Laser utility in the treatment of hemorrhoidal pathology: a review of literature

Trigui, Aymen; Rejab, H.; Akrout, Amira; Trabelsi, Jihen Djedidi; Zouari, Amine; Majdoub, Youssef; Amar, Mohamed Ben

doi:10.1007/s10103-021-03333-x

Cited by 10 publications

(3 citation statements)

References 14 publications

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“…The large size of the cyst (>7.5 cm), location in the central segments of the liver, and the advanced stages of the disease are the three main risk factors for intra-biliary rupture [ 3 , 11 ]. Our patient had all these risk factors with the size being 7 x 5 x 4.3 cm multi-cystic lesion located in segments IVA and IVB in the left lobe of the liver with calcific foci in the wall suggestive of the disease being in the advanced stages.…”

Section: Discussionmentioning

confidence: 99%

Complication of Hepatic Hydatid Cyst Surgery Presenting as Obstructive Jaundice

Ahire¹,

Iyer²,

Gada³

2023

Cureus

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The liver is the commonest organ affected by hydatid disease. We report a rare case of a 25-year-old female patient who was treated surgically for hepatic echinococcosis two weeks ago with laparoscopic excision of hepatic hydatid cyst with marsupialization and omentoplasty. She then presented with features of obstructive jaundice, which is a known complication following hydatid endocystectomy. Cholangiogram revealed a communication of the residual hydatid cyst with right segmental intrahepatic biliary radicals. She was treated with endoscopic retrograde cholangiopancreatography (ERCP)-guided stenting. ERCP is regarded as an important therapeutic strategy for hydatid cysts occurring in the extra biliary tree either as primary or as complications of liver cysts. It facilitates the clearing of hydatid debris from the biliary tree, and the closure of fistulas and bile leaks followed by laparoscopic cholecystectomy when the hydatid cysts are also located in the gallbladder.

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Section: Discussionmentioning

confidence: 99%

Complication of Hepatic Hydatid Cyst Surgery Presenting as Obstructive Jaundice

Ahire¹,

Iyer²,

Gada³

2023

Cureus

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“…Postoperative bleeding was observed in 2.12% of patients, resulting in extended hospitalization, but none of them required blood transfusion or blood product replacement. Pain and analgesic use were minimal compared to open hemorrhoidectomy [34].…”

Section: Laser Treatment Of Hemorrhoidsmentioning

confidence: 93%

Surgical treatment of hemorrhoidal disease

Stanojević,

Branković,

Nestorović

et al. 2023

Anorectal Disorders - From Diagnosis to Treatment

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Hemorrhoidal disease (HD) is a condition characterized by enlarged normally present anal cushions or nodules accompanied by clinical symptoms. HD of grade I and II, is primarily treated conservatively with medication (creams and phlebotonics) as well as by office-based procedures, such as rubber band ligation, injection sclerotherapy, infrared coagulation, cryotherapy, and radiofrequency ablation. Indications for a surgical treatment of hemorrhoidal disease are: persistent and recurrent bleeding that does not respond to conservative treatment and office-based interventions, prolapse of hemorrhoids causing significant difficulties and discomfort (Grade III and IV), failure of conservative treatment methods, presence of complications (anemia, infection, or fistula). There are two types of surgical interventions, non-excisional and excisional. The group of non-excisional surgical procedures includes: stapled hemorrhoidopexy, Doppler-guided ligation of hemorrhoidal arteries and laser treatment of hemorrhoids. The group of excisional surgical procedures includes: open (Milligan-Morgan) hemorrhoidectomy, closed (Ferguson’s) hemorrhoidectomy Ligasure and Harmonic hemorrhoidectomy and Park’s hemorrhoidectomy. Non-excisional surgical methods represent potential options in the treatment of stage III hemorrhoids and patients with early stage IV disease. Non-excisional methods are characterized by lower postoperative pain intensity, faster recovery, and fewer postoperative complications, but they are also associated with a significantly higher rate of recurrence.Excisional methods in surgical treatment represent the method of choice for stage IV hemorrhoidal disease. They are characterized by intense postoperative pain and a higher frequency of complications such as bleeding, urinary retention, anal canal stenosis or stricture, and anal incontinence. There is no single best and most effective method for treating hemorrhoids.

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“…Its radiation at a wavelength of 10,600 nm (figure 1) can be used not only to cut tissue, but also for gentle ablation, penetrating superficially and "softly" affecting biotissues. The laser represents a revolution in the field of proctology especially in the treatment of hemorrhoidal pathology which is very common and very embarrassing [5]. Hemorrhoids affect millions of people, especially in economically developed countries.…”

Section: Introductionmentioning

confidence: 99%

Advanced Diode Laser with Specialized Beam-delivery Instrument in Combined Mini Invasive Laser Hemorrhoid Treatment

Кузнецов

Golyaev²,

Жижин³

et al. 2022

J. Phys.: Conf. Ser.

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As the wavelength range of diode lasers expands, they become increasingly attractive for laser medicine because they are compact, allow the use of convenient fiber delivery systems, and are relatively inexpensive and long-lived. Russian diode lasers are based on world-level achievements in nanotechnologies used in their production. The paper presents the results of clinical application of an improved diode laser apparatus “ACT” model of a domestic company “Uricon Group” equipped with unique multifunctional instruments which enable to minimize mucous lesion in treating vascular pathology of the anorectal zone. A dual-frequency apparatus generating at wavelengths of 980 and 1470 nm permitted the development of a combined technique, which was verified by practical clinical application. The study was aimed at improving the mini-invasive method of surgical treatment of vascular anorectal pathology to ensure maximum efficiency of surgery at any stage of the disease, reducing the duration of surgery, minimizing pain during and after surgery. The technique of laser mini-invasive transdermal and subdermal-submucosal destruction, applied in treatment of 362 patients using the diode laser of “ACT” model and the developed specialized instrument, has shown its effectiveness. All patients returned to daily activities 2-3 days after surgery. Economic effect of the developed treatment technology is provided by low price of the equipment and absence of necessity of the patient’s stay in the clinic in the postoperative period.

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Laser utility in the treatment of hemorrhoidal pathology: a review of literature

Cited by 10 publications

References 14 publications

Complication of Hepatic Hydatid Cyst Surgery Presenting as Obstructive Jaundice

Complication of Hepatic Hydatid Cyst Surgery Presenting as Obstructive Jaundice

Surgical treatment of hemorrhoidal disease

Advanced Diode Laser with Specialized Beam-delivery Instrument in Combined Mini Invasive Laser Hemorrhoid Treatment

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