Laser treatment for advanced hemorrhoids
coloproctology 2010 • 32:116-123 DO110.1007A00053-010-0084-9
Online publication: 2. April 2010, received: January 22^nd 2010
Dr . A. Karahaliloglu, Antalya
Accepted: Februar 1^st 2010 © Urban & Vogel 2010 

Patients and methods

In the period between 01/2006 and 10/2009 a total of 332 patients were operated with this method by using a 980nm diode laser. Hemorrhoidal tissue is being destroyed submucosally by a special radial emitting fiber. The vascular convolute is made desolate and there is fibrotization of the tissue. On some of the patients in addition to interstitial irradiation of the cushions mucopexy of all segments was done.

Results

The operation executed under daysurgical circumstances in lithotomy position took an average of 17.4 min for all three segments (from inserting the proctoscope to applying the tamponade). The average period of disability with the LHP method was 4.2 days and in combination with mucopexy 7.4 days. Within the post-operative follow-up period of 6-36 months a prolapsed node could be found in 5.8% of all patients examined (one or more 2^nd degree nodes).

Conclusion

The LHP method represents another alternative for existing methods. The complication and recurrence rates as well as operating time are not longer compared to conventional techniques. Especially the work mode which preserves the anoderm and reduces hemorrhoidal tissue painlessly and without many complications is of a big advantage. The mucous membrane remains intact and the natural anatomy can be restored.

Entire abstract (German) under:   http://www.citeulike.org/article/6974812