keyword
https://read.qxmd.com/read/37692631/laser-hemorrhoidoplasty-versus-ligasure-hemorrhoidectomy-a-comparative-analysis
#1
JOURNAL ARTICLE
Cemalettin Durgun, Ebral Yiğit
Background and objective Minimally invasive techniques in the surgical treatment of hemorrhoids have been gaining in popularity. Laser hemorrhoidoplasty (LHP) and LigaSure™ (LigH; Medtronic, Dublin, Ireland) hemorrhoidectomy methods are the most recent innovative methods that are increasingly used. In this study, we aimed to compare the effectiveness of these two innovative techniques. Methods The data of patients who underwent LHP or LigH for grade III hemorrhoidal disease at our clinic between January 2022 and June 2023 were retrospectively analyzed...
August 2023: Curēus
https://read.qxmd.com/read/37312422/comparing-outcomes-of-laser-hemorrhoidoplasty-and-ligasure-hemorrhoidectomy-in-grade-ii-iii-hemorrhoidal-disease-a-retrospective-analysis
#2
JOURNAL ARTICLE
Haluk Tümer, Mevlüt Harun Ağca
BACKGROUND: Hemorrhoidal disease is a common ailment that presents a challenge in terms of standard treatment methods. Although surgical hemorrhoidectomy is often considered the gold standard, new surgical techniques have emerged, such as laser hemorrhoidoplasty and LigaSure hemorrhoidectomy, to address postoperative pain, bleeding, and extended return-to-work times. This study aims to compare the outcomes of laser hemorrhoidoplasty and LigaSure hemorrhoidectomy in patients with grade II-III hemorrhoidal disease...
2023: ANZ Journal of Surgery
https://read.qxmd.com/read/37084307/effectiveness-of-laser-hemorrhoidoplasty-in-the-treatment-of-hemorrhoidal-disease
#3
JOURNAL ARTICLE
Ayberk Dursun, Gizem Kilinc Tuncer, Korhan Tuncer, Cem Karaali, Gürsoy Erdoğan, Mustafa Emiroglu
INTRODUCTION: Minimally invasive techniques still continue to maintain their popularity in hemorrhoidal disease. In this study, we aimed to present the symptomatic recovery and recurrence rates, post-operative pain levels, and complication rates of patients treated with the laser hemorrhoidoplasty (LHP) method in our clinic. METHODS: The data of patients who underwent LHP due to Grades 2, 3, and 4 internal hemorrhoidal disease in our clinic were reviewed retrospectively...
2023: Cirugia y Cirujanos
https://read.qxmd.com/read/37020091/mid-term-efficacy-and-postoperative-wound-management-of-laser-hemorrhoidoplasty-lhp-vs-conventional-excisional-hemorrhoidectomy-in-grade-iii-hemorrhoidal-disease-the-twisting-trend
#4
JOURNAL ARTICLE
Claudio Gambardella, Luigi Brusciano, Antonio Brillantino, Simona Parisi, Francesco Saverio Lucido, Gianmattia Del Genio, Salvatore Tolone, Alfredo Allaria, Salomone Di Saverio, Francesco Pizza, Alessandro Sturiale, Ludovico Docimo
PURPOSE: Hemorrhoidal disease (HD) is a common condition, and several surgical techniques have been proposed to date without being able to achieve definitive consensus on their use and indications. Laser hemorrhoidoplasty (LHP) is a minimally invasive procedure for HD treatment determining the shrinkage of the hemorrhoidal piles by diode laser limiting the postoperative discomfort and pain. The aim of the current study was to evaluate the postoperative outcomes of HD patients undergoing LHP vs conventional Milligan-Morgan hemorrhoidectomy (MM)...
April 5, 2023: Langenbeck's Archives of Surgery
https://read.qxmd.com/read/36695928/hemorrhoid-laser-dearterialization-systematic-review-and-meta-analysis
#5
REVIEW
Paola De Nardi, Giulia Maggi, Michele Pagnanelli, Iliyan Vlasakov, Davide Corbetta
Hemorrhoidal disease is a common and troublesome condition. Excisional hemorrhoidectomy can assure the best chance of cure but it is hampered by postoperative pain and potential long-term morbidity therefore minimally invasive techniques have been developed. Since 2009 a doppler-guided hemorrhoidal dearterialization with laser (the hemorrhoidal laser procedure; HeLP) has been proposed to control symptoms without significant sequelae. The aim of this systematic review is to analyze the benefits and disadvantages of HeLP for symptomatic hemorrhoids...
