Μανουσογιάννη Γωνία Ηράκλειο, Κρήτης, 71201 τηλ φαξ: +30 2810 242518 www.surgeryincrete.com info@surgeryincrete.com THD Συνεργάτες στα ΙωάννιναΙΩΑΝΝΗΣ ΤΣΙΜΟΓΙΑΝΝΗΣ ΑΝΑΠΛΗΡΩΤΗΣ ΔΙΕΥΘΥΝΤΗΣ - ΧΕΙΡΟΥΡΓΙΚΗ ΚΛΙΝΙΚΗ ΝΟΣΟΚΟΜΕΙΟΥ ΧΑΤΖΗΚΩΣΤΑ ΙΩΑΝΝΙΝΩΝ Τηλ: 26510-80513 THD Συνεργάτες Θεσσαλονίκη - Μακεδονία - Βόρεια Ελλάδα Δρ. Χρηστάκης Χρήστος Γενικός ΧειρουργόςΙατρείο: Αδριανουπόλεως 20, Καλαμαριά 55133 Τηλ 2310486417-6944592747EUROMEDICA – ΚΥΑΝΟΣ ΣΤΑΥΡΟΣ ΘΕΣΣΑΛΟΝΙΚΗΣ: Νικ. Μάνου 16, Θεσσαλονίκη 54643 Τηλ. 2310896500, 23108986531 Διαδίκτυο : www.drchristakis.gr (http://www.drchristakis.gr/) - E-mail:info@drchristakis.gr ΓΕΩΡΓΙΑΔΗΣ Γ. ΔΗΜΗΤΡΙΟΣ – ΧΕΙΡΟΥΡΓΟΣΚΛΙΝΙΚΗ ΑΓ.ΛΟΥΚΑΣ ΠΑΝΟΡΑΜΑ ΘΕΣΣΑΛΟΝΙΚΗΣ  Τηλέφωνο: 2310 380116  6932425133 E-mail: dr.dimitrios.georgiadis@gmail.com http://www.thdhellas.gr/anorectal/diseases/aimorroides.html Η Αιμορροϊδοπάθεια είναι η πιο κοινή πρωκτολογική ασθένεια του Δυτικού Πολιτισμού. Περίπου 50% των ανθρώπων άνω των 50 που ζουν σε βιομηχανοποιημένες χώρες υπολογίζεται ότι υποφέρουν ή έχουν υποφέρει από συμπτώματα που σχετίζονται με την αιμορροϊδοπάθεια. Εξαιτίας της υψηλής συχνότητας και non specificity, τα συμπώματα χρειάζονται μία εκτενή διάγνωση ώστε να αποκλειστούν άλλες παθήσεις του κατώτερο πεπτικού συστήματος, πιο συγκεκριμένα της νεοπλασίας. Πριν από την θεραπεία των αιμορροϊδων πρέπει να πραγματοποιηθεί μία εκτενής κλινική εκτίμηση, καθώς μία ευρεία γκάμα από θεραπείες είναι διαθέσιμη. Ανάλογα με την σοβαρότητα της ασθένειας και των συμπωμάτων ο θεράπων ιατρός μπορεί να διαλέξει ανάμεσα σε φαρμακευτική αγωγή, σε επέμβαση μίας ημέρας και σε συμβατικό χειρουργείο με παραμονή μίας ημέρας. http://www.thdhellas.gr/anorectal/diseases/ragades-proktou.html An anal rhagas is a small wound among the radial plicae of the anus. It cannot heal spontaneously, because cicatrisation is hindered by the contractions of the anal sphincter http://www.thdhellas.gr/anorectal/diseases/pruritus-ani.html Pruritus ani is a quite common condition which occurs most frequently after defecation or at night. http://www.thdhellas.gr/anorectal/diseases/bowel-incontinece.html Bowel incontinence is the impaired ability to control gas or stool. Its severity ranges from mild difficulty with gas control to severe loss of control over liquid and formed stools. Bowel incontinence and urinary incontinence tend to get worse with age. http://www.thdhellas.gr/anorectal/diseases/anal-abscess.html An anal abscess is an infected cavity filled with pus found in the anal region. http://www.thdhellas.gr/anorectal/diseases/anal-fistula.html Anal Fistula http://www.thdhellas.gr/anorectal/diseases/anal-condyloma.html Anal warts are benign tumours caused by viruses of the human papilloma virus family. http://www.thdhellas.gr/anorectal/diseases/rectal-prolapse.html There are two kinds of rectal prolapse: mucous rectal prolapse and total rectal prolapse. Mucous rectal prolapse occurs when only the rectal mucosa protrudes out of the anus by a few centimetres with defecation, then it goes back to its normal position. Total rectal prolapse occurs when the whole lining of the rectum protrudes out of the anus. http://www.thdhellas.gr/labmethod/thdmethod/marturies-asthenon.html The day after the surgery I went for a brief walk, and in the evening I had dinner at some friends', sitting comfortably for the first time.Before the surgery I was so scared, because some acquaintances had told me about the severe pain and the great discomfort they had felt after a surgery performed with conventional methods. With this procedure I felt no pain at all! Giovanni da Siena My life was sheer hell! I had to reduce my social activities drastically, since I could no longer smile because of the severe pain, the great discomfort and the embarrassment I used to feel. After this surgery I started my normal life again... Valentino da Salsomaggiore I was terrified to undergo a surgery, because many friends of mine had told me about their suffering. I overcame my fear, and now I'm satisfied. After this surgery performed with the THD method I resumed my usual activities very quickly! Carla da Trento http://www.thdhellas.gr/labmethod/thdmethod/deltia-tupou.html Il Giornale - Italy (29th November 2008)Space for day hospital surgery. The traditional and traumatic method for haemorrhoid treatment needs to be used only for the most serious cases. A new mini-invasive and painless method for treating haemorrhoids gains popularity among coloproctologists. Il Resto del Carlino - Italy (16th April 2008)A new and micro-invasive method gains popularity among patients all over Italy Il Giornale di Vicenza - Italy (24th May 2005)Innovative surgical method for haemorrhoids treatment Russian newspaper - Russia (31st January 2008)Russian newspaper Israeli magazine - Israel (2007)Article edited by Dr. Daniel Duek and published by the Rambam Hospital, Huifa. http://www.thdhellas.gr/labmethod/thdmethod/binteo.html Video παρουσίαση της Μεθόδου THD Programme TG2 Salute (Rai 2)Interview with Dr. Carlo Ratto - April 2008 Programme Sabato e Domenica (Rai Uno)Interview with Dr. Carlo Ratto - April 2007 http://www.thdhellas.gr/labmethod/thdmethod/epistemonikes-ergasies.html Transanale-Hämorrhoiden-Dearterialisation (THD) und Hämorrhoidal-Arterien-Ligatur (HAL): Evaluation der minimal-invasiven Therapie des Hämorrhoidalleidens (http://www.thdhellas.gr/scientific/papers/transanale-hamorrhoiden.html)Authors:: M. Lienert, O. Horstmann, DusseldorfSource: Coloproctology, 30. Jahrgang, Heft 1, Januar 2008 Transanal Hemorrhoidal dearterialisation: non-excisional surgery for the tratment of haemorrhoidal disease. (http://www.thdlab.co.uk/index.jsp?idz=8075 lang=eng id=234)Authors:: P. P. Dal Monte, C. Tagariello, P. Giordano, E. Cudazzo, A. Shafi, M. Sarago, M. FranziniSource: Techniques in Coloproctology, Volume 11 - Number 4 - December 2007 The Treatment of Haemorrhoids. Guidelines of the Italian Society of Colorectal Surgery (www.SICCR.org) (http://www.thdlab.co.uk/index.jsp?idz=8075 lang=eng id=233)Authors:: Donato F. Altomare, Antonietta Roveran, Giuseppe Pecorella, Fabio Gaj, Ezio StortiniSource: Dis. Colon Rectum, 2006 May Doppler-Guided Haemorrhoidal Artery Ligation is a valid treatment option for II-III degrees haemorrhoidal disease (http://www.thdlab.co.uk/index.jsp?idz=8075 lang=eng id=236)Authors:: Aldo Infantino, Luca Amadio, Roberto Bellomo, Carlo Alberto Tonizzo, Giovanni Romano, Franco Bianco, Concetto Salafia, Donato Altomare, Pierpaolo Dal Monte, Maria Saragò, Carlo TagarielloSource: Proceedings of 1st Congress of SICCR - Monduzzi Editore Dearterializzazione emorroidaria transanale doppler guidata (http://www.thdlab.co.uk/index.jsp?idz=8075 lang=eng id=231)Authors:: Carlo Tagariello, Pier Paolo Dal Monte, Maria SaragoSource: Chirurgia Italiana 2004, Vol. 56 n. 5 Settembre-Ottobre 2004 Doppler guided ligation of the hemorrhoidal arteries. Report of experiences with 248 patients (http://www.thdlab.co.uk/index.jsp?idz=8075 lang=eng id=235)Authors:: Lienert M., Ulrich B.Source: Dtsch Med. Wochenschr. 