NCT02005354.

Introduction: According to the vascular theory arterial overflow in the superior haemorrhoidal arteries would lead to dilatation of the haemorrhoidal venous plexus. The technique helps to promote the obliteration of the terminals of the superior rectal artery. The objective of this study is to describe the results of 100 patients with hemorrhoidal disease treated by the Hemorrhoidal LASER Procedure technique. Method: Under SAB anesthesia terminal arteriole of the upper rectal arteries were fulgurated by fiber laser diode, causing interruption of hemorrhoidal flow. This procedure is repeated circumferentially, following the clockwise positions.This procedure can be performed as a day care surgery. Results: Between January 2018 to January 2019, 100 patients underwent the Hemorrhoidal LASER Procedure technique for hemorrhoidal disease grades I, II and III. Total 100 patients were treated with HeLP procedure. Among them number of men was 81 and female was 19.The procedure proved to be successful at 3 month follow up of 92% patient. No major adverse effects or complications were reported. Post operative minor pain that required medication was 5 cases (5% patient). Postoperative minor bleeding was observed in 3 cases that were managed conservatively. At 3 month after procedure resolution of symptoms were observed in 88% cases with overall satisfaction rate was 89%. Significantly higher quality of life was observed in laser haemorrhoidal procedure. Conclusion: Hemorrhoidal LASER Procedure is a painless outpatient technique .It is a safe, effective, improve symptoms & chance of cure is high compared to other conventional surgery. Similar benefits are seen for patient with severe anal spasm, external thrombosis, fissure and sentinel tags & fistula. J Bangladesh Coll Phys Surg 2020; 38(1): 18-22

Introduction: Adhesive capsulitis is one of the most common causes of pain and disability of the shoulder joint. Most patients are managed conservatively in a primary care setting with the expectation of a good outcome. There are many alternative forms of treatment for this condition. Several interventions are also used in combination for its management but most of it remained unclear. Ultra Sound Therapy (UST) is commonly employed as a first line agent for the management of adhesive capsulitis. But whether the UST (Ultra Sound Therapy) and MWD (Micro Wave Diathermy) therapy would produce a significant difference in out come was not yet settled. Objective: To compare the efficacy of ultra sound therapy (UST) and micro wave diathermy (MWD) for the management of patients with adhesive capsulitis of shoulder joint. Materials and Methods: This observational study was carried out in the Department of Physical Medicine at Combined Military hospital, Dhaka from 01 May 2015 to 30 November 2015. A total of eighty patients were enrolled in this study and they were divided into two equal groups. One group received counseling plus UST (Ultra Sound Therapy) (1MHz @ 1.0 Watt/cm2 area for 10 minutes for two weeks) with physical exercise. Another group received counseling, MWD (Micro Wave Diathermy) and physical exercise for same period. Each group received the above mentioned modalities on the basis of five days a week for 06 weeks. Results: The result was observed by applying VAS (Visual analog scale) pain scale and SPADI (Shoulder Pain And Disability Index) pain score. The highest significant improvement (P<0.005) was observed in group “A” throughout the whole treatment period. Conclusion: In this study, most patients with adhesive capsulitis were benefited with counseling plus Ultrasound therapy and physical exercise rather than counseling plus Microwave Diathermy with physical exercise. Journal of Armed Forces Medical College Bangladesh Vol.11(2) 2015: 30-35

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