Easy, safe and fast knot tying technical variation ( siphoning ) in the thd procedure.

Abstract

It is a combination of dearterialization and mucopexis, associated with decreased postoperative pain and faster recovery than excisional hemorrhoidectomy.1-5 After the running suture is fashioned, including the artery at the end of the suture, the two ends of the thread can be pulled and tied, strolling the running of the thread through the mucosa and the closure of the artery.