Minimally invasive treatment of combined hemorrhoids
https://doi.org/10.37895/2071-8004-2022-26-1-14-19
Abstract
Purpose. To study outcomes after the minimally invasive treatment of combined hemorrhoids.
Material and methods. Two hundred and three patients with combined hemorrhoids were included in the study. Patients of the main group (n = 101) had laser coagulation of internal hemorrhoids; patients of the control group (n = 102) – ligation of internal hemorrhoids. Then, excision of external hemorrhoids was made in both groups.
Results. The intensity of postoperative pain syndrome decreased more rapidly in patients from the main group comparing to the controls. The number of early postoperative complications in patients of the main group was 2 times less than in the controls. Relapse of the disease one year after the treatment was seen in 5.94 % of patients of the main group and in 22.55 % of the controls.
Conclusion. Laser coagulation of internal hemorrhoids followed by the excision of external ones in patients with combined hemorrhoids can improve outcomes and reduce the number of relapses.
About the Authors
V. M. Sotnikov
Samara State Medical University
Russian Federation
Russian Federation
Sotnikov Vasily – Cand. Sc. (Med.), Coloproctologist
Samara
S. E. Katorkin
Samara State Medical University
Russian Federation
Russian Federation
Katorkin Sergey – Dr. Sc. (Med.), Associate Professor, Head of the Hospital Surgery Department
Samara
References
1. Riss S., Weiser F.A., Schwameis K., et al. The prevalence of hemorrhoids in adults. Int J Colorectal Dis. 2012; 27 (2): 215–220. DOI: 10.1007/s00384-011-1316-3
2. Kaidar-Person O., Person B., Wexner S.D. Hemorrhoidal disease: A comprehensive review. J Am Coll Surg. 2007; 204 (1): 102–117. DOI: 10.1016/j.jamcollsurg.2006.08.022
3. Acheson A.G., Scholefi eld J.H. Management of haemorrhoids. BMJ. 2008; 336 (7640): 380–383. DOI: 10.1136/ bmj.39465.674745.80
4. Chierici A., Frontali A. Post-hemorrhoidectomy pain management: The latest news. Rev Recent Clin Trials. 2021; 16 (1): 32–38. DOI: 10.2174/1574887115666200406122009
5. Lohsiriwat V. Treatment of hemorrhoids: A coloproctologist’s view. World J Gastroenterol. 2015; 21 (31): 9245–9252. DOI: 10.3748/wjg.v21.i31.9245
6. Lakmal K., Basnayake O., Jayarajah U., Samarasekera D.N. Clinical outcomes and effectiveness of laser treatment for hemorrhoids: A systematic review. World J Surg. 2021; 45 (4): 1222–1236. DOI: 10.1007/s00268-020- 05923-2
7. Plapler H., Hage R., Duarte J., et al. A new method for hemorrhoid surgery: Intrahemorrhoidal diode laser, does it work? Photomed Laser Surg. 2009; 27 (5): 819–823. DOI: 10.1089/ pho.2008.2368
8. Ebrahimi N., Vohra-Miller S., Koren G. Anorectal symptom management in pregnancy: Development of a severity scale. J Popul Ther Clin Pharmacol. 2011; 18: e99– e105.
9. Huskisson EC. Measurement of pain. Lancet. 1974; 2 (7889): 1127–1131. DOI: 10.1016/s0140-6736(74)90884-8
Review
For citations:
Sotnikov V.M., Katorkin S.E. Minimally invasive treatment of combined hemorrhoids. Laser Medicine. 2022;26(1):14-19. (In Russ.) https://doi.org/10.37895/2071-8004-2022-26-1-14-19
Views:
485
Email this article 