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Laser hemorrhoid procedure

George Bachtsetzis, Chris Bachtsetzis, Nada El Dakroury, George Athanasiou
A 44-year-old male patient diagnosed with Anal Fissure and Stage II Hemorrhoids in 2013. He has been suffering ever since, avoiding surgery, using local analgesic and anti-hemorrhoidal crèmes. Physical examination in February 2017, showed a chronic character of his problem and hemorrhoids to have progressed to Stage III. The common shared decision between patient and surgeon was to proceed with a combination of a LIS for the Anal Fissure and an ELITE minimal invasive procedure for hemorrhoids. The operating time of the dual procedure was short and the patient witnessed a remarkable, painless post-op rehab period...
January 2019: Journal of Surgical Case Reports
P Giamundo, A Braini, G Calabro', N Crea, P De Nardi, F Fabiano, M Lippa, A Mastromarino, A M Tamburini
BACKGROUND: Doppler-guided hemorrhoidal laser procedure (HeLP) is a new minimally invasive technique to treat symptomatic hemorrhoids. The aim of this multicenter study was to prospectively assess clinical results and patients' satisfaction in patients treated with HeLP. METHODS: Indications for HeLP included patients with symptomatic hemorrhoids resistant to medical therapy, with low-grade prolapse. Clinical efficacy was evaluated assessing resolution of symptoms and patient satisfaction...
August 2018: Techniques in Coloproctology
Edward Ram, Gil N Bachar, Yuri Goldes, Samia Joubran, Lea Rath-Wolfson
Background: Hemorrhoids are a common anorectal condition with a major medical and socioeconomic impact. Owing to the high incidence of symptomatic hemorrhoids in the adult population together with the risk of complications of traditional surgery, researchers are seeking less invasive methods of hemorrhoidal treatment.The aim of this study was to present our experience with the mini-invasive Doppler guided hemorrhoidal laser procedure (HeLP) in symptomatic 2nd and 3rd degree hemorrhoids with absent or minimal mucosal prolapse...
June 30, 2018: Laser Therapy
Mohammad Naderan, Saeed Shoar, Mohammad Nazari, Ahmed Elsayed, Habibollah Mahmoodzadeh, Zhamak Khorgami
PURPOSE: To compare laser intra-hemorrhoidal coagulation with Milligan-Morgan (MM) hemorrhoidectomy. METHOD: Patients with symptomatic grade II or III internal hemorrhoids according to the Goligher's classification (refractory to medical treatment) were enrolled in this double-blinded randomized controlled trial study. In the laser group, hemorrhoidal columns were coagulated using a 980-nanometer (nm) radial laser emitting fiber (three, 15-W pulses of 1.2 s each, with 0...
October 2017: Journal of Investigative Surgery: the Official Journal of the Academy of Surgical Research
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
G Gallo, V Podzemny, M Pescatori
No abstract text is available yet for this article.
July 2016: Techniques in Coloproctology
P De Nardi, A M Tamburini, P G Gazzetta, M Lemma, A Pascariello, C R Asteria
BACKGROUND: The aim of our study was to assess the outcome of hemorrhoidal dearterialization, achieved by a dedicated laser energy device. METHODS: From November 2012 to December 2014, 51 patients with second- or third-degree hemorrhoids were studied. The primary end point was a reduction in the bleeding rate; secondary end points were: postoperative complications, reduction in pain and prolapse, resolution of symptoms, and degree of patient's perception of improvement...
July 2016: Techniques in Coloproctology
Paolo Giamundo
In the last two decades, hemorrhoidal dearterialization has become universally accepted as a treatment option for symptomatic hemorrhoids. The rationale for this procedure is based on the assumption that arterial blood overflow is mainly responsible for dilatation of the hemorrhoidal plexus due to the absence of capillary interposition between the arterial and venous systems within the anal canal. Dearterialization, with either suture ligation (Doppler-guided hemorrhoid artery ligation/transanal hemorrhoidal dearterialization) or laser (hemorrhoidal laser procedure), may be successfully performed alone or with mucopexy...
January 27, 2016: World Journal of Gastrointestinal Surgery
N Kandilarov, V Dimitrova
The hemorrhoidal disease affects mainly individuals in their active age, as the reported incidence is much lower than the actual number, due to the nature of the complaints and the "subjective feeling of discomfort" when contacting a healthcare professional. Although in a large part of the cases the disease is successfully treated by non-surgical methods, the persisting symptoms greatly lower patients' quality of life, and the development of complications is related to a high morbidity rate. The defining, diagnosis and determining of the stages of the disease do not pose any difficulties to the modern medical practice, which - however - is not the case with the selection of the optimal and most efficient treatment method...
