Haemorrhoidal LASER Procedure (HeLP)- A painless Treatment for Haemorrhoid

Rahman, Asm Zahidur; Rahman, Tanjilur; Hasan, Mehedi; Chandra, Sushanta

doi:10.3329/jbcps.v38i1.44684

Cited by 5 publications

(5 citation statements)

References 13 publications

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“…Doppler‐guided localization was performed in 6 studies ( n = 579, 29.8%) [18–20, 23, 27, 28]. Twelve studies including 926 patients reported the mean duration of 15.4 min for the procedure [15, 16, 19, 20, 22, 24–27, 29–32]. Three studies concluded that the operative time for laser procedures was significantly shorter than the other techniques [25, 26, 31].…”

Section: Resultsmentioning

confidence: 99%

“…Finally, data from 19 studies including 1937 patients who underwent laser treatment for hemorrhoids were analyzed. Fourteen were prospective studies [14][15][16][17][18][19][20][21][22][23][24][25][26][27], four were randomized control trials [28][29][30][31], and one was a retrospective study [32]. According to the Downs and Black scoring system, the quality of the studies was graded as ''Fair'' (n = 13) or ''Good'' (n = 6).…”

Section: Resultsmentioning

confidence: 99%

“…The hemorrhoidal dearterialization technique was carried out by delivering laser energy to the apex of the hemorrhoidal mass submucosally, where the arterial inflow is concentrated. All studies except one used Doppler probe for accurate identification of the arteries before delivering the laser [16]. One study used a combination of both techniques [30].…”

Section: Discussionmentioning

confidence: 99%

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Clinical Outcomes and Effectiveness of Laser Treatment for Hemorrhoids: A Systematic Review

et al. 2021

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Background Laser treatment is increasingly used in the treatment of symptomatic hemorrhoids, and several studies have attempted to describe its clinical outcomes. In this systematic review, we aimed to comprehensively analyze the clinical outcomes and effectiveness of laser treatment. Methods We performed a systematic review of currently available data on laser treatment for hemorrhoids. We searched MEDLINE and Google Scholar between January 2009 and May 2020. Studies that described the clinical outcomes and effectiveness of laser treatment were selected based on pre-specified inclusion criteria with a minimum follow-up period of 3 months. Qualitative synthesis of the clinical outcomes, effectiveness and complications was performed.Results Nineteen studies including 1937 patients were analyzed. The majority were males (n = 1239) and included grade 2 and 3 hemorrhoids. In the majority (n = 1750, 90.34%), the 980 nm wave length diode laser was used as the energy source. Doppler-guided localization was performed in six studies (n = 579, 29.89%). All studies (n = 1937) reported low postoperative pain scores and nine studies (n = 1131) showed significantly lower pain compared to open technique. Furthermore, six studies (n = 1023) showed significantly less intra-and postoperative bleeding compared to open technique. Seven studies (n = 1052) reported long-term follow-up results and were found to be satisfactory in terms of symptom relief and recurrence. This study was limited by heterogeneity of outcomes precluding a metaanalysis. Conclusion Laser treatment had acceptable clinical outcomes for grade 2 and 3 hemorrhoids with lower rates of postoperative pain and bleeding with satisfactory long-term outcomes.K. Lakmal and O. Basnayake have contributed equally to this work.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Clinical Outcomes and Effectiveness of Laser Treatment for Hemorrhoids: A Systematic Review

et al. 2021

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“…Медиана длительности анамнеза заболевания -5 (0,3-20,0) лет. Измерение размеров внутренних геморроидальных узлов проводилось при помощи линейки (по типу штангенциркуля) в проекции 3, 7 и 11 часов и показало практически одинаковые величины: на 3 часах -18 (11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28) мм, на 7 часах -20 (10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27) мм, на 11 часах -19 (10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)…”

