Results of the use of intranodal laser coagulation in patients with chronic internal hemorrhoids stage III
A. G. Khitaryan,
A. Z. Alibekov,
S. A. Kovalev,
A. A. Orekhov,
I. Yu. Burdakov,
A. A. Golovina,
N. A. Romodan https://doi.org/10.33878/2073-7556-2021-20-1-33-40
Abstract
Aim: to assess the efficacy of intranodal laser coagulation for hemorrhoids stage III.
Patients and methods: the study included 62 patients with chronic internal hemorrhoids stage III without external hemorrhoids, who were informed of the INLC technology, its advantages and disadvantages. The selection for this procedure was done due to the high-resolution anoscopy, in the presence of type 1 and type 2 severity of inflammatory changes in the nodes.
Results: on the 3rd day, no pain occurred in 52 (83.9%) patients. After 12 months, a complete disappearance of hemorrhoid symptoms was observed in 51 (82.3%) patients, while 7 (11.3%) patients had a recurrence. In 8 (12.9%) patients, symptoms of discomfort and itching were noted.
Conclusions: intranodal laser coagulation allowed in 61 (98.4%) cases to perform this procedure on an outpatient basis, and did not affect the anal sphincter function. Good long-term results were obtained in 82.3% of cases. Intranodal laser coagulation is an effective method for chronic hemorrhoids.
About the Authors
A. G. Khitaryan
Rostov State Medical University;
PHI “Clinical hospital “Russian Railways Medicine”
Russian Federation
Russian Federation
Alexandr G. Khitaryan
Varfolomeeva str., 92a, Rostov-on-don, 344011,
Varfolomeeva str., 92a, Rostov-on-don, 344011
A. Z. Alibekov
Rostov State Medical University;
PHI “Clinical hospital “Russian Railways Medicine”
Albert Z. Alibekov
Varfolomeeva str., 92a, Rostov-on-don, 344011,
Varfolomeeva str., 92a, Rostov-on-don, 344011
S. A. Kovalev
Rostov State Medical University;
PHI “Clinical hospital “Russian Railways Medicine”
Sergey A. Kovalev
Varfolomeeva str., 92a, Rostov-on-don, 344011,
Varfolomeeva str., 92a, Rostov-on-don, 344011
A. A. Orekhov
Rostov State Medical University;
PHI “Clinical hospital “Russian Railways Medicine”
Alexey A. Orekhov
Varfolomeeva str., 92a, Rostov-on-don, 344011,
Varfolomeeva str., 92a, Rostov-on-don, 344011
I. Yu. Burdakov
Rostov State Medical University
Ilya Yu. Burdakov
Varfolomeeva str., 92a, Rostov-on-don, 344011
A. A. Golovina
PHI “Clinical hospital “Russian Railways Medicine”
Anastasia A. Golovina
Varfolomeeva str., 92a, Rostov-on-don, 344011
N. A. Romodan
PHI “Clinical hospital “Russian Railways Medicine”
Natalia A. Romodan
Varfolomeeva str., 92a, Rostov-on-don, 344011
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Review
For citations:
Khitaryan A.G., Alibekov A.Z., Kovalev S.A., Orekhov A.A., Burdakov I.Yu., Golovina A.A., Romodan N.A. Results of the use of intranodal laser coagulation in patients with chronic internal hemorrhoids stage III. Koloproktologia. 2021;20(1):33-40. (In Russ.) https://doi.org/10.33878/2073-7556-2021-20-1-33-40
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