About HAE

About HEMBO™

HEMBO™ Procedure

A Revolutionary Approach to Treating Hemorrhoids

HEMBO™ (Hemorrhoid Artery Embolization) is emerging as a groundbreaking, minimally invasive treatment for internal hemorrhoids that offers significant advantages over traditional approaches. This innovative procedure provides long-lasting relief from symptoms with minimal discomfort and rapid recovery.

What is HEMBO? (Hemorrhoid Artery Embolization)

HEMBO™, also known as the “emborrhoid” technique, is a minimally invasive endovascular procedure performed by interventional radiologists to treat internal hemorrhoids. The procedure aims to reduce blood flow to hemorrhoids by occluding the arteries that supply them, thereby alleviating symptoms such as bleeding, pain, and prolapse.

Procedure Overview

A small puncture (2-3mm) is made in the groin or wrist to access the arterial system
Using X-ray guidance, a microcatheter is navigated through the arteries to the superior rectal artery branches that feed the hemorrhoids
Tiny coils or embolic particles are deployed through the catheter to block blood flow to the hemorrhoidal tissue
The procedure typically takes about 45 minutes and is performed under local anesthesia with moderate sedation

Advantages of HEMBO

Minimally Invasive and Painless

HEMBO™ requires no incisions, ensuring minimal pain and quick recovery.

Outpatient Procedure

HEMBO™ is outpatient, with same-day discharge after recovery.

Preservation of Anal Anatomy

HEMBO™ preserves anal canal, avoiding complications like incontinence or stenosis.

High Success Rate

80-85% of patients improve within 2-4 weeks; 90% report no bleeding.

Comparison to Other Treatment Options

Treatment	Invasiveness	Anesthesia	Recovery Time	Success Rate	Recurrence Risk
HEMBO (HAE)	Minimally invasive	Local + sedation	2-3 days	80-85%	Low
Rubber Band Ligation	Minimally invasive	None/local	1-2 weeks	70-80%	Moderate
Surgical Hemorrhoidectomy	Invasive	General	2-4 weeks	95%	Low
Conservative Management	Non-invasive	None	N/A	Variable	High

Find out if you are a candidate

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Candidacy for HEMBO

HEMBO™ is most effective for internal hemorrhoids of grade 1-3 that have not responded to conservative management or other minimally invasive treatments. It is particularly suitable for patients who wish to avoid surgery or have not benefited from surgical interventions.

Contraindications

HEMBO™ may not be suitable for:

Grade 4 internal hemorrhoids
Patients with acute hemorrhoidal complications
Those with a history of colorectal surgery
Patients with chronic anal fissures

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