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Short Term Outcomes of Laser Pile Ablation (LPA) to Treat II-III Degree Symptomatic Hemorrhoidal Disease. | ||
| Iranian Journal of Colorectal Research | ||
| مقاله 5، دوره 9، شماره 2، شهریور 2021، صفحه 69-72 اصل مقاله (471.79 K) | ||
| نوع مقاله: Research/Original Article | ||
| شناسه دیجیتال (DOI): 10.30476/acrr.2021.91450.1103 | ||
| نویسندگان | ||
| Francesco Cantarella* 1؛ Rebecca Aglietti2؛ Alessandro Sturiale2 | ||
| 1Proctology Unit, Private Hospital of Forlì, Forlì, Italy | ||
| 2Proctology and Pelvic Floor Clinical Centre, Cisanello University Hospital, Pisa, Italy | ||
| چکیده | ||
| Introduction The aim of this study is to assess the outcomes of Laser Pile Ablation (LPA) in patients affected by II-III degree symptomatic hemorrhoidal disease. Material and Methods Consecutive patients suffering of II-III degree symptomatic HD were enrolled to undergo LPA. The primary study endpoint was to assess the post-operative pain using NRS scale (0-10) and the use of painkiller. Secondary endpoints were: intraoperative, postoperative complications and recurrence rate (including bleeding and prolapse). Patients satisfaction was assessed at 6- and 12-months using VAS scale (0-10) and also through the questions “Would you undergo this surgery again?” and “Would you recommend this procedure to a relative or friend?”. Results Twenty-five patients (7F–18M) were enrolled in the study. All the procedures were performed under spinal anesthesia and the mean amount of energy delivered was 472.6±50.7 J. The mean follow-up was 9 months (range 6-12). Mean postoperative pain, assessed through NRS scale, was 4.7±1.5 at 12 h, 4.4±1.3 at 24 h and 2.2±1.0 at day 10. The pain was managed with paracetamol 1 gr only 30.7 % required NSAIDs in addition for 3 days. Recurrence rate was 7.7% at 3 and 6 months after the procedure referring persistent bleeding. The mean time interval to return to work is 2.7±2.1 days. All the patients were extremely satisfied of the procedure VAS 9. Conclusion LPA resulted to be a safe, effective and minimally invasive procedure to treat II-III degree HD with optimal management of post-operative pain and excellent patient satisfaction. | ||
| کلیدواژه‌ها | ||
| laser pile ablation؛ laser hemorrhoidosplasty؛ hemorrhoid؛ laser؛ stapled hemorrhoidopexy؛ hemorrhoidectomy | ||
| مراجع | ||
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[1] W. H. F. Thomson, “The nature of haemorrhoids,” Br. J. Surg., vol. 62, no. 7, pp. 542–552, 1975.
[2] G. Gallo, R. Sacco, and G. Sammarco, “Epidemiology of hemorrhoidal disease,” Coloproctology, vol. 2, pp. 3–7, 2018.
[3] L. Abramowitz, M. Benabderrahmane, D. Pospait, J. Philip, and C. Laouénan, “The prevalence of proctological symptoms amongst patients who see general practitioners in France,” Eur. J. Gen. Pract., vol. 20, no. 4, pp. 301–306, 2014.
[4] A. Sturiale, B. Fabiani, C. Menconi, D. Cafaro, F. C. Porzio, and G. Naldini, “Stapled Surgery for Hemorrhoidal Prolapse: From the Beginning to the Modern Times,” Rev. Recent Clin. Trials, vol. 15, Mar. 2020.
[5] G. Gallo et al., “Consensus statement of the Italian society of colorectal surgery (SICCR): management and treatment of hemorrhoidal disease,” vol. 24, pp. 145–164, 2020.
[6] G. Cocorullo et al., “The non-surgical management for hemorrhoidal disease. A systematic review,” G. di Chir., vol. 38, no. 1, pp. 5–14, 2017.
[7] Karahaliloglu A. Laser hemorrhoidoplasty - a new surgical procedure for the treatment of advanced hemorrhoidal illness. Coloproctology 2010;32:116-123.
[8] J. M. N. Jorge and S. D. Wