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Laser hemorrhoidectomy

Dae Ro Lim, Dae Hyun Cho, Joo Hyun Lee, Jae Hwan Moon
PURPOSE: A variety of instruments, including circular staplers, ultrasonic scalpels, lasers, and bipolar electrothermal devices, are currently used when performing a hemorrhoidectomy. This study compared outcomes between hemorrhoidectomies performed with an ultrasonic scalpel and conventional methods. METHODS: The study was a randomized prospective review of data available between May 2013 and December 2013, involving 50 patients who had undergone a hemorrhoidectomy for grade III or IV internal hemorrhoids...
June 2016: Annals of Coloproctology
Halit Maloku, Zaim Gashi, Ranko Lazovic, Hilmi Islami, Argjira Juniku-Shkololli
OBJECTIVE: According to the ''vascular'' theory, arterial overflow in the superior hemorrhoidal arteries would lead to dilatation of the hemorrhoidal venous plexus. Hemorrhoid laser procedure (LHP) is a new laser procedure for outpatient treatment of hemorrhoids in which hemorrhoidal arterial flow feeding the hemorrhoidal plexus is stopped by laser coagulation. AIM: Our aim was to compare the hemorrhoid laser procedure with open surgical procedure for outpatient treatment of symptomatic hemorrhoids...
December 2014: Acta Informatica Medica: AIM
Giuseppe Sammarco, Francesco Ferrari, Antonio Carpino, Emilio Russo, Giuseppina Vescio, Michele Ammendola, Rosario Sacco
BACKGROUND: The aim of this study was to assess the early and late complications of haemorrhoidectomy according to Milligan-Morgan (Milligan-Morgan laser optical fibers variant) vs haemorrhoidopexy with PPH-stapler and to assess the long-term results in terms of recurrences in circumferential prolapse patients classified P4-E4 (PATE 2000). METHODS: Onehundredsixty patients, with haemorrhoidal disease classified P4-E4, who underwent surgery between 2001 and 2007, were included in an retrospective observational study...
2013: Annali Italiani di Chirurgia
Melinda Hawkins, Richard Billingham, Amir Bastawrous
PURPOSE: Management of rectal bleeding in patients with radiation proctitis presents a conundrum for practitioners. Surgeons are appropriately concerned about using conventional methods of treatment in these patients, such as cautery for bleeding areas in the rectum, rubber band ligation, or excision of internal and/or external hemorrhoids, for fear of poor healing and possible exacerbation of the original problem. Few randomized controlled trials are available on the treatment of radiation proctitis alone, and no literature exists pertaining to the management of symptomatic hemorrhoids in the radiated patient...
December 2012: International Journal of Colorectal Disease
Matthew V Fargo, Kelly M Latimer
The prevalence of benign anorectal conditions in the primary care setting is high, although evidence of effective therapy is often lacking. In addition to recognizing common benign anorectal disorders, physicians must maintain a high index of suspicion for inflammatory and malignant disorders. Patients with red flags such as increased age, family history, persistent anorectal bleeding despite treatment, weight loss, or iron deficiency anemia should undergo colonoscopy. Pruritus ani, or perianal itching, is managed by treating the underlying cause, ensuring proper hygiene, and providing symptomatic relief with oral antihistamines, topical steroids, or topical capsaicin...
March 15, 2012: American Family Physician
Hélio Plapler, Raduan Hage, Janaina Duarte, Nilza Lopes, Igor Masson, Cláudio Cazarini, Thiago Fukuda
OBJECTIVE: This study aimed to describe the clinical results of intrahemorrhoidal application of a diode laser. BACKGROUND DATA: Hemorrhoids are a common source of pain, and no surgical technique achieves a painless outcome. Endovascular laser therapy for varicose veins as described in an experimental study is a method that could be used in the treatment of hemorrhoids, but there are few clinical trials described in the literature. MATERIALS AND METHODS: Fifteen patients with second and third degree hemorrhoids underwent intrahemorrhoidal laser therapy...
