Published online Mar 27, 2016. doi: 10.4240/wjgs.v8.i3.232
Peer-review started: September 7, 2015
First decision: December 7, 2015
Revised: December 19, 2015
Accepted: January 21, 2016
Article in press: January 22, 2016
Published online: March 27, 2016
Core tip: Management of hemorrhoidal disease is a tough task. First of all, because there are some technical alternatives that should be adequately indicated to different patients; secondly, because patients desire a good alternative associated with low morbidity, good long-term results and less postoperative pain. In this setting, the transanal hemorrhoidal dearterialization (THD) technique is considered a safe and effective choice for internal hemorrhoids of grades II to IV. The present paper reviews technical aspects and literature results of THD in comparison to other operative techniques.