Modified Doppler-guided laser procedure for the treatment of second- and third-degree hemorrhoids.

Modified Doppler-guided laser procedure for the treatment of second- and third-degree hemorrhoids. Laser Ther. 2018 Jun 30;27(2):137-142 Authors: Ram E, Bachar GN, Goldes Y, Joubran S, Rath-Wolfson L Abstract 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. Methods: The cohort included 62 patients with symptomatic hemorrhoids who underwent the HeLP at a tertiary medical center in 2014-2016. Data were collected on clinical and perioperative characteristics and outcome. Findings were compared between patients with second- and third-degree hemorrhoids. Results: The cohort included 41 male and 21 female patients of mean age 41.5 years. Fifty-one had bleeding and 11 had hemorrhoidal syndrome. Mean operative time was 16.6 ± 3.7 minutes. A total of 8-12 arterial branches were treated. Patients were discharged home within a mean of 91.95 ± 20.48 minutes and allowed to resume normal activities. Compared to patients with second-degree hemorrhoids, patients with third-de...
Source: Laser Therapy - Category: Laser Surgery Tags: Laser Ther Source Type: research

Related Links:

Abstract Many Americans between 45 and 65 years of age experience hemorrhoids. Hemorrhoidal size, thrombosis, and location (i.e., proximal or distal to the dentate line) determine the extent of pain or discomfort. The history and physical examination must assess for risk factors and clinical signs indicating more concerning disease processes. Internal hemorrhoids are traditionally graded from I to IV based on the extent of prolapse. Other factors such as degree of discomfort, bleeding, comorbidities, and patient preference should help determine the order in which treatments are pursued. Medical management (e.g., s...
Source: American Family Physician - Category: Primary Care Authors: Tags: Am Fam Physician Source Type: research
[Laserhemorrhoidoplasty with 1470 nm Diode Laser in the Treatment of Second to Fourth Degree Hemorrhoidal Disease - a Cohort Study with 497 Patients]. Zentralbl Chir. 2017 Nov 29;: Authors: Weyand G, Theis CS, Fofana AN, Rüdiger F, Gehrke T Abstract Background Laser haemorrhoidoplasty (LHP) with the 1470 nm diode laser in minimally invasive surgery for advanced haemorrhoid disease has been studied with respect to clinical variables, such as pain and complications, and intraoperative characteristics such as mucopexia, number of treated knots and energy consumed per patient. The study...
Source: Zentralblatt fur Chirurgie - Category: Surgery Authors: Tags: Zentralbl Chir Source Type: research
AbstractPurposeWe evaluated the efficacy of oral administration of a mixture of diosmin, coumarin glycosides, andCentella asiatica (Venoplant ®) in preventing bleeding, pain, and thrombosis of internal and external hemorrhoids after stapled anopexy (SA).MethodsSA was conducted in 182 patients with third-degree hemorrhoids. Preoperatively, patients were randomized evenly into two groups. Group A patients were administered Venoplant for 30  days post-SA, and group B received a placebo for 30 days post-SA. Patients received paracetamol for postoperative pain. Visit (v)1, v2, and v3 took place 7, 15, and 30 ...
Source: International Journal of Colorectal Disease - Category: Gastroenterology Source Type: research
Authors: Naderan M, Shoar S, Nazari M, Elsayed A, Mahmoodzadeh H, Khorgami Z Abstract 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 0.6-s intervals). Operative time, postoperative pain a...
Source: Journal of Investigative Surgery - Category: Surgery Tags: J Invest Surg Source Type: research
We are going to get up close and personal this month to talk about hemorrhoids. You should be familiar with these painful offenders because half to two-thirds of people between 45 and 65 will suffer from their cruelty. (Am Surg 2009;75[8]:635.) Patients may seek emergency department care if they experience bleeding or severe pain from hemorrhoids.Hemorrhoids are highly vascular structures that are round or oval in shape. They arise from the rectal and anal canal, and sometimes appear around the anus itself. It is important to note that hemorrhoids do not have arteries and veins but special blood vessels called sinusoids, c...
Source: The Procedural Pause - Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
Conclusions The hemorrhoid laser procedure was effective in improving bleeding and pain symptoms in patients with grade II and III hemorrhoids.
Source: Techniques in Coloproctology - Category: Surgery Source Type: research
iacute;nguez-Suárez JE, Investigators PA Abstract AIM: To compare the efficacy and safety of recombinant streptokinase (rSK) vs hydrocortisone acetate-based suppositories in acute hemorrhoidal disease. METHODS: A multicenter (11 sites), randomized (1:1:1), open, controlled trial with parallel groups was performed. All participating patients gave their written, informed consent. After inclusion, patients with acute symptoms of hemorrhoids were centrally randomized to receive, as outpatients, by the rectal route, suppositories of rSK 200000 IU of one unit every 8 h (first 3 units) and afterwards every 12...
Source: World Journal of Gastroenterology : WJG - Category: Gastroenterology Authors: Tags: World J Gastroenterol Source Type: research
CONCLUSIONS: The proposed modification of PPH hemorrhoidectomy poses greater technical ease without increased morbidity, preserving the advantages of the original technique. PMID: 26048569 [PubMed - as supplied by publisher]
Source: Cirugia y Cirujanos - Category: Surgery Authors: Tags: Cir Cir Source Type: research
Discussion Common anorectal problems come to the attention of clinicians because of blood, pain or a mass lesion. These include anal fissures, perianal abscess and fistulas and hemorrhoids. Anal fissures are tears of the distal anus usually in the midposterior line that often occur in toilet training children and those with constipation. Rectal bleeding and pain are common. Treatment is conservative. Perianal abscess and fistulas present as masses that are firm or fluctuant. Treatment is antibiotics along with various types of incision and drainage. Recurrence is high and may require additional surgery. Crohn’s dis...
Source: PediatricEducation.org - Category: Pediatrics Authors: Tags: Uncategorized Source Type: news
Conclusions The use of a mixture of diosmin, troxerutin and hesperidin is a safe and effective mean of managing symptoms of acute hemorrhoidal disease. Furthermore, in patients receiving treatment, there was faster control and lower persistence of edema and thrombosis.
Source: Techniques in Coloproctology - Category: Surgery Source Type: research
More News: Bleeding | Gastroschisis Repair | Hemorrhoids | Laser Surgery | Laser Therapy | Pain | Study | Thrombosis