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Am J Surg. 2014 Jul;208(1):21-5. doi: 10.1016/j.amjsurg.2013.10.020. Epub 2014 Jan 16.

Hemorrhoidal laser procedure: short- and long-term results from a prospective study.

Author information

1
Department of General Surgery, San Camillo Clinic Institute, Via Turati 44, 25123 Brescia, Italy. Electronic address: cirioz@libero.it.
2
Department of Medical and Surgical Sciences, Second Division of General Surgery, Brescia Civic Hospital, Brescia, Italy.
3
Department of General Surgery, San Camillo Clinic Institute, Via Turati 44, 25123 Brescia, Italy.
4
Department of Medical and Surgical Sciences, Third Division of Internal Medicine, University of Brescia School of Medicine, Brescia Civic Hospital, Brescia, Italy.
5
Maternal-Fetal Medicine Unit, Department of Obstetrics and Gynaecology, University of Brescia School of Medicine, Brescia Civic Hospital, Brescia, Italy.

Abstract

BACKGROUND:

We report the results of 2-year regular use of the hemorrhoidal laser procedure (HeLP) in 97 patients with symptomatic second- to third-grade hemorrhoids with minimal or moderate internal mucosal prolapse.

METHODS:

Data on duration of the procedure, perioperative complications, postoperative pain, downgrading of hemorrhoids, resolution or persistency, and recurrence of hemorrhoidal disease (HD) were prospectively collected.

RESULTS:

No significant intraoperative complications occurred. The median follow-up was 15 months. Postoperative pain was null in most patients. There were no cases of rectal tenesmus or alteration of defecation habits. Symptoms and HD downgrading reached a "plateau" at 3 to 6 months after the HeLP. At this evaluation, frequency of bleeding, pain, itching, and hemorrhoidal acute syndrome decreased by 76% to 79%. HD grade showed a significant reduction. HD recurrence rate was 5% at 2 years.

CONCLUSIONS:

Our study demonstrates that the HeLP is a safe, effective, and painless technique for the treatment of symptomatic second- to third-grade hemorrhoids with minimal or moderate mucosal prolapse, ideally suitable as ambulatory treatment.

KEYWORDS:

Hemorrhoidal laser procedure; Hemorrhoids; Treatment

PMID:
24507943
DOI:
10.1016/j.amjsurg.2013.10.020
[Indexed for MEDLINE]

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