Hemorrhoidal laser procedure: short- and long-term results from a prospective study - 19/06/14
, Giacomo Pata, M.D. b, Mauro Lippa, M.D. a, Deborah Chiesa, M.D. c, Maria Elena Gregorini, M.D. d, Paolo Gandolfi, M.D. aAbstract |
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.
Le texte complet de cet article est disponible en PDF.Keywords : Hemorrhoids, Hemorrhoidal laser procedure, Treatment
Plan
| The authors have no conflicts of interest or financial ties to disclose. |
Vol 208 - N° 1
P. 21-25 - juillet 2014 Retour au numéro
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