2015: Khirurgiia
M Trompetto, G Clerico, G F Cocorullo, P Giordano, F Marino, J Martellucci, G Milito, M Mistrangelo, C Ratto
Hemorrhoids are one of the most common medical and surgical diseases and the main reason for a visit to a coloproctologist. This consensus statement was drawn up by the Italian society of colorectal surgery in order to provide practice parameters for an accurate assessment of the disease and consequent appropriate treatment. The authors made a careful search in the main databases (MEDLINE, PubMed, Embase and Cochrane), and all results were classified on the basis of the grade of recommendation (A-C) of the American College of Chest Physicians...
October 2015: Techniques in 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
Nicola Crea, Giacomo Pata, Mauro Lippa, Deborah Chiesa, Maria Elena Gregorini, Paolo Gandolfi
BACKGROUND: We report the results of 2-year regular use of the hemorrhoidal laser procedure (HeLP) in 97 patients with symptomatic second- to third-grade hemorrhoids with minimal or moderate internal mucosal prolapse. METHODS: Data on duration of the procedure, perioperative complications, postoperative pain, downgrading of hemorrhoids, resolution or persistency, and recurrence of hemorrhoidal disease (HD) were prospectively collected. RESULTS: No significant intraoperative complications occurred...
July 2014: American Journal of Surgery
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
Paolo Giamundo, Raffaele Salfi, Maria Geraci, Livio Tibaldi, Luisa Murru, Marco Valente
BACKGROUND: Hemorrhoid laser procedure is a new laser procedure for outpatient treatment of hemorrhoids in which hemorrhoidal arterial flow feeding the hemorrhoidal plexus is stopped by means of Doppler-guided laser coagulation. OBJECTIVE: Our aim was to compare the hemorrhoid laser procedure with rubber band ligation for outpatient treatment of symptomatic hemorrhoids with moderate mucosal prolapse. DESIGN: This was a randomized controlled trial with balanced allocation to hemorrhoid laser procedure or rubber band ligation, with stratification by study center...
June 2011: Diseases of the Colon and Rectum
Paolo Giamundo, Walter Cecchetti, Luigi Esercizio, Giovanni Fantino, Maria Geraci, Roberto Lombezzi, Michele Pittaluga, Livio Tibaldi, Giovanni Torre, Marco Valente
BACKGROUND: According to the "vascular" theory, arterial overflow in the superior hemorrhoidal arteries would lead to dilatation of the hemorrhoidal venous plexus. A 980-nm diode laser-pulsed shot causes shrinkage of tissue. The depth of shrinkage can be regulated by the power and duration of the laser beam. Through a 1000-micron conic fiber, five laser shots generated at a power of 13 W with duration of 1.2 s each and a pause of 0.6 s caused shrinkage of tissues to the depth of approximately 5 mm...
May 2011: Surgical Endoscopy
U Hohenleutner
Dermatologic laser therapy is a rapidly-changing field with many new innovations. One of the most important is the introduction of fractional photothermolysis. This method is established for skin rejuvenation and acne scars; both the original non-ablative devices and newer ablative ones are available. While its side effects and the patient's downtime are considerably less than with ablative skin resurfacing, its efficacy is much better than non-ablative laser skin rejuvenation. This approach is also effective for melasma and other forms of hyperpigmentation in some patients...
May 2010: Der Hautarzt; Zeitschrift Für Dermatologie, Venerologie, und Verwandte Gebiete
L C Pandini, S C Nahas, C S R Nahas, C F S Marques, C W Sobrado, D R Kiss
OBJECTIVE: To prospectively compare immediate postoperative results of the surgical treatment of haemorrhoidal disease (HD) by Milligan-Morgan technique using either the CO(2) laser or cold scalpel. METHODS: Forty patients with grade III/IV HD were prospectively randomized to undergo surgical treatment (Milligan-Morgan) using either the CO(2) laser (group A) or the cold scalpel method (group B). Data were compared regarding postoperative pain, complications, healing time, return to normal activity and patient satisfaction...
September 2006: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
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
Aleksander Sowula, Bogdan Szymala, Janusz Pabian
There is presented our experience in surgical haemorrhoids treatment using CO2 laser. There were 68 operations in 37 patients in outpatient clinic. There were two cases of anal fissure and no postoperative bleeding during postoperative period.
2005: Wiadomości Lekarskie: Organ Polskiego Towarzystwa Lekarskiego
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
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