January 25, 2023: Lasers in Medical Science
https://read.qxmd.com/read/36094598/laser-hemorrhoidoplasty-for-hemorrhoidal-disease-a-systematic-review-and-meta-analysis
#6
JOURNAL ARTICLE
Hendry Lie, Evelyn Franca Caesarini, Antonius Agung Purnama, Andry Irawan, Taufik Sudirman, Wifanto Saditya Jeo, Bernardus Parish Budiono, Erik Prabowo, M Iqbal Rivai, Ryanto Karobuana Sitepu
Laser hemorrhoidoplasty (LHP) is known as a new minimally invasive and painless procedure for symptomatic hemorrhoids. However, Milligan-Morgan (MM) may offer the best result of long-term cure rates. In this study, we aim to compare the efficacy between LHP and MM for hemorrhoidal disease treatment. Using specific keywords, we comprehensively go through the potential articles on PubMed, Europe PMC, and Google Scholar sources until April 19, 2022. All published studies on LHP and MM hemorrhoidectomy were collected...
December 2022: Lasers in Medical Science
https://read.qxmd.com/read/35584917/laser-hemorrhoidoplasty-in-the-treatment-of-symptomatic-hemorrhoids-a-pilot-australian-study
#7
JOURNAL ARTICLE
Anshini Jain, Chen Lew, Gamze Aksakal, Richard Hiscock, Naseem Mirbagheri
PURPOSE: Traditional therapeutic approaches to the surgical management of hemorrhoid disease such as hemorrhoidectomies are plagued with severe postoperative pain and protracted recovery. Our pilot study aims to the laser hemorrhoidoplasty (LH) patients with symptomatic hemorrhoid disease that have failed conservative management for the first time in an Australian population. METHODS: Thirty patients were prospectively enrolled to undergo LH. Postoperative pain, time to return to function, and quality of life (QoL) were determined through the Hemorrhoid Disease Symptom Score and Short Health Scale adapted for hemorrhoidal disease and compared to a historical group of 43 patients who underwent a Milligan-Morgan hemorrhoidectomy by the same surgeon at 3, 6, and 12 months...
May 19, 2022: Annals of Coloproctology
https://read.qxmd.com/read/35449097/comparison-of-post-operative-bleeding-incidence-in-laser-hemorrhoidoplasty-with-and-without-hemorrhoidal-artery-ligation-a-double-blinded-randomized-controlled-trial
#8
RANDOMIZED CONTROLLED TRIAL
Shu Yu Lim, Retnagowri Rajandram, April Camilla Roslani
INTRODUCTION: The effectiveness of hemorrhoidal artery ligation supplementation in reducing the incidence of post laser hemorrhoidoplasty bleeding has not been investigated. METHODS: This was a double-blind, randomized controlled trial comparing post-operative bleeding incidence in patients undergoing laser hemorrhoidoplasty (LHP) only versus LHP with hemorrhoidal artery ligation (HAL). Outcome measures included post-operative bleeding and its severity (i.e. verbal rating scale and Clavien-Dindo classification), presence of perianal swelling and pain score (visual analog score) at 1-day, 1-week and 6-weeks post-operatively...
April 21, 2022: BMC Surgery
https://read.qxmd.com/read/34804743/the-laser-therapy-for-hemorrhoidal-disease-a-prospective-study
#9
JOURNAL ARTICLE
Rafique Umer Harvitkar, Giri Babu Gattupalli, Seshu Kumar Bylapudi
AIM: This prospective study aimed to determine the outcomes and postoperative complications of hemorrhoid disease (HD) treated by hemorrhoidal laser procedure (HeLP). BACKGROUND: We, herein report the results of 18 months of methodical use of mini-invasive laser procedures in 100 patients with grades 2 and 3 hemorrhoids and minimum to a mild degree of rectal prolapse. The surgical technique is called HeLP. METHODS: Data were collected on the duration of the procedure, intraoperative complications, postoperative pain, the declivity of hemorrhoids, persistency or complete resolution, and recurrence of hemorrhoids were collected prospectively...
November 2021: Curēus
https://read.qxmd.com/read/34636364/-bumps-down-under-hemorrhoids-skin-tags-and-all-things-perianal
#10
REVIEW
Melissa M Alvarez-Downing, Giovanna da Silva
PURPOSE OF REVIEW: There continues to be a concentrated effort to improve treatment options readily available for some of the most common perianal diseases: hemorrhoids, anal fissure and anal fistula. The emphasis remains on therapies that definitively address the underlying pathology yet minimize pain and risk of incontinence, have a short recovery period, and are cost-effective. In this analysis, recent developments in the literature are reviewed. RECENT FINDINGS: Treatment of early stage hemorrhoidal disease remains the same...
