Hemorrhoid laser procedure for second- and third-degree hemorrhoids: results from a multicenter prospective study

Nardi, Paola De; Tamburini, A.; Gazzetta, Paolo; Lemma, Massimo; Pascariello, A.; Asteria, C. R.

doi:10.1007/s10151-016-1479-6

Cited by 47 publications

(40 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Although we observed good short‐term results with respect to pain, symptom relief, incapacity for work and early recurrence, our complication rate of 18% was considerable. This observation concurs with the findings from other studies, reporting complication rates of 10%‐42% . Only one publication, including 341 patients, found a remarkably low complication rate of 3.5% , which could be due to differences in the recording and classification of minor complications .…”

Section: Discussionsupporting

confidence: 90%

“…In line with our findings, perianal vein thrombosis and subcutaneous fistula accounted for the most frequent postoperative problems the required re‐intervention . Further complications needing surgery were bleeding, abscess, tissue necrosis and development of a fibroma at the laser entry point . Although unpleasant, all these complications can be managed expectantly and are not associated with adverse long‐term sequelae.…”

Section: Discussionsupporting

confidence: 85%

“…Only one publication, including 341 patients, found a remarkably low complication rate of 3.5% , which could be due to differences in the recording and classification of minor complications . In line with our findings, perianal vein thrombosis and subcutaneous fistula accounted for the most frequent postoperative problems the required re‐intervention . Further complications needing surgery were bleeding, abscess, tissue necrosis and development of a fibroma at the laser entry point .…”

Section: Discussionsupporting

confidence: 74%

See 2 more Smart Citations

Short‐ and long‐term outcomes of laser haemorrhoidoplasty for grade II–III haemorrhoidal disease

et al. 2019

View full text Add to dashboard Cite

Aim Laser haemorrhoidoplasty is associated with minimal postoperative pain and good symptom improvement in the short‐term. However, less is known about its long‐term efficacy. This study aims to determine the short‐ and long‐term outcomes of laser haemorrhoidoplasty. Method Between October 2010 and May 2012, 50 consecutive patients with grade II–III haemorrhoids were treated with laser haemorrhoidoplasty. Short‐term follow‐up was assessed on days 1, 30 and 60 and long‐term follow‐up was at 5 years (haemorrhoidal stage reduction, pain, patient satisfaction, symptom improvement, incapacity for work, continence, complications, recurrence). Results Short‐term follow‐up was achieved for all patients and long‐term follow‐up for 44/50 patients (88%). At short‐term follow‐up, haemorrhoidal stage reduction was documented in 49 (98%) patients. Complete or good symptom improvement was reported by 36/50 (72%) and 10/50 patients (20%) at 60 days. Postoperative complications occurred in 9/50 patients (18%) with three Clavien–Dindo grade IIIb complications (two fistulas, one incontinence), one grade IIIa (perianal thrombosis) and five grade I (one perianal thrombosis, two perianal eczema, one local bleeding, one anal fissure). Postoperative pain was low (visual analogue scale 0–1) at day 1 in 37/50 (74%), at day 30 in 47/50 (94%) and at day 60 in 50/50 patients (100%). After a mean follow‐up of 5.4 years (SD 5.4 months) the recurrence rate was 34% (15/44 patients) with a median time to recurrence of 21 months (range 0.2–6 years). Conclusion Although laser haemorrhoidoplasty achieves a high short‐term success rate with respect to stage reduction and symptom improvement, it is associated with a high rate of minor postoperative complications and long‐term recurrence. Therefore, laser haemorrhoidoplasty should be used with caution.

show abstract

Section: Discussionsupporting

confidence: 90%

Section: Discussionsupporting

confidence: 85%

Section: Discussionsupporting

confidence: 74%

See 1 more Smart Citation

Short‐ and long‐term outcomes of laser haemorrhoidoplasty for grade II–III haemorrhoidal disease

et al. 2019

View full text Add to dashboard Cite

show abstract

“…HeLP is the acronym for Hemorrhoidal Laser Procedure and is based on the application of a 980-nm diode causing shrinkage of the terminal branches of the superior hemorrhoidal artery [163,164].…”

Section: Helpmentioning

confidence: 99%

“…The most common intraoperative procedure-related complication reported is postoperative bleeding, ranging from 5.9% to 8.8% of cases with more than a half of them needing an hemostatic procedure [164,166]…”

Section: Grade Of Recommendation: C)mentioning

confidence: 99%

Consensus statement of the Italian society of colorectal surgery (SICCR): management and treatment of hemorrhoidal disease

et al. 2020

View full text Add to dashboard Cite

Hemorrhoidal disease (HD) is the most common proctological disease in the Western countries. However, its real prevalence is underestimated due to the frequent self-medication. The aim of this consensus statement is to provide evidence-based data to allow an individualized and appropriate management and treatment of HD. The strategy used to search for evidence was based on application of electronic sources such as MEDLINE, PubMed, Cochrane Review Library, CINAHL, and EMBASE. These guidelines are inclusive and not prescriptive. The recommendations were defined and graded based on the current levels of evidence and in accordance with the criteria adopted by American College of Chest Physicians. The recommendations were graded A, B, and C.

show abstract

Hemorrhoidal Dearterialization with Laser: Techniques and Results

Giamundo

2017

Hemorrhoids

View full text Add to dashboard Cite

Hemorrhoid laser procedure for second- and third-degree hemorrhoids: results from a multicenter prospective study

Abstract: The hemorrhoid laser procedure was effective in improving bleeding and pain symptoms in patients with grade II and III hemorrhoids.

Cited by 47 publications

References 21 publications

Short‐ and long‐term outcomes of laser haemorrhoidoplasty for grade II–III haemorrhoidal disease

Short‐ and long‐term outcomes of laser haemorrhoidoplasty for grade II–III haemorrhoidal disease

Consensus statement of the Italian society of colorectal surgery (SICCR): management and treatment of hemorrhoidal disease

Hemorrhoidal Dearterialization with Laser: Techniques and Results

Contact Info

Product

Resources

About