2004 Apr. 23; 129 (17): 947-50 Comparison of early and 1- year follow- up results of conventional hemorrhoidectomy and hemorrhoid artery ligation: a randomized study (http://www.thdlab.co.uk/index.jsp?idz=8075 lang=eng id=230)Authors:: Bursics A., Morvay K., Kupcsulik P., Flautuer L.Source: Int. J. Colorectal Dis., 2004 Mar.; 19(2):176 -80. Transanal hemorrhoidal dearterialization is an alternative to operative hemorrhoidectomy (http://www.thdlab.co.uk/index.jsp?idz=8075 lang=eng id=229)Authors:: Norman Sohn, Jeffrey S. Aronoff M.D. Frank S. Cohen M.D. and Michael A. WeinsteinSource: The American Journal of Surgery, Volume 182, Issue 5, Pages 515-519 November 2001 http://www.thdhellas.gr/anorectal/diseases/ti-einai.html There are two kinds of rectal prolapse: mucous rectal prolapse and total rectal prolapse. Mucous rectal prolapse occurs when only the rectal mucosa protrudes out of the anus by a few centimetres with defecation, then it goes back to its normal position. Total rectal prolapse occurs when the whole lining of the rectum protrudes out of the anus. http://www.thdhellas.gr/anorectal/diseases/sumptomata-rec.html Mucous rectal prolapse is associated with the following symptoms: tenesmus, difficult bowel movements, mucus discharge, irritation and intense itching. Total rectal prolapse is associated with the following symptoms: "wet anus", perianal dermatitis, intense itching, soreness, mucus discharge and irritation. Bowel incontinence may also frequently occur. http://www.thdhellas.gr/anorectal/diseases/aitia-rec.html Several factors may contribute to the development of mucous rectal prolapse: weakening of the anal sphincter muscle, bowel incontinence, constipation, diarrhoea and abdominal straining upon urination, which is often associated with prostatic hypertrophy and haemorrhoids. Several factors may contribute to the development of total rectal prolapse: rectal tumour or polyp, haemorrhoids, excessive intra-abdominal pressure (e.g. due to constipation or coughing), excessive depth of the abdominal cavity, weakening of the anal sphincter muscle, as well as stretching of the ligaments that support the rectum inside the pelvis. http://www.thdhellas.gr/anorectal/diseases/therapeia-rec.html Several factors may contribute to the development of mucous rectal prolapse: weakening of the anal sphincter muscle, bowel incontinence, constipation, diarrhoea and abdominal straining upon urination, which is often associated with prostatic hypertrophy and haemorrhoids. Several factors may contribute to the development of total rectal prolapse: rectal tumour or polyp, haemorrhoids, excessive intra-abdominal pressure (e.g. due to constipation or coughing), excessive depth of the abdominal cavity, weakening of the anal sphincter muscle, as well as stretching of the ligaments that support the rectum inside the pelvis. http://www.thdhellas.gr/anorectal/diseases/ti-einai-haemorrhoids.html Haemorrhoids are part of the normal anatomy of both men and women and are located in the lower part of the rectum, near the anal canal, already at birth. They are a complex of arteries, capillaries and veins. These blood vessels are equipped with valves that open and close to swell and shrink haemorrhoids, which are secured to the anus lining through fibrous ligaments. The haemorrhoidal plexus (i.e. the complex of cushions formed by the blood vessels of haemorrhoids) is made up of internal haemorrhoids and external haemorrhoids: Internal haemorrhoids are the haemorrhoidal cushions located above the "dentate line" (i.e. the upper verge of the anatomical anal canal; it is also known as "pain line", because painful stimuli can be felt underneath it). Internal haemorrhoids are insensitive, since they are covered by rectal mucosa, which does not have sensory innervations. http://www.thdhellas.gr/anorectal/diseases/sumptomata-haemorrhoids.html Haemorrhoidal disease is associated with vascular symptoms - oedema, constipation and bleeding - which usually occur when the faecal bolus goes through the anus with defecation. The disease advances over time, and haemorrhoidal cushions protrude outside the anus with defecation: in the early stages of the disease, they reduce spontaneously after defecation, while at an advanced stage it is necessary to place them back inside the anus manually. When the disease reaches its most advanced stage, haemorrhoidal cushions remain outside the anus permanently, thus forming the so-called prolapse. Prolapse can frequently lead to complications, such as blood clots forming inside it (haemorrhoidal thrombosis). Certain conditions can make the symptoms of haemorrhoids worse, such as pregnancy, repeated straining, constipation, diarrhoea, changes in dietary and/or working habits, travels, and seasonal changes. The symptoms of haemorrhoids can be subject to either remission or aggravation. Bleeding About 10% of adults (aged between 25 and 65) are estimated to have experienced minor rectal bleeding. The most frequent causes of rectal bleeding are the following: (source: Nicholls 1985) Perianal lesion 7% Anal rhagas 18% Haemorrhoids 54% Neoplastic lesion 6.5% Inflammatory disease 5% Alterations in bowel movements 3.5% Other causes 3% Unidentified causes 3% Pain Internal haemorrhoids usually cause no pain. In most cases acute anal pain is associated with acute rhagades; it may be less frequently associated with an ano-rectal abscess, with