January 1, 2022: Current Opinion in Gastroenterology
https://read.qxmd.com/read/34331606/laser-utility-in-the-treatment-of-hemorrhoidal-pathology-a-review-of-literature
#11
REVIEW
Aymen Trigui, Haithem Rejab, Amira Akrout, Jihen Trabelsi, Amine Zouari, Youssef Majdoub, Mohamed Ben Amar, Rafik Mzali
Hemorrhoidal disease is a common reason for consultation in proctology. It can be treated in several ways (medical, endoscopic, and surgical). Laser treatment has been described since 1960 and has developed in recent years. The purpose of this literature review was to study the results of laser treatment of hemorrhoids and to compare them with those of surgical methods. We performed a systematic search of the literature by querying the Medline, Google Scholar, and Cochrane Library databases. Retrospective studies and case reports were excluded...
March 2022: Lasers in Medical Science
https://read.qxmd.com/read/33439376/hemorrhoid-laser-procedure-help-for-second-and-third-degree-hemorrhoids-results-from-a-long-term-follow-up-analysis
#12
JOURNAL ARTICLE
Nicola Crea, Giacomo Pata, Mauro Lippa, Andrea Marco Tamburini, Abdul Halim Berjaoui
We aimed to analyze the results of 5-year consecutive use of the hemorrhoidal laser procedure (HeLP) in patients with second- to third-grade hemorrhoids with minimal or moderate mucosal prolapse. A total of 189 patients were treated between April 2012 and October 2017. We reported perioperative complications, postoperative pain, improvement of hemorrhoids grade, and relapse of hemorrhoidal disease (HD). Improvement of symptoms was assessed using the Patient Global Improvement (PGI) Scale. No severe intraoperative complications were observed...
February 2022: Lasers in Medical Science
https://read.qxmd.com/read/33415419/doppler-guided-hemorrhoidal-dearterialization-with-laser-help-indications-and-clinical-outcome-in-the-long-term-results-of-a-multicenter-trial
#13
MULTICENTER STUDY
Paolo Giamundo, Andrea Braini, Giuseppe Calabrò, Nicola Crea, Paola De Nardi, Fabio Fabiano, Mauro Lippa, Alessandro Mastromarino, Andrea M Tamburini
BACKGROUND: Doppler-guided hemorrhoidal laser procedure consists of sutureless closure of terminal branches of the superior hemorrhoidal artery by laser energy. Clinical results of patients treated with this procedure were analyzed at the completion of 2-year follow-up. Primary endpoint was resolution of symptoms and secondary endpoints were recurrence rate, type of recurrences, re-operation rate, and potential predictive factors for failure. METHODS: Bleeding was assessed on a score from 0 to 4 (none = 0; < 1/month = 1; 1/week = 2; > 1/week = 3; 3-4/week = 4), frequency of hemorrhoid-related symptoms with a score of 0-3 (2/year = 1; 3-5/year = 2; < 5/year = 3)...
January 2022: Surgical Endoscopy
https://read.qxmd.com/read/33373920/venous-lakes-of-the-lips-successfully-treated-with-a-sclerosing-agent-1-polidocanol-analysis-of-25-report-cases
#14
JOURNAL ARTICLE
Dua Cebeci, Seide Karasel, Şirin Yaşar
BACKGROUND: Venous lakes of the lip is vascular ectasia that generally appears on the lower lip and other sun-damaged surfaces of skin in elderly patient. There are many local therapies for treatment of lip venous lake such as surgical excision, cryotherapy, infrared coagulation and laser therapy. Sclerotherapy as treatment is used in varicose veins, leg telangiectasia, hemorrhoids and hemangiomas but for lip venous lake only two case has been reported. Therefore, we managed this study to determine the efficacy of injection of 1% polidocanol in the treatment of venous lake lesions...
January 2021: International Journal of Surgery Case Reports
https://read.qxmd.com/read/33294163/emergency-treatment-of-bleeding-hemorrhoids-in-a-patient-taking-aspirin-and-clopidogrel-using-a-1470-nm-diode-laser-and-the-elite-minimal-invasive-technique
#15
Chris Bachtsetzis, Antigoni Papaioannou, Spyridon Bekas, Athina Lazaridou, George Bachtsetzis
A 74-year-old male patient, receiving anticoagulation treatment after previous angioplasty stenting for severe coronary artery disease, was admitted to the clinic with a 2-day rectal bleeding. Clinical examination followed by an urgent colonoscopy to exclude other potential reasons for his symptoms both confirmed the diagnosis of Grade III thrombosed hemorrhoids. Due to the acute presentation of the case along with the existing medication of the patient, the decision was made to treat the problem using the expert laser intrahemorrhoidal therapy technique, which is a diode laser minimally invasive operation without the need to stop any of the patient's medication...
