Subdermal-submucouse laser destruction of internal hemorrhoidal nodes for the treatment of patients with II and III degree hemorrhoids

Abstract

The aim of the study is to evaluate results of subdermal-submucous laser destruction of internal hemorrhoids in out-patient settings for the treatment of patients with chronic internal hemorrhoids of degrees II and III.

Material and methods. Subdermal-submucous laser destruction of internal hemorrhoids was performed in 14 patients with chronic internal hemorrhoids of degrees II and III: 2 females and 12 males. Average age 41.42 ± 13 years. Disease duration 10 ± 9.5 years. Surgery was performed under local infiltration anesthesia with 0.25% solution of lidocaine hydrochloride. Diode laser device Mediola Compact (Republic of Belarus) was used for the procedure.

Results. Surgery lasted for 20.27 ± 5 min. There were no any intraoperative complications. Pain syndrome after surgery was 1–2 points by the 10-point scale. One patient (10%) developed thrombosis of internal hemorrhoids after surgery which was stopped by conservative measures on day 10. The remaining 13 patients resumes their active work on day 5. At the follow-up visit one month after the surgery, patients had no complaints. On examination, hemorrhoidal nodes did not move; their size became less and they did not fall out when straining for defecation.

Conclusion. The described technique for subdermal-submucous laser destruction of internal hemorrhoidal nodes is effective and safe for treating patients with chronic internal hemorrhoids of stages II and III in out-patient settings.