Section: материалы и методы исследованияunclassified

“…Однофакторный анализ количества энергии, переданной на геморроидальный узел, с оценкой шансов развития осложнений Table 3. Single-factor analysis of the amount of energy transferred to the hemorrhoidal node with an assessment of the chances of complications [14][15][16][17][18][19][20][21][22][23][24][25], четыре -рандомизированными контролируемыми исследованиями [26][27][28] и одно -ретроспективным исследованием [29]. На основании проведенного анализа авторы пришли к выводу, что применение лазера в лечении геморроя 2-й и 3-й стадий позволяет снизить уровень болевого синдрома и при этом сопровождается удовлетворительными отдаленными результатами.…”

Section: результаты исследованияunclassified

Ilaser Submucous Destruction in the Treatment of Hemorrhoids

Frolov,

Vyshegorodtsev,

Kuzminov

et al. 2023

Rossijskij žurnal gastroènterologii, gepatologii, koloproktolog

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Aim: to improve the results of treatment in patients with hemorrhoids of the 2nd and 3rd stages.Materials and methods. The prospective study included 60 patients with hemorrhoids of the 2nd and 3rd stages. All patients underwent destruction of internal hemorrhoids with a fiber laser with a diode pump with a wavelength of 1940 nm. The technique is based on the effect of laser energy on the cavernous tissue of the internal hemorrhoidal node and on the terminal branches of the upper rectal artery. The efficiency of the destruction of internal hemorrhoids and the frequency of relapses of the disease were evaluated. The effectiveness of the proposed method was evaluated using anoscopy, measurement of the size of internal hemorrhoidal nodes, transrectal ultrasound with dopplerography. The analysis of the intensity of the pain syndrome, the consumption of nonsteroidal anti-inflammatory drugs and the assessment of the quality of life on the SF-36 scale was carried out. Sphincterometry was performed in all patients to determine the possible effect of laser radiation on the rectal locking apparatus. To assess the possible causes of complications, a single-factor analysis of the amount of energy transferred to each hemorrhoidal node and the total amount of energy spent on the operation was conducted.Results. In all patients, by day 7 after surgery, the pain syndrome in 43 patients (75.4 %) corresponded to 0 points according to VAS. In 3 patients (5 %) intraoperative hemorrhage developed. In the early postoperative period, 5 patients (8.3 %) had 7 complications: 5 cases of thrombosis of the external hemorrhoidal node and 2 — of acute urinary retention. The conducted single-factor analysis showed the dependence of the development of complications on the energy transferred to each hemorrhoidal node and its total amount for the entire operation. In terms of up to 6 months, there were no signs of a return of the disease in any case (hemorrhoidal prolapse and blood discharge). The detected hemorrhoids before the operation, a month after the operation, were not visualized, which persisted after 6 months. The performed transrectal ultrasound examination with spectral-wave dopplerography for up to 6 months allowed to diagnose a persistent decrease in blood flow along the terminal branches of the upper rectal artery compared with preoperative values. When performed sphincterometry, there was no change in the parameters of the anal sphincter function compared to preoperative parameters.Conclusion. The proposed method applying a fiber laser with a diode pump with a wavelength of 1940 nm makes it possible to affect transdermally the internal hemorrhoidal node without damaging the mucosa of the anal canal. The absence of postoperative wounds in the anal canal leads to a decrease in pain syndrome, and by day 7 there are no clinical manifestations of hemorrhoids. The method of laser destruction of internal hemorrhoids can be used in outpatient conditions and can improve the quality of life of patients in the early postoperative period.

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Laser Hemorrhoidoplasty

Gupta¹

2022

Lasers in Proctology

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Haemorrhoidal LASER Procedure (HeLP)- A painless Treatment for Haemorrhoid

Cited by 5 publications

References 13 publications

Clinical Outcomes and Effectiveness of Laser Treatment for Hemorrhoids: A Systematic Review

Clinical Outcomes and Effectiveness of Laser Treatment for Hemorrhoids: A Systematic Review

Ilaser Submucous Destruction in the Treatment of Hemorrhoids

Laser Hemorrhoidoplasty

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