November 2020: Journal of Surgical Case Reports
https://read.qxmd.com/read/32914275/non-excisional-laser-therapies-for-hemorrhoidal-disease-a-systematic-review-of-the-literature
#16
JOURNAL ARTICLE
Gregoire Longchamp, Emilie Liot, Jeremy Meyer, Christian Toso, Nicolas C Buchs, Frederic Ris
Non-excisional laser therapies are emerging treatment for grades II and III hemorrhoidal disease (HD). However, so far, their efficiency is based on low-level evidence. Therefore, we aimed to systematically review the efficiency of non-excisional laser therapies for HD. MEDLINE/Pubmed, Web of science, Embase, and Cochrane were searched from database implementation until the April 17th, 2020. We included studies reporting at least one of surgical indicators of postoperative outcomes of laser therapies, encompassing laser hemorrhoidoplasty (LH) and hemorrhoidal laser procedure (HeLP)...
April 2021: Lasers in Medical Science
https://read.qxmd.com/read/32271744/-submucosal-laser-ablation-of-internal-hemorrhoids
#17
JOURNAL ARTICLE
A Yu Titov, I V Kostarev, L A Blagodarny, E E Bolkvadze, R Yu Khryukin
OBJECTIVE: To analyze efficacy and safety of submucosal laser ablation of internal hemorrhoids (SLT). MATERIAL AND METHODS: Systematic review included 10 articles published in electronic databases PubMed, Cochrane Library, Elibrary until January 2019. There were only full-text publications from prospective clinical trials devoted to submucosal laser ablation in the treatment of hemorrhoids. Isolated SLT was used in 4 trials, combination with other minimally invasive procedures was reported in 6 reports...
2020: Khirurgiia
https://read.qxmd.com/read/32250230/hemorrhoidal-laser-procedure-help-and-hemorrhoidal-laser-procedure-mucopexy-helpexx-and-other-emerging-technologies
#18
JOURNAL ARTICLE
Paolo Giamundo
BACKGROUND: Minimally-invasive treatments for hemorrhoids should be encouraged as they cause low morbidity, reasonable discomfort and quicker return to work. According to the "vascular theory", hemorrhoidal disease is mainly caused by blood overflow into hemorrhoidal plexus deriving from the superior hemorrhoidal arteries. INTRODUCTION: Many different procedures have been described in the literature with the common goal of reducing the blood flow into the hemorrhoidal piles...
2021: Reviews on Recent Clinical Trials
https://read.qxmd.com/read/32190743/tissue-coagulation-in-laser-hemorrhoidoplasty-an-experimental-study
#19
JOURNAL ARTICLE
Donatas Danys, Julius Pacevicius, Gabija Makunaite, Rolandas Palubeckas, Antanas Mainelis, Narimantas Markevicius, Kestutis Strupas, Tomas Poskus
BACKGROUND: Laser hemorrhoidoplasty (LHP) is a new technique for treatment of hemorrhoids. The exact extent of coagulation is not visible at the time of the procedure. There currently is no experimental or clinical data on the subject. OBJECTIVE: To evaluate the length of coagulation defect according to power and activation time of 1470nm diode laser on the perianal tissue model. METHODS: Fresh anorectal tissue of twenty-four pigs was used to produce 54 experimental samples...
2020: Open Medicine (Warsaw, Poland)
https://read.qxmd.com/read/31993838/hemorrhoid-laser-procedure-with-suture-pexy-helpexx-a-novel-effective-procedure-to-treat-hemorrhoidal-disease
#20
JOURNAL ARTICLE
P Giamundo, M De Angelis, A Mereu
BACKGROUND: The hemorrhoid laser procedure with suture-pexy (HeLPexx), consisting of Doppler-guided hemorrhoidal dearterialization with laser and the addition of anal mucopexy, is a novel non-excisional procedure to treat hemorrhoids. The aim of the present study was to describe the technique and report the clinical and long-term results. METHODS: A prospective study was conducted on patients with grade III hemorrhoids who had HeLPexx from January 2012 to February 2018...
February 2020: Techniques in Coloproctology
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