a thrombosed perianal varix or with internal haemorrhoid prolapse/thrombosis. In such cases pain is felt or even worsened with defecation. Prolapse Prolapse is caused by an increase in the volume of either one or all the haemorrhoidal cushions, as well as by a concurrent sinking of the supporting connective tissue. These two attendant phenomena make haemorrhoids slide down the anal canal, and protrude outside the anus with defecation. Depending on the degree of haemorrhoids, prolapse can reduce spontaneously (2nd degree haemorrhoids), it can be manually reduced (3rd degree haemorrhoids) or it cannot be reduced at all (4th degree haemorrhoids). Constipation and prolapse may sometimes occur when people stand for a prolonged period of time. In such a situation, people usually feel a sense of discomfort and congestion in both the anal and the perianal area. Serum and mucus discharge, as well as anal itching as a consequence of dermatitis, may also occur. Haemorrhoid treatment is chosen depending on the severity of prolapse, since haemorrhoid classification is actually a classification of haemorrhoidal prolapse. This is why prolapse should be thoroughly assessed, both at rest and during straining upon defecation. http://www.thdhellas.gr/anorectal/diseases/aitia-haemorhoids.html Many theories exist on the development of haemorrhoidal disease: according to one of them, haemorrhoids are similar to varicose veins (theory of vascular hyperplasia), while according to another one haemorrhoid onset is due to the fact that ano-rectal mucosa becomes redundant and slides down. Many factors contribute to the development of "pathological" haemorrhoidal cushions. The occurrence of these alterations may be facilitated by the following factors: * Family history; * Environmental factors: - Constipation; - Abnormal straining upon defecation; - Low-fibre diet; - Obesity; - Sedentary lifestyle; * Other factors: - Deterioration of the supporting connective tissue; - Pregnancy; - Related diseases. Stages of the disease Haemorrhoid classification is based on a clinical examination, which is extremely important to choose the most appropriate treatment. Classification (Goligher scale) Signs Degree Haemorrhoids may protrude during straining, but they are not prolapsed. They can be seen during proctoscopy. 1st degree The prolapse can be seen on the anal verge during straining, and it reduces spontaneously after defecation. 2nd degree The prolapse can be manually reduced. 3rd degree The prolapse cannot be reduced. 4th degree http://www.thdhellas.gr/anorectal/diseases/therapeia-haemorrhoids.html Diet and lifestyle In least severe cases the symptoms of haemorrhoids can be soothed by changing one's lifestyle and by making it a practice to: relieve one's bowels at regular intervals and reduce straining upon defecation by softening one's stool and sitting on the toilet bowl just for a few minutes. Follow a high-fibre diet, eating fruit, vegetables and wholefood; a sufficient quantity of liquids should also be drunk during the day (at least 1.5 - 2 litres). If necessary, fibre supplements such as Psyllium, bran, etc. should also be taken. A higher intake of both fibres and liquids helps prevent constipation and can soften stool, thus reducing straining upon defecation. Regular exercise helps stimulate bowel movements and prevent constipation. It is important to avoid straining upon defecation as well as sitting too long on the toilet bowl (reading, etc.). It is advisable to go to the toilet as soon as the need to defecate is felt. Some people suppress this stimulus to delay defecation: this behaviour can result in larger, more solid stool, which is more difficult to be expelled. Even after defecation, haemorrhoid sufferers can feel a sense of rectal "fullness", hence the need to defecate again. This stimulus should be suppressed. Sometimes, haemorrhoids at an early stage can be treated by obeying the simple rules of conduct described above. Medical treatment Ointments, creams, and suppositories Even though they cannot "heal" haemorrhoids, several pharmaceutical preparations can soothe their symptoms, such as pain and itching: Mild emollient creams, ointments or suppositories can soothe pain. Preparations containing local anaesthetics (such as lidocaine) can help relieve acute pain: they should only be used for a short period (5-10 days) though, as they may cause sensitisation or irritation of the anal skin. Topical preparations containing corticosteroids can be prescribed by a physician in the event of an inflammation. Reducing the inflammation can help soothe soreness and itching. As for preparations containing anaesthetics, these too should not be used for a prolonged period of time. Oral treatments Oral medications, such as flavonoids and synthetic seeds, can help improve vein tone, thus reducing vascular permeability and inflammation. Parasurgical procedures and out-patient surgical procedures Parasurgical procedures are performed in the early stages of symptomatic haemorrhoidal disease. Such treatments are suitable for internal haemorrhoid cushions, located above the dentate line, in an area where there are no sensory innervations. If they are performed correctly, such procedures should not be painful. The most common procedures are rubber band ligation and injection sclerotherapy. Rubber band ligation With this procedure, which is usually performed by a surgeon in an outpatient clinic or office, a rubber band is placed at the bottom of the haemorrhoid. This cuts off the blood supply to the cushion, which necrotizes and falls off after a few days. Then the tissue underlying the haemorrhoid cicatrizes. Rubber band ligation Mild complications may occur: mild pain in the ano-rectal area, which disappears spontaneously; acute pain straight after the procedure is performed, which is a sure sign that the rubber band was not placed correctly; haemorrhoidal thrombosis (which is very painful); movements of the rubber band; slight bleeding and mucous ulcers. Severe complications are quite rare and may include urine retention, rectal bleeding, perianal abscesses and pelvic sepsis. These major complications occur in about 2-3% of cases; the most frequent severe complication