RESULTS OF TREATMENT OF HEMORRHOIDS BY SUBMUCOSAL W-LASER DESTRUCTION OF HEMORRHOIDAL PILES
https://doi.org/10.33878/2073-7556-2020-19-2-104-111
Abstract
AIM: to evaluate the results of submucosal laser destruction of hemorrhoids using a W-laser.
PATIENTS AND METHODS: one-hundred twenty-four patients with chronic hemorrhoids underwent submucosal W-laser destruction of hemorrhoidal piles in September 2017 – January 2019.
RESULTS: the time of the procedure was 18-22 minutes. The hospital stay was 7-10 hours. The maximal edema of the pararectal area appeared by the 3rd days and was resolved on 13-14 days. The size of the edema depended on the volume of anesthetic. Maximal pain was observed on days 1 and 3 after surgery. The period for taking analgesics was not more than 7 days. No prolapse of hemorrhoidal piles was detected in all patients after 4 weeks postoperatively. No rectal bleeding was detected in 97.3%. The excellent result of treatment was found in 70.2%, good – in 22.6%, bad – in 7.2%.
CONCLUSION: submucosal W-laser destruction of hemorrhoidal piles showed a less pain intensity after surgery and a decrease in the complication rate, fast recovery and better quality of life.
About the Authors
M. Yu. Cherepenin
Pirogov Russian National Research Medical University
Russian Federation
Moscow
Russian Federation
Moscow
V. A. Gorskiy
Pirogov Russian National Research Medical University
Russian Federation
Moscow
Russian Federation
Moscow
V. P. Armashov
Pirogov Russian National Research Medical University
Russian Federation
Moscow
Russian Federation
Moscow
References
1. De Nardi P, Tamburini AM, Gazzetta PG. et al. Hemorrhoid laser procedure for second- and third-degree hemorrhoids: results from a multicenter prospective study. Tech. Coloproctol. 2016; 20 (7): 455-459. DOI: 10.1007/s10151-016-1479-6.
2. 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.
3. Hodgson WJ, Morgan J. Ambulatory hemorrhoidectomy with CO2 laser. Dis Colon Rectum. 1995; 38 (12): 1265-1269. DOI: 10.1007/bf02049150.
4. Maloku H, Gashi Z, Lazovic R. et al. Laser hemorrhoidoplasty procedure vs open surgical hemorrhoidectomy: a trial comparing 2 treatments for hemorrhoids of third and fourth degree. Acta Inform Med. 2014; 22 (6): 365-367. DOI: 10.5455/aim.2014.22.365-367.
5. Pletnev S.D. Lasers in clinical practice. Guide for doctors. Moscow, 1996; 432 p. (in Russ.).
6. Skobelkin O.K. Lasers in surgery. Moscow, 1989; 256 p. (in Russ.).
7. Gain M.Ju., Shahraj S.V. Minimally invasive technologies in the complex treatment of hemorrhoids. Surgery News. 2011; no. 19(4), pp. 113-122. (in Russ.).
8. Rodoman G.V., Kornev L.V., Shalaeva T.I., Malushenko R.N. Efficiency of combined methods of hemorroid treatment using hal-rar and laser destruction. Surgery. 2017; no. 5, pp. 47-51. DOI: 10.17116/hirurgia2017547-51. (in Russ.).
9. Goldman MP, Detwiler SP. Endovenous 1064-nm and 1320-nm Nd:YAG laser treatment of the porcine greater saphenous vein. Cosmetic Dermatology. 2003; 16 (2): 25-28.
10. Naderan M, Shoar S, Nazari M. et al. A randomized controlled trial comparing laser intra-hemorrhoidal coagulation and MilliganMorgan hemorrhoidectomy. J Invest Surg. 2017; 30 (5): 325-331. DOI: 10.1080/08941939.2016.1248304.
11. Proebstle TM, Moehler T, Gül D. et al. Endovenous treatment of the great saphenous vein using a 1,320 nm Nd: YAG laser causes fewer side effects than using a 940 nm diode laser. Dermatol Surg. 2005; 31 (12): 1678-1683.
12. Weyand G, Theis CS, Fofana AN, Rü diger F, et al. Laserhämorrhoidoplastie mit dem 1470-nm-diodenlaser in der behandlung des zweit-bis viertgradigen hämorrhoidalleidens eine kohortenstudie mit 497 f ällen. Zentralbl Chir. 2017; 144 (4): 355-363. DOI: 10.1055/s-0043-120449.
Review
For citations:
Cherepenin M.Yu., Gorskiy V.A., Armashov V.P. RESULTS OF TREATMENT OF HEMORRHOIDS BY SUBMUCOSAL W-LASER DESTRUCTION OF HEMORRHOIDAL PILES. Koloproktologia. 2020;19(2):104-111. (In Russ.) https://doi.org/10.33878/2073-7556-2020-19-2-104-111
Views:
1332
Email this article 
