The use of a laser in treatment of hemorrhoids (review)

Vyshegorodtsev, D. V.; Korolik, V. Yu.; Богормистров, И. С.; Battalova, A. M.; Мухин, И. А.

doi:10.33878/2073-7556-2021-20-4-92-101

Koloproktologiâ

2021

DOI: 10.33878/2073-7556-2021-20-4-92-101

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The use of a laser in treatment of hemorrhoids (review)

D. V. Vyshegorodtsev

V. Yu. Korolik

И. С. Богормистров

et al.

Abstract: The literature review compares laser and traditional surgery for hemorrhoids. The efficiency and possibility of minimally invasive treatment using laser of different wavelengths were analyzed. The review described the innovative technologies of laser treatment of hemorrhoids which make this method promising.

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2023

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Cited by 2 publications

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Hybrid methods treatments for III and IV grade hemorrhoids

Zagriadskiǐ

2023

Koloproktologiâ

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Aim: to evaluate hybrid techniques in patients with stage III and IV hemorrhoids.Patients and Methods: from January 2017 to December 2021, 154 patients with external and internal hemorrhoids of the 3rd and 4th stages were treated at the Moscow Medical Center “ON CLINIC”, including men — 118 (76.6%) and women — 36 (23.4%), aged of 45.8 ± 10.3 (27–72) years. The history of the disease was 8.8 ± 2.2 (5–15) years. All patients underwait transanal dearterialization with mucopexy. With its inefficiency, a hybrid operation technique was performed.Results: all patients were operated under spinal anesthesia in a one-day hospital. Operation time was 38.05 ± 4.7 (27–55) min. Postoperative pain syndrome on the first day was 34.1 (30–40) mm on the VAS scale, due to the elective use of Ketorolac tromethamine, 30.1 ± 1.2 (30–40) mg. By the 5–6th day, the pain syndrome decreased to 24.2 (20–30) mm and 15.3 (0–30) mm. Hospital stay was 24.5 ± 2.3 (21–38) hours. The mean period of disability was 12.8 ± 3.1 (10–14) days. When comparing the clinical results of treatment with a follow-up period of 29.9 months, there was no progression of the disease manifestation.Conclusion: the use of hybrid techniques in the treatment of complex forms of hemorrhoids allows to minimize trauma of the anal canal and to reduce the rehabilitation period.

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Hybrid methods treatments for III and IV grade hemorrhoids

Zagriadskiǐ

2023

Koloproktologiâ

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Minimally invasive laser technologies in the surgical treatment of hemorrhoidal disease: problems and prospects (literature review)

Yartseva,

Kornev,

Naumov

et al. 2023

Surgeon

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Based on the literature data, the article reviews the latest advances in the surgical treatment of patients with hemorrhoids. The methods of historical significance, as well as current surgeries are analyzed.The literature review focuses on laser technologies, in particular, laser hemorrhoidoplasty. The paper considers the historical aspects of the development of this approach in proctology, the main surgical techniques, indications and contraindications, possible intra- and postoperative complications, among which the most common are intraoperative bleeding, delayed bleeding, and pain syndrome. The analysis of clinical efficacy and the structure of recurrences and adverse outcomes are presented. Different regimes of laser exposure are analyzed as well. According to the literature data, laser hemorrhoidoplasty is a relatively clinically effective and safe minimally invasive surgical intervention, characterized by short postoperative rehabilitation and a low number of complications. Laser hemorrhoidoplasty is characterized by a low severity of pain syndrome both during the intervention and in the postoperative period. The high economic efficiency of the considered surgical intervention was noted. Meanwhile, the question of the optimal dosing and parameters of the laser energy used in the course of laser hemorrhoidoplasty remains open and should be answered in the upcoming clinical and experimental studies.

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The use of a laser in treatment of hemorrhoids (review)

Cited by 2 publications

References 51 publications

Hybrid methods treatments for III and IV grade hemorrhoids

Hybrid methods treatments for III and IV grade hemorrhoids

Minimally invasive laser technologies in the surgical treatment of hemorrhoidal disease: problems and prospects (literature review)

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