is a significant rectal haemorrhage, which usually occurs ten days after ligation. This requires hospitalization. Injection sclerotherapy Sclerotherapy is an alternative to rubber band ligation and allows blood flow to the haemorrhoidal cushion to be reduced, thus decreasing the volume of the cushion. In addition to that, this method secures the mucosa to the underlying layers, thus reducing the prolapse. Complications: the most common complications are temporary ano-rectal pain and a mild rectal haemorrhage in the first days after sclerotherapy. More severe complications, which are quite rare though, include sub-mucous abscesses, blood in urine and impotence. Such complications may occur if the injections are not given in the correct position. Infra-red photocoagulation, cryotherapy Infra-red photocoagulation and cryotherapy, which can be alternatives to rubber band ligation and sclerotherapy, are offered as out-patient procedures. Nevertheless they are much less popular than rubber band ligation and sclerotherapy, and they are performed less frequently. Although parasurgical procedures can be less painful and more tolerable than conventional surgical procedures, they are not effective for all haemorrhoid degrees and they show a high relapse rate. Conventional surgical procedures Milligan Morgan technique and Ferguson technique In conventional surgical procedures a surgical ligation is performed at the bottom of haemorrhoids, which are then surgically removed. If they are properly performed, these procedures are very effective and can solve the problem once and for all, since they remove both internal and external haemorrhoids. Such techniques are very painful in the post-operative period, because they leave three wounds in the perianal area, which cause acute pain during bowel movements. The most common haemorrhoidectomy techniques are the Milligan-Morgan method and the Ferguson method. In the Milligan-Morgan procedure, wounds are left open after surgery so that they can cicatrize spontaneously. Milligan Morgan procedure In the Ferguson procedure, wounds are closed with a running suture. Complications are quite rare, but severe, and may include anal stenosis, haemorrhage and various degrees of incontinence. Stapled haemorrhoidopexy This procedure was developed in an attempt to treat prolapsed haemorrhoids without excision or ligation of the haemorrhoidal tissue. A mechanical stapling device is used in this technique, which was devised by Dr. Longo in the 90s. It is less painful and more "physiological" than conventional haemorrhoidectomy, since it implies no excision of the haemorrhoidal tissue. Haemorrhoidopexy Some specific complications may occur, such as post-operative haemorrhage, persistent ano-rectal pain, a compelling urge to defecate and in some cases rectal perforation. THD - A painless surgical procedure to treat haemorrhoids Transanal haemorrhoid dearterialization is the least invasive surgical technique to treat haemorrhoids, as it implies no tissue excision. A few internal stitches are given on the rectal mucosa, in an area where there are no sensory innervations. For this surgical procedure a doppler is used to locate the terminating branches of the haemorrhoidal arteries. Once the artery is located, the surgeon uses an absorbable suture to ligate or "tie-off" the arterial blood flow. If haemorrhoids are prolapsed, a hemorrhoidopexy is performed to repair the prolapse and to "lift" the tissue back to its anatomical position. http://www.thdhellas.gr/anorectal/diseases/ti-einai-ragas.html An anal rhagas is a small wound among the radial plicae of the anus. It cannot heal spontaneously, because cicatrisation is hindered by the contractions of the anal sphincter http://www.thdhellas.gr/anorectal/diseases/sumptomata-ragas.html Although it is not a severe disease, the anal rhagas is very painful and causes several secondary problems, among which fear of defecating. As a reaction to pain, the anal sphincter contracts, thus making it more difficult for the rhagas to heal. As pain is felt or worsened upon defecation, patients tend to delay defecation, thus worsening the wound: stool becomes larger and more solid and consequently more difficult to be expelled. http://www.thdhellas.gr/anorectal/diseases/aitia-ragas.html Normal dilation of the anus during bowel movements is usually sufficient to pass stool without straining and skin laceration. An excessive dilation of the anus may cause skin laceration around the anal verge. An excessive dilation of the anus is usually due to constipated stool: this is why constipated people are more frequently prone to suffer from anal rhagades. The small cut due to anal skin laceration causes mild bleeding: blood may be seen either on the toilet paper or in the toilet bowl. Many people experience this kind of bleeding from time to time (few times a year, on the average). Blood coming out of these small cuts is usually bright red (fresh blood). When blood is dark red, bleeding may be due to an internal haemorrhage. If this is the case, consult your physician. Occasional anal bleeding should not give cause for concern: in most cases small skin lacerations heal up spontaneously in a few days like any other wound. Due to the shape and structure of the anus, as well as to its contraction pattern, when skin lacerations recur several times (even after a few months or years), the skin breaking point is always the same. Sometimes it happens that the laceration cannot heal up, thus forming the so-called rhagas. http://www.thdhellas.gr/anorectal/diseases/therapeia-ragas.html A relaxation of the involuntary sphincter is fundamental to heal a rhagas. The main methods used to help the involuntary sphincter relax are: The application of ointments containing nitro-glycerine Mechanical dilators Botulinum toxin injections Surgery, which is performed to lance the sphincter. http://www.thdhellas.gr/anorectal/diseases/ti-einai-proknismos.html Pruritus ani is a quite common condition which occurs most frequently after defecation or at night. http://www.thdhellas.gr/anorectal/diseases/sumptomata-proknismos.html Pruritus ani results in a compelling urge to scratch in the anal area. In an attempt to