Postoperative discomfort and pain in the management of hemorrhoidal disease: laser hemorrhoidoplasty, a minimal invasive treatment of symptomatic hemorrhoids

AbstractHemorrhoidal disease (HD) treatment still remains controversial. In fact, despite many surgical progresses, postoperative pain, and discomfort remain the major weaknesses. Laser hemorrhoidoplasty (LHP) is a minimal invasive procedure for HD treatment determining the shrinkage of the hemorrhoidal piles by diode laser. The aim of the current study is to analyze the feasibility and efficacy of LHP in patients with II –III degrees hemorrhoids. Consecutive patients with II–III degree hemorrhoids were enrolled in the study and underwent an LHP treatment using a 1470-nm diode laser. Operative time, postoperative pain and complications, resolution of symptoms, and length of return to daily activity were prospecti vely evaluated. Recurrence of prolapsed hemorrhoid or symptoms at a minimum follow-up of 6 months was evaluated. Fifty patients (28 males and 22 females) were enrolled in the study. No significant intraoperative complications occurred. Postoperative pain score (at 12, 18, and 24 h postoperatively) , evaluated through visual analogue scale, was extremely low (mean value 2). No postoperative spontaneous bleeding occurred. The 100% of our population came back to daily activity 2 days after surgery. At a mean follow-up period of 8.6 months, we reported a recurrence rate of 0%. LHP demonstrated a large efficacy in selected patients. The greatest strength points were low postoperative pain, the presence of slightly significant peri-anal wounds, n...
Source: Updates in Surgery - Category: Surgery Source Type: research

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Atypical chest pain is of diverse origin. Typically, we initially consider cardiac etiology. When pain appears non-cardiac, there is a tendency to underestimate the illness, especially if the patient has neuropsychiatric illness. Our resident with dementia and anxiety disorder had chest pain; the diagnosis was unexpected.
Source: Journal of the American Medical Directors Association - Category: Health Management Authors: Source Type: research
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Source: Journal of the American Medical Directors Association - Category: Health Management Authors: Source Type: research
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Source: Journal of the American Medical Directors Association - Category: Health Management Authors: Source Type: research
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Source: Journal of the American Medical Directors Association - Category: Health Management Authors: Source Type: research
Conclusion: Doppler-guided suturing is an effective, minimally invasive treatment option for even advanced haemorrhoidal diseases and seems to be ideal for one-day surgery. PMID: 31813242 [PubMed - in process]
Source: Magyar Sebeszet - Category: Surgery Authors: Tags: Magy Seb Source Type: research
ConclusionThe hemorrhoidal dearterialization technique presents good results, with light and easy-to-resolve complications and little postoperative pain.ResumoIntroduçãoO tratamento da doença hemorroidária pelas técnicas convencionais cursa com significante redução da qualidade de vida do doente, principalmente relacionada à dor pós-operatória e ao considerável tempo de afastamento do trabalho. A técnica de desarterialização hemorroidária associada à mucopexia retal é uma opção cirúrgi...
Source: Journal of Coloproctology - Category: Gastroenterology Source Type: research
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Source: The Procedural Pause - Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
Authors: Sirikurnpiboon S, Siripattanakul A Abstract Background: Hemorrhoidectomy is a common procedure in clinical practice. Most operations are performed on an inpatient basis using general or regional anesthesia, and the use of local anesthesia is still limited due to concerns about postoperative care. Objective: To compare perioperative results including pain, urinary retention, bleeding and other complications after hemorrhoidectomy performed using local anesthesia (LA) on an out-patient basis with those achieved after spinal anesthesia (SA) on in-patient cases. Material and Method: This was a retrospe...
Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet - Category: General Medicine Tags: J Med Assoc Thai Source Type: research
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Source: Medgadget - Category: Medical Devices Authors: Tags: Exclusive Source Type: blogs
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Source: Mr. Hassle's Long Underpants - Category: Emergency Medicine Authors: Tags: Clinical Source Type: blogs
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