A New Method For Hemorrhoid Surgery: Intrahemorrhoidal Diode Laser, Does It Work?

Plapler, Hélio; Hage, Raduan; Duarte, Janaína; Lopes, Nilza Nelly Fontana; Masson, Igor Fagioli Bordello; Cazarini, Claudio; Fukuda, Thiago Yukio

doi:10.1089/pho.2008.2368

Cited by 68 publications

(64 citation statements)

References 13 publications

(10 reference statements)

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“…Laser coagulation was reported to induce less postoperative pain and perioperative bleeding than conventional haemorrhoidectomy . Furthermore, both HeLP and LHP have achieved a high short‐term success rate and symptomatic relief in 88%–97% of patients . Our results are in agreement with these published results: we also found low postoperative pain scores as well as a significant improvement of symptoms in 92% of our patients.…”

Section: Discussionsupporting

confidence: 91%

“…Laser haemorrhoidoplasty (LHP) was first described between 2007 and 2009 and represents one of the most recent techniques to be described which seeks to provide optimal therapy for haemorrhoidal disease. The principle of this minimally invasive technique is the coagulation of the haemorrhoidal plexus through submucosal application of laser irradiation.…”

Section: Introductionmentioning

confidence: 99%

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Short‐ and long‐term outcomes of laser haemorrhoidoplasty for grade II–III haemorrhoidal disease

et al. 2019

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Aim Laser haemorrhoidoplasty is associated with minimal postoperative pain and good symptom improvement in the short‐term. However, less is known about its long‐term efficacy. This study aims to determine the short‐ and long‐term outcomes of laser haemorrhoidoplasty. Method Between October 2010 and May 2012, 50 consecutive patients with grade II–III haemorrhoids were treated with laser haemorrhoidoplasty. Short‐term follow‐up was assessed on days 1, 30 and 60 and long‐term follow‐up was at 5 years (haemorrhoidal stage reduction, pain, patient satisfaction, symptom improvement, incapacity for work, continence, complications, recurrence). Results Short‐term follow‐up was achieved for all patients and long‐term follow‐up for 44/50 patients (88%). At short‐term follow‐up, haemorrhoidal stage reduction was documented in 49 (98%) patients. Complete or good symptom improvement was reported by 36/50 (72%) and 10/50 patients (20%) at 60 days. Postoperative complications occurred in 9/50 patients (18%) with three Clavien–Dindo grade IIIb complications (two fistulas, one incontinence), one grade IIIa (perianal thrombosis) and five grade I (one perianal thrombosis, two perianal eczema, one local bleeding, one anal fissure). Postoperative pain was low (visual analogue scale 0–1) at day 1 in 37/50 (74%), at day 30 in 47/50 (94%) and at day 60 in 50/50 patients (100%). After a mean follow‐up of 5.4 years (SD 5.4 months) the recurrence rate was 34% (15/44 patients) with a median time to recurrence of 21 months (range 0.2–6 years). Conclusion Although laser haemorrhoidoplasty achieves a high short‐term success rate with respect to stage reduction and symptom improvement, it is associated with a high rate of minor postoperative complications and long‐term recurrence. Therefore, laser haemorrhoidoplasty should be used with caution.

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Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Short‐ and long‐term outcomes of laser haemorrhoidoplasty for grade II–III haemorrhoidal disease

et al. 2019

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“…Previous applications of diode laser for the treatment of hemorrhoids included intrahemorrhoidal (endoluminal) laser radiant delivery [10] or submucosal arterial closure without Doppler assistance [11]. In the first technique, intraoperative pain and bleeding cannot be avoided.…”

Section: Discussionmentioning

confidence: 99%

Doppler-guided hemorrhoidal laser procedure for the treatment of symptomatic hemorrhoids: experimental background and short-term clinical results of a new mini-invasive treatment

et al. 2010

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The hemorrhoidal laser procedure (HeLP) represents a new nonexcisional, mini-invasive treatment for patients suffering from second and third degree hemorrhoids without severe mucosal prolapse. Thermal occlusion of the hemorrhoidal arteries causes a progressive shrinkage of hemorrhoidal cushions. The procedure does not require anesthesia, is technically easy, repeatable, and can be performed as an office treatment.

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“…Es wurde eine randomisierte Studie durchgeführt, in der die Gummibandligatur ( [3], in der eine experimentelle Studie bei Affen (!) beschrieben wurde.…”

Section: Kommentarunclassified

Laser-Hämorrhoidenoperation vs. Gummibandligatur

Jongen

2011

coloproctology

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A New Method For Hemorrhoid Surgery: Intrahemorrhoidal Diode Laser, Does It Work?

Cited by 68 publications

References 13 publications

Short‐ and long‐term outcomes of laser haemorrhoidoplasty for grade II–III haemorrhoidal disease

Short‐ and long‐term outcomes of laser haemorrhoidoplasty for grade II–III haemorrhoidal disease

Doppler-guided hemorrhoidal laser procedure for the treatment of symptomatic hemorrhoids: experimental background and short-term clinical results of a new mini-invasive treatment

Laser-Hämorrhoidenoperation vs. Gummibandligatur

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