soothe itching, patients frequently scratch and cleanse the area, thus causing numerous lesions. http://www.thdhellas.gr/anorectal/diseases/aitia-proknismos.html Several factors may be at fault. A common cause is excessive cleansing of the area. Another one is excessive moisture in the anal area. Moisture may be due to perspiration or a small amount of residual stool around the anal area. Drinking some kinds of beverages (beverages containing caffeine and alcoholic beverages) and eating certain food items, such as chocolate, tomatoes, pop-corn and fruit, may also contribute to the onset of pruritus ani. These beverages and foods irritate the digestive system, thus increasing bowel movements and the quantity of mucus produced by the rectum. Laboratory tests and clinical examinations (e.g. examination by a proctologist) are recommended to identify the definite cause of pruritus ani. http://www.thdhellas.gr/anorectal/diseases/therapeia-proknismos.html Treatments for pruritus ani aim at eliminating its causes, whether of a dermatological or of a proctological nature. If causes cannot be eliminated, a few simple measures can be taken to help this condition improve: 1. Keep the area around the anus clean: wash it both in the morning and in the evening, as well as after defecation. 2. Never use any kind of soap in the perianal area. Just rinse it with warm water. 3. Use wet toilet paper or a wet cotton washcloth to blot the area dry. Never rub. 4. Only wear cotton underwear. Avoid synthetic fabrics and wool. 5. Try to have bowel movements every day. 6. Avoid eating foods that increase itching, such as coffee, chocolate, spices, cured meat, tea and sharp cheese. http://www.thdhellas.gr/anorectal/diseases/ti-einai-bowel.html Bowel incontinence is the impaired ability to control gas or stool. Its severity ranges from mild difficulty with gas control to severe loss of control over liquid and formed stools. Bowel incontinence and urinary incontinence tend to get worse with age. http://www.thdhellas.gr/anorectal/diseases/sumptomata-bowel.html The main symptoms of bowel incontinence are: - involuntary flatulence, i.e. loss of control over gas, which is unintentionally released. - anal and rectal incontinence, i.e. the inability to control the muscles of the anal sphincter and the ano-rectal canal. The nerve endings located in these areas help the brain to control gas and stool. If the nerves or the muscles in these areas are damaged, bowel incontinence may occur. - passive incontinence, i.e. the absence of the stimulus to defecate. People suffering from passive incontinence do not realize that their rectum is full. Due to such impaired sensitiveness, stool is expelled unwittingly. -overflow incontinence due to colon blockage. This condition is caused by impacted stool in the colon, which in turn prevents other stool from passing. In this case stool can only be expelled in a liquid form, thus leading to a difficulty in controlling leakage of stool. http://www.thdhellas.gr/anorectal/diseases/aitia-bowel.html There are many causes of incontinence. Injury during childbirth is one of the most common causes. These injuries may cause a tear in the anal muscles, as well as a damage to the nerves supplying the anal muscles. Bowel incontinence may also be caused by damages due to anal operations or traumatic injury to the tissue surrounding the anal region. Some diseases, such as diabetes, stroke, epilepsy, spina bifida and Parkinson's disease may also contribute to an impaired bowel control. Some individuals experience loss of strength in the anal muscles as they age, hence impaired control of their sphincter. http://www.thdhellas.gr/anorectal/diseases/therapeia-bowel.html Mild problems may be treated very simply with dietary changes, the use of some constipating medications and with simple home exercises that may strengthen the anal muscles. More severe problems need to be treated surgically. If bowel incontinence is caused by an inflammation within the rectum (e.g. colitis), the triggering disease should be treated first. http://www.thdhellas.gr/anorectal/diseases/ti-einai-abscess.html An anal abscess is an infected cavity filled with pus found in the anal region. http://www.thdhellas.gr/anorectal/diseases/sumptomata-abscess.html An abscess is usually associated with symptoms of pain and swelling around the anus. Individuals may also experience fatigue and fevers. http://www.thdhellas.gr/anorectal/diseases/aitia-abscess.html An abscess results from an acute infection of a small gland just inside the anus, when bacteria or foreign matter enters the tissue through the gland. Certain conditions, such as colitis or other inflammation of the intestine, can sometimes make these infections more likely. http://www.thdhellas.gr/anorectal/diseases/therapeia-abscess.html An abscess is treated by making an opening in the skin near the anus to drain the pus from the infected cavity and thereby relieve the pressure. Often, this can be done in the doctor's office using a local anaesthetic. A large or deep abscess may require hospitalization and the assistance of an anaesthesiologist. Hospitalization may also be necessary for patients prone to more serious infections, such as diabetics or people with decreased immunity. If properly treated, anal abscesses won't recur repeatedly. http://www.thdhellas.gr/anorectal/diseases/ti-einai-fistula.html An anal fistula is almost always the result of a previous abscess (see description above). Just inside the anus there are small glands. When these glands get clogged, they may become infected and an abscess can develop. A fistula is a small tunnel that forms under the skin and connects a previously infected anal gland to the skin on the buttocks outside the anus. http://www.thdhellas.gr/anorectal/diseases/sumptomata-fistula.html Symptoms related to the fistula are the same as the ones associated with the abscess, and include pain (which is sometimes combined with swelling in the affected area), irritation of skin around the anus, feeling poorly in general and sometimes fever. Fistulae can remain dormant, without any symptoms, for many years before showing themselves. http://www.thdhellas.gr/anorectal/diseases/aitia-fistula.html