October 2009: Photomedicine and Laser Surgery
Dong Wang, Ke-li Zhong, Jian-lin Chen, Xiao-xue Wang, Kai Pan, Li-gang Xia, Xiao-chun Chen, Xiao-dong Yang
OBJECTIVE: To evaluate the curative effects of diode laser coagulation on grade III internal hemorrhoids. METHODS: From March 2004 to December 2004, 86 patients with grade III internal hemorrhoids were divided into two groups, received laser coagulation (laser group, n=46) or received hemorrhoidectomy (control group, n=40). Complications, symptom relief, pain scores and satisfaction scores were compared between the two groups six months after operation. RESULTS: Pain scores were lower in laser group than that of the control group on the first day and seventh day after operation...
July 2005: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
Pravin J Gupta
BACKGROUND: For advanced degree of hemorrhoids with prolapse of the rectal mucosa, the choice is hemorrhoidectomy, which could be open, close, diathermy, Laser, or stapled one. As an effective alternative to this, in situ radio-frequency ablation of the pile mass has been found to be quite efficacious with many added advantages over the conventional hemorrhoidectomy procedures in practice. MATERIALS AND METHODS: This study included 50 patients (34 males and 16 females) treated at Gupta Nursing Home, Laxminagar, Nagpur, India, with the above technique from April 2000 to March 2001 and each case followed up over a period of 12 months...
July 2003: Current Surgery
G Accarpio, F Ballari, R Puglisi, S Menoni, G Ravera, F T Accarpio, A Cariati, R Zaffarano
A combination of sclerotherapy, rubber band ligation and infrared coagulation was performed in 7850 patients seen an outpatient clinic over a period of 9 years. The most common symptom was bleeding followed by prolapse, pain and itching. Results were considered satisfactory in 7100 patients (90.5%); 750 (9.5%) required a formal hemorrhoidectomy. Complications were mild to moderate pain in 1777 cases (22.6%), severe pain in 157 cases (2.2%), mild hemorrhage in 199 (2.5%) and hemorrhage requiring transfusion in 10 cases (0...
December 2002: Techniques in Coloproctology
H Plapler, A J de Faria Netto, M S da Silva Pedro
OBJECTIVE: The purpose of this study was to investigate how a scanner device would improve the outcome of laser hemorrhoidectomy regarding pain, healing, secretion, and hemostasis. BACKGROUND DATA: The technology of the laser has been applied since the 1960s in several clinical and surgical specialties. The inherent advantages, due to the biological characteristics of this instrument are: (1) it does not affect the neighborning tissues, (2) it is hemostatic, (3) it favors healing, (4) it is bactericidal, and (5) it presents less postoperative pain...
October 2000: Journal of Clinical Laser Medicine & Surgery
D N Armstrong, W L Ambroze, M E Schertzer, G R Orangio
INTRODUCTION: Management of posthemorrhoidectomy pain remains a very unsatisfactory clinical dilemma. Compared with electrocautery and laser, the Harmonic Scalpel causes minimal lateral thermal injury during tissue dissection. PURPOSE: The aim of the study was to establish whether decreased lateral thermal injury translated into diminished posthemorrhoidectomy pain. METHODS: A prospective randomized trial comparing Harmonic Scalpel hemorrhoidectomy and electrocautery was undertaken...
April 2001: Diseases of the Colon and Rectum
S Walfisch, H Mnitentag, S Mordechai, A Gersten
OBJECTIVE: Physicians who use laser systems are looking for new fiberoptic delivery systems with better performance. We searched for a delivery system with high power and with a tip of high durability that may be reused many times. SUMMARY BACKGROUND DATA: The delivery systems currently found on the market can burn and break easily. The surgeon may either finish the surgery with a damaged delivery system, or have to switch to a new one during surgery, thus increasing the inconvenience and cost of the surgery...
