Hemorrhoidal Dearterialization with Laser: Techniques and Results

The Comparison of Hemorrhoidal Laser Procedure and Classical(Ferguson) Surgical Hemorrhoidectomy Methods

“…In addition, there are studies in the literature stating that bleeding complication is the most common complication and most of them after classical hemorrhoidectomy (CH) (11,(19)(20)(21) , as well as studies indicating that bleeding is more common after HeLP (8,(22)(23)(24). In laser hemorrhoidectomy; The thermal effect caused by laser pulses is limited to the mucosa and submucosa and avoids perforation of the rectal tissue caused by overheating (25). Additionally, in this process, the laser beam at this wavelength, by means of a diode laser operating at a wavelength of 980 nm, creates maximum absorption specifically to the chromophores of the hemoglobin.…”

“…There is minimal damage to the mucosa in the surrounding tissue crossed by the laser beam and shrinkage of the vessel, however, the "contraction effect" that occurs in the submucosal arteries is the ultimate goal (25). Laser energy causes minimal discomfort to patients, anesthesia is not required for HeLP.…”

“…Laser energy causes minimal discomfort to patients, anesthesia is not required for HeLP. If patients require sedation, mild intraoperative sedation can be applied (25). When the effects of laser hemorrhoidectomy on complications in terms of number of shots, wavelength, energy and application time were examined, no statistically significant results were found(Table 5).…”