After an abscess has been drained, a tunnel may persist connecting the anal gland from which the abscess arose to the skin. In these cases, a fistula generally develops 4-6 weeks after the abscess has been drained, sometimes even months or years later. A fistula may also develop from a misdiagnosed/mistreated anal rhagas, which becomes infected and shows itself outside the anus. The presence of a fistula is generally indicated by persistent drainage from the outside opening. http://www.thdhellas.gr/anorectal/diseases/therapeia-fistula.html Surgery is necessary to cure an anal fistula. Fistula surgery usually involves cutting a small portion of the anal sphincter. In most cases fistula surgery can be performed on an outpatient basis. Treatment of a deep or extensive fistula may require a short hospital stay. As for anal abscesses, if properly treated fistulae won't recur repeatedly. http://www.thdhellas.gr/anorectal/diseases/ti-einai-condyloma.html Anal warts are benign tumours caused by viruses of the human papilloma virus family. http://www.thdhellas.gr/anorectal/diseases/sumptomata-condyloma.html Anal warts first appear as tiny spots, evident to the touch, which are not associated with specific symptoms. These spots later turn into pink/whitish fungiform and/or cluster outgrowths (known as "cockscombs"). These growths can grow larger, spread and degenerate into malignant tumours if not removed. http://www.thdhellas.gr/anorectal/diseases/aitia-condyloma.html Anal warts are mainly transmitted through sexual contact, both direct and indirect. Only in a small percentage of cases they develop without any sexual intercourse. Homosexuals are most likely to suffer from anal warts. Warts often spread rapidly and grow larger. http://www.thdhellas.gr/anorectal/diseases/therapeia-condyloma.html A proper treatment should be started even though warts are very small, since this disease rarely heals spontaneously. Warts may be frozen with liquid nitrogen or locally removed (with laser, a scalpel or an electrosurgical knife). Local application of podophyllum may also help. The proper treatment is chosen after a careful coloproctological examination, depending on the number and exact location of warts being treated. http://www.thdhellas.gr/scientific/papers/transanale-hamorrhoiden.html Transanale-Hämorrhoiden-Dearterialisation (THD) und Hämorrhoidal-Arterien-Ligatur (HAL): Evaluation der minimal-invasiven Therapie des Hämorrhoidalleidens Authors: M. Lienert, O. Horstmann, Dusseldorf Source: Coloproctology, 30. Jahrgang, Heft 1, Januar 2008 Transanale-Hämorrhoiden-Dearterilisation (THD) und Hämorrhoidal-Arterien-Ligatur (HAL): Evaluation der minimal-invasiven Therapie des Hämorrhoidalleidens. M.Lienert, O. Horstmann, Düsseldorf. Hintergrund: Der Verschluss der die Hämorrhoidalknoten speisenden Arterien stellt eine Alternative zur klassischen resezierenden Therapie und der Stapler-Hämorrhoidektomie dar. Das 1995 von Morinaga inaugurierte Verfahren basiert auf der Drosselung der Blutzufuhr der Hämorrhoidalknoten unter Verwendung eines speziellen Rektoskopes. Hiermit kann die Arterie mittels Dopplersonde aufgesucht und oberhalb der Linea dentata unterbunden werden. Bei der in Italien entwickelten THD wird ein ähnlich aufgebautes Proktoskop verwendet. THD und HAL unterscheiden sich in der Führung des Nadelhalters sowie der äußeren Form des Proktoskopes. Daneben wurde mit der THD das Prinzip der Anupexie eingeführt. Bei der Anupexie wird, neben der Umstechung der Arterie, zusätzlich das prolabierte Gewebe durch eine wendelartige nach anal laufender Naht in den oberen Analkanal retrahiert. Patienten und Methode: In unserer Klinik wurde zunächst bei 410 Patienten das Verfahren der Hämorrhoidal-Arterien-Ligatur (HAL) vom März 2001 bis Dezember 2005 angewandt. Ab Januar 2006 setzten wir die Transanale-Hämorrhoiden-Dearterilisation (THD) an 166 Patienten ein. Hierbei wurde mit der Anupexie die Indikationsstellung ausgeweitet. Es wurden alle Stadien des Hämorrhoidalleidens behandelt (HAL Grad I: n = 5, Grad II: n = 155, Grad III: n = 136, Grad IV: n = 14; THD Grad I: n = 5, Grad II: n = 65, Grad III: n = 90, Grad IV: n = 6). Die programmmierte Nachuntersuchung erfolgte nach sechs Wochen. Hierbei wurden anamnestisch und proktoskopisch Schmerzen. Rezidive und weitere Symptome erfasst. Ergebnisse: Unsere Erfahrungen der laufenden Untersuchung zeigen einen extrem niedrigen postoperativen Schmerzmittelbedarf, eine kurze Rekonvaleszens und eine geringe Komplikationsrate. Am häufigsten wurden Restknoten (HAL 39%, THD 35%) gefunden. Thrombosen fanden sich nicht. Postoperative Nachblutungen nach HAL traten in 2% auf. Persistierende Blutungen fanden sich bei der HAL in 4%. Fistulöse Veränderungen wurden nach beiden Verfahren nicht beobachtet. Die Rate der entzündlichen Komplikationen lag unter 1%. 75% der Patienten waren zufrieden oder sehr zufrieden. Schlussfolgerung: Beide Verfahren stellen eine gute Alternative zur klassischen operativen Therapie des Hämorrhoidalleidens dar, mit erniedrigtem Schmerzmittelbedarf und hoher Erfolgsrate. Hierbei bietet die THD eine viel versprechende Weiterentwicklung der HAL mit verbesserten Ergebnissen, trotz Ausweitung der Indikation unter Einsatz der Anupexie. http://www.thdhellas.gr/products/hospidyn/proionta.html Our experience in the surgery and operating theatre has helped THD Research and Development laboratory to study and develop products to support the specialist in diagnosis, therapy and post-operative procedures. Continuous research for innovative solutions produces equipments like the new THD Shining Light. This lighting system produces a light which is both uniform and of a high quality, improving the quality of vision for the practitioner. All the products in the THD Diagnostic Line are handy, safe and easy to use and give surgeons and patients maximum functionality and ultimate safety. THD Surgy Maxi Medium Proctoscopes Large Proctoscopes Sterile anoscopes and proctoscopes Medium Anoscopes Large Anoscopes Pediatric Anoscopes THD SL illuminator with accessories THDSpon THD SL Accessorie http://www.thdhellas.gr/products/hospidyn/thd-surgy-maxi.html THD Surgy Maxi Κωδικός 800004/24τεμ./κουτίTHD Surgy Mini features the same benefits and applications of the THD Surgy Maxi, but the smaller dimensions make the introduction of this device even easier. Its use is recommended an patients presenting a sphincter hypertone or stenosis.Packaging: One master box containing 3 gravity feed boxes, with 8 products each. THD Surgy Maxi Κωδικός 800005/24τεμ./κουτί THD Surgy Maxi is an ideal device for ail diagnostic and operative needs n proctology. Its use facilitates the assessment and treatment of all oroctological conditions including hemorrhoids, fistulas, anal fissure, ccndylomas, polyps, low cancers and other mucosal lesions. Eight pieces are included in the THD 30X.Packaging: One master box containing 3 gravity feed boxes, with 8 products each. http://www.thdhellas.gr/products/hospidyn/medium-proctoscopes.html THD Medium Truncated Proctoscope Κωδικός 800008/45τεμ./κουτί Possible use: To be used in the operating room before and after surgical procedures. It reaches the distal rectum.Packaging: 3 gravity feed boxes with 15 products each. THO Medium Bevelled Proctoscope Κωδικός 800009/45τεμ./κουτίPossible use: To be used in the operating room before and after surgical procedures. It reaches the distal rectum.Packaging: 3 gravity feed boxes with 15 products each. THO Medium Fenestrated Proctoscope Κωδικός 800010/45τεμ./κουτί Fitted with a rectangular fenestration in the distal end, such to increase the direct vision of a specific portion of the rectum and to make possible operative procedures on selected areas prolapsing into the fenestration.Possible use: To be used for diagnostic examinations or procedures in the operating room, like biopsies or excision of polyps. It reaches the distal rectum. Packaging:3 gravity feed boxes with 15 products eacH. http://www.thdhellas.gr/products/hospidyn/thd-illuminator-accessories.html THD SL illuminator with accessories Ref.800051 Min. batch 1 pcs.The SL (Shining Light) Illuminator is an electronic equipment that used in combination with the medical devices of the diagnostic and surgical lines (anoscopes, proctoscopes and Surgy) allows the illumination of the operative area, thanks to a light source with an adjustable power output. http://www.thdhellas.gr/products/hospidyn/sterile-anoscopes-proctoscopes.html Sterile anoscopes and proctoscopes Quality and innovation are the fundamental characteristics of the complete range of THD anoscopes and proctoscopes for surgical use. They are wholly designed and made in Italy to suit the specialist requirements and the patient needs. Steriie anoscopes and proctoscopes are available with various lengths and diameters (large, medium, pediatric) and can be easily identified by the practical handle color code. Depending on their specific use, the end tip configurations also change. On this basis they are subdivided into: • truncated • bevelled • fenestrated Packed into the handy gravity feed box, every anoscope and proctoscope is sealed and sterile These devices are the only ones in polycarbonate. The high quality of this material provides a very transparent, unbreakable, smooth edge product, with a tapered and ergonomic shape, which is light and atraumatic. Excellent visibility and lighting is assured thanks to the patented connection to THD SL and is adaptable to other light sources. http://www.thdhellas.gr/products/hospidyn/medium-anoscopes.html THD Medium Truncated Anoscope Κωδικός 800014/45τεμ./κουτί Possible use: To be used in the operating room before and after surgical procedures. Packaging:3 gravity feed boxes with 15 products each. THD Medium Bevelled Anoscope Κωδικός 800015/45τεμ./κουτί Possible use: To be used in the operating room before and after surgical procedures. Packaging:3 gravity feed boxes with 15 products each. THO Medium Fenestrated Anoscope Κωδικός 800016/45τεμ./κουτί Fitted with a rectangular fenestration in the distal end, such to increase the direct vision of a specific portion of the anal canal and to make possible operative procedures on selected areas prolapsing into the fenestration. Possible use: To be used for diagnostic examinations or procedures in the operating room, like biopsies or excision of polyps. Packaging: 3 gravity feed boxes with 15 products each. http://www.thdhellas.gr/products/hospidyn/large-anoscopes.html THO Large Truncated AnoscopeΚωδικός 800017/45τεμ./κουτί Possible use: To be used in the operating room before and after surgical procedures. Packaging:3 gravity feed boxes with 15 products each. THO Large Bevelled Anoscope Κωδικός 800018/45τεμ./κουτί Possible use: To be used in the operating room before and after surgical procedures. Packaging:3 gravity feed boxes with 15 products each. THD Large Fenestrated Anoscope Κωδικός 800019/45τεμ./κουτί Fitted with a rectangular fenestration in the distal end, such to increase the direct vision of a specific portion of the anal canal and to make possible operative procedures on selected areas prolapsing into the fenestration. Possible use: To be used for diagnostic examinations or procedures in the operating room, like biopsies or excision of polyps. Packaging:3 gravity feed boxes with 15 products each. http://www.thdhellas.gr/products/hospidyn/large-proctoscopes.html THO Large Truncated Proctoscope Κωδικός 800002/45τεμ./κουτί Possible use: To be used in the operating room before and after surgical procedures. It reaches the distal rectum Packaging:3 gravity feed boxes with 15 products each. THO Large Bevelled Proctoscope Κωδικός 800006/45τεμ./κουτί Possible use: To be used in the operating room before and after surgical procedures. It reaches the distal rectum Packaging:3 gravity feed boxes with 15 products each. THD Large Fenestrated Proctoscope Κωδικός 800007/45τεμ./κουτί Fitted with a rectangular fenestration in the distal end, such to increase the direct vision of a specific portion of the rectum and to make possible operative procedures on selected areas prolapsing into the fenestration. Possible use: To be used fordiagnosticexaminations or procedures in the operating room, like biopsies or excision of polyps. It reaches the distal rectum. Packaging:3 gravity feed boxes with 15 products each. http://www.thdhellas.gr/products/hospidyn/thdspon.html THDSpon Ref.800050 Min. batch 1 box with 20 pcs. THDSpon is a compressed surgical hemostatic sponge, manufactured from sterile absorbable gelatine, to be used in anorectal surgical .procedures. THDSpon absorbs approximately 40 • 50 times its weight of physiological liquids and adheres easily to the bleeding site. The uniform porosity of THDSpon guarantees a favorable hemostasis. THDSpon is • non-toxic • non allergenic •non-immunogenic • non-pyrogenic and meets the biocompatibility requirements as per EN ISO 10993 standards. Indications: Anorectal surgery - suitable to better facilitate post-operative hemostasis. Packaging: One box containing 20 sponges, each in plastic case. Eight THDSpon are included in the THD BOX. http://www.thdhellas.gr/products/hospidyn/thd-sl-accessories.html THD SL End Tip Ref.880004 Min. batch 1 pcs. A metal end tip both for the SL fiber-optic cable and for any Storz-type connection. The End Tip can be sterilized in autoclave, steris, plasma or ETO. THD Fiber - Optic Cable 08 Ref.880002 Min. batch 1 pcs. A glass fiber, light-guided cable leads the light from SL Illuminator to the inner part of the devices of the surgical and diagnostic lines, through the SL End Tip, thus the lighting of the operative area is optimal. This fiber-optic cable can be sterilized in steamed autoclave, steris, plasma or ETO. THD Penlight and Fitting Ref.800037 Min. batch 1 pcs. A unique system composed of a lighting pen and its own fitting for a proper connection to the devices of the diagnostic line in the outpatient clinic (non sterile). Handy and user friendly without the need of a fiber-optic lighting system. The ultimate product for the outpatient examination or E.R. http://www.thdhellas.gr/products/hospidyn/pediatric-anoscopes.html THD Pediatric Truncated Anoscope Κωδικός 800011/90τεμ./κουτί Possible use: To be used in the operating room before and after surgical procedures, but for applications through tight and hypertonic sphincters. 3 gravity feed boxes with 30 products each. THD Pediatric Bevelled Anoscope Κωδικός 800012/90τεμ./κουτί Possible use: To be used in the operating room before and after surgical procedures, but for applications through tight and hypertonic sphincters. 3 gravity feed boxes with 30 products each. http://www.thdhellas.gr/labmethod/thdmethod/rai-uno.html http://www.thdlab.it/repository/sito0001/document/2007_04_28_ratto_rai.flv http://www.thdhellas.gr/labmethod/thdmethod/rai.html http://www.thdlab.it/repository/sito0001/document/tg2_dottRatto.flv http://www.thdhellas.gr/labmethod/thdmethod/hospitaldynamics.html H Eταιρεία HOSPITAL DYNAMICS AE ιδρύθηκε τον Απρίλιο του 2006 με έδρα την Αθήνα. Ο χώρος στον οποίο δραστηριοποιείται η εταιρεία είναι οι πάσης φύσεως Νοσοκομειακές Προμήθειες, με κύρια εξειδίκευση στους χώρους του Χειρουργείου και ΜΕΘ. Τα στελέχη της Εταιρείας είναι από τα πλέον έμπειρα στον συγκεκριμένο χώρο με υπερεικοσαετή εμπειρία σε καίριες διευθυντικές θέσεις τόσον σε ελληνικές όσον και πολυεθνικές εταιρείες με ηγετική θέση στην ελληνική αγορά ιατρικών ειδών. Τα εργοστάσια εξωτερικού τα οποία αντιπροσωπεύονται κατ΄ αποκλειστικότητα για Ελλάδα και Κύπρο από την HOSPITAL DYNAMICS AE είναι: KIMBERLY – CLARK, ΗΠΑ: Αναλώσιμο Υγειονομικό, Αναισθησιολογικό, Μονάδος και Χειρουργικό Υλικό (χειρουργικά πεδία, set όλων των ειδικοτήτων, χειρουργικές μπλούζες, μάσκες – γυαλιά, ενδοτραχειακοί σωλήνες με microcuff, κλειστά συστήματα συνεχούς βρογχοαναρρόφησης, συστήματα θέρμανσης ασθενών, συστήματα στοματικής περιποίσησης ασθενών ΜΕΘ) TELEFLEX (TAUT, WECK,PILLING WECK, DEKNATEL,PLEUR-EVAC) ΗΠΑ: Αναλώσιμα λαπαροσκοπικά τροκάρς καθετήρες χολαγγειογραφίας - διερεύνησης χοληδόχου πόρου, χειρουργικά εργαλεία Ανοιχτής Λαπαροσκοπικής χειρουργικής, συρραπτικά δέρματος, κλιπς απολίνωσης αγγείων για καρδιοχειρουργική, γενική χειρουργική,ουρολογική και γυναικολογική χειρ/κή, χειρουργικά ράμματα, παροχετεύσεις θώρακος. MEDIFLEX, ΗΠΑ: Εργαλεία Ανοιχτής και Λαπαροσκοπικής Χειρ/κής. LINA MEDICAL, Δανία: Λαπαροσκοπικά προϊόντα – προϊόντα και μηχανήματα ηλεκτροχειρουργικής - υγειονομικό αναλώσιμο υλικό LAMIDEY-NOURY - Γαλλία: Συστήματα διαθερμιών και ηλεκτροθερμικής συγκόλλισης αγγείων. HUMAN – MED, Γερμανία: Υδροπνευματικό Σύστημα παρασκευής, σκελετοποίησης ιστών για χρήση στην Γενική, Ορθοπεδική, Γυναικολογική, Ουρολογική και Νευροχειρουργική. SOERING – Γερμανία: Προϊόντα ηλεκτροχειρουργικής, Γεννήτριες Διαθερμιών, Υπερήχων, ARGON, Plasma, και πλήρης σειρά αναλωσίμων ηλεκτροχειρουργικής. THD – Ιταλία: Σύστημα αιμορροϊδικής απαγγείωσης. OLYMPUS – Gyrus, Ιαπωνία (Κρήτη Δυτική Ελλάδα): Πηγές Ενέργειας και αναλώσιμα για χρήση στην Γενική χειρουργική, Γυναικολογία, Ουρολογία. MICROSULIS– Αγγλία: Συστήματα ραδιοσυχνοτήτων για ηπατική χειρουργική. OPTCLA – Κίνα: Αναλώσιμα Λαπαροσκοπικά χειρουργικά εργαλεία. CHANGZHOU KANGDI, Κίνα: Εργαλεία αυτομάτου συρραφής όλων των χειρουργικών ειδικοτήτων. DI.PRO MEDICAL - Ιταλία: Πλέγματα επιδιόρθωσης κοιλιακών τοιχωμάτων. TRISTEL – Αγγλία:  Συστήματα απολύμανσης χώρων,μεγάλων επιφανειών, ενδοσκοπίων, γαστροσκοπίων, υπερήχων κλπ. Ocuseal – Αμερική: Κόλλα οφθαλμολογικής χρήσης. H HOSPITAL DYNAMICS AE εφαρμόζει από τη στιγμή της ίδρυσής της σύστημα διαχείρισης ποιότητας σύμφωνα με τα πρότυπα ISO 9001:2000 και EN ISO 9001:2000, το οποίο πιστοποιήθηκε από τον διεθνούς εγκυρότητας πιστοποιητή Οργανισμό TUV CERT τον Ιούνιο του 2006. Από τον Μάιο του 2006 που ξεκίνησε την εμπορική της δραστηριότητα η HOSPITAL DYNAMICS AE παρουσιάζει μία εξαιρετικά ανοδική πορεία, έχοντας συμμετάσχει σε περισσότερους από 600 Διαγωνισμούς Δημοσίου οι οποίοι βρίσκονται σε εξέλιξη, και έχει υπογράψει τουλάχιστον εκατόν είκοσι (120) Συμβάσεις Προμηθείας με Δημόσια Νοσοκομεία. Συνεργάζεται δε με τα περισσότερα Ιδιωτικά Νοσηλευτικά Ιδρύματα της χώρας. Σε μικρό σχετικά χρονικό διάστημα, πολλά από τα προϊόντα που η HOSPITAL DYNAMICS εμπορεύεται, διακινεί και υποστηρίζει τεχνικά με άκρως εξειδικευμένο δίκτυο πωλητών / αντιπροσώπων σε όλη την Ελληνική Επικράτεια, έχουν καθιερωθεί και χρησιμοποιούνται με μεγάλη επιτυχία από καταξιωμένους ιατρούς-χειρουργούς σε μεγάλο αριθμό Δημοσίων και Ιδιωτικών Νοσηλευτικών Ιδρυμάτων. http://www.thdhellas.gr/labmethod/thdmethod/video-methodou-thd.html http://www.thdhellas.gr/images/videos/THD_Video.flv