1999: Journal of Clinical Laser Medicine & Surgery
E S Povazhnaia, A A Lykov, V N Sokrut, I V Peklun, S V Povazhnaia
No abstract text is available yet for this article.
November 2000: Voprosy Kurortologii, Fizioterapii, i Lechebnoĭ Fizicheskoĭ Kultury
E S Povazhnaia, V N Sokrut, A A Lykov, S V Povazhnaia, I V Peklun
The dynamics of the biogenic amines level in the blood of patients after performance of hemorrhoidectomy was dependent on severity of an organism stress-reaction predicting the wound healing outcome. When the wound irradiation using the low-energy laser of infrared diapason is performed in patients with the lowered reactivity of organism the histamine and serotonin contents dynamics is the same as in the patients with normal reactivity.
August 2000: Klinichna Khirurhiia
K S Zahir, R E Edwards, A Vecchia, S J Dudrick, G Tripodi
PURPOSE: Hemorrhoidal disease may benefit from the use of Nd-YAG laser to decrease surgical recovery time, postoperative hospital stay and complications. METHODS: Fifty patient charts from 1993 to 1998 were reviewed retrospectively to evaluate postoperative complications and overall patient satisfaction following hemorrhoidectomy. We used the Nd-YAG laser from Surgical Laser Technologies CL60 with the ERP4 sapphire tip and the setting of 20 watts on continuous wave mode...
April 2000: Connecticut Medicine
R K Cleary, J D Schaldenbrand, J J Fowler, J M Schuler, R M Lampman
PURPOSE: The aim of this study was to review the literature with regard to perianal Bowen's disease and anal intraepithelial neoplasia. METHODS: A literature review was conducted from 1960 to 1999 using MEDLINE. RESULTS: Perianal Bowen's disease and anal intraepithelial neoplasia are precursors to squamous carcinoma of the anus. They are analogous to and are associated with cervical and vulvar intraepithelial neoplasia, and have human papillomavirus as a common cause...
July 1999: Diseases of the Colon and Rectum
M A Trelles, J Sanchez, R Sultan, P Sala
No abstract text is available yet for this article.
October 1991: Journal of Clinical Laser Medicine & Surgery
A Tajana, D Chiurazzi, I De Lorenzi
The non invasive treatment of hemorrhoidal disease has the best indications for I and II degree symptomatic piles and only in few cases of III and IV degree. Authors report their practice with infra-red-coagulation, cryosurgery and laser surgery, discussing indications, controindications and describing in detail their technique. About laser surgery they emphasize that this procedure is a formal hemorrhoidectomy, and laser acts as a scissor or a blaude.
November 1995: Annali Italiani di Chirurgia
J M Enriquez-Navascues, J M Devesa Múgica, P Bucheli Proaño
OBJECTIVE: To assess whether hemorrhoidectomy done with the Nd:YAG laser was associated with less pain or fewer complications and sequels than with conventional surgery. DESIGN: A prospective comparative, randomized study. PATIENTS: Over a period of six months, a total of 35 consecutive patients, 13 females and 22 males, with symptomatic hemorrhoidal disease requiring surgery, were alternatively randomized to either laser hemorrhoidectomy (17 patients) or surgery (18 patients)...
October 1993: Revista Española de Enfermedades Digestivas
A Senagore, W P Mazier, M A Luchtefeld, J M MacKeigan, T Wengert
PURPOSE: Recently, laser technology has been advocated for the treatment of hemorrhoids. However, there has been little scientific evaluation of the use of the Nd:YAG laser for excisional treatment of hemorrhoidal disease. The purpose of this study was to perform a prospective randomized study of the Nd:YAG laser vs. scalpel excision, when performing a standard Ferguson-closed hemorrhoidectomy. METHODS: Patients presenting for internal-external hemorrhoidectomy were eligible for study...
November 1993: Diseases of the Colon and Rectum
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