ELITE: a diode laser minimal invasive technique for hemorrhoids during the surgical treatment for anal fissure

Abstract

A 44-year-old male patient diagnosed with Anal Fissure and Stage II Hemorrhoids in 2013. He has been suffering ever since, avoiding surgery, using local analgesic and anti-hemorrhoidal crèmes. Physical examination in February 2017, showed a chronic character of his problem and hemorrhoids to have progressed to Stage III. The common shared decision between patient and surgeon was to proceed with a combination of a LIS for the Anal Fissure and an ELITE minimal invasive procedure for hemorrhoids. The operating time of the dual procedure was short and the patient witnessed a remarkable, painless post-op rehab period. The results of the ELITE technique using a diode laser for treating hemorrhoidal nodules are very promising. In the hands of an experienced surgeon the technique is applicable to be used in combination with other procedures in order to treat several problems in the anal region at the same time.

Combined operations in outpatient laser treatment of chronic hemorrhoids of stage 2–3

“…5; 6-8]. В то же время хронический геморрой сопровождается в 35-65% доброкачественными заболеваниями анального канала: хроническими и острыми язвами, хроническим парапроктитом, остроконечными кондиломами, анальными полипами [9,10]. Высокий уровень симультанных заболеваний обусловлен в значительной степени наличием общих этиопатогенетических причин их возникновения.…”

Emergency treatment of bleeding hemorrhoids in a patient taking aspirin and clopidogrel using a 1470 nm diode laser and the ELITE minimal invasive technique

“…However, the use of the most recent 1470 nm diode laser with the dedicated hemorrhoid probe offers more advantages to the patient with minimal pain, rapid healing process and low recurrence rate. In the majority of the cases, HD Grades II/III are treated on an outpatient basis [ 4 ] unless any other clinical findings or risk factors dictate otherwise.…”