Abstract

OVERVIEW OF CHIVTE’S PROCEDURE AKA TRANSANAL SUTURE RECTOPEXY FOR 4TH DEGREE HAEMORRHOIDS: A CASE STUDY

*Dr. Vikas Udaybhan Gupta, Dr. Aparna A. Raut and Dr. Vishal V. Pagar

Abstract

Fourth-degree haemorrhoids, characterized by permanent prolapse and non-reducibility, often require surgical intervention. While conventional options like haemorrhoidectomy or stapled haemorrhoidopexy are widely practiced, a newer minimally invasive approach—Chivte’s Procedure, also known as Transanal Suture Rectopexy (TSR)—has emerged as a promising alternative. This paper presents an overview of the technique and a case study highlighting its clinical efficacy, safety, and functional outcomes Transanal suture rectopexy is a minimally invasive surgical procedure used to treat hemorrhoids and other disese like prolapse rectum. The principle is based on dearterialization, achieved by blocking the vessels at two sites, 2 cm and 4 cm proximal to the dentate line. This prevents the formation of collaterals and subsequent recurrence.[1] In this study, patient was suffering from 4TH degree heamorrhoid treated with Chivte’s procedure without any excision of pile mass. In post – operative management care only sitz bath with medication given.

Keywords: 4TH degree heamorrhoid, Chivte’s procedure, minimally invasive proctology surgical procedure; double interlock Suture rectopexy, spinal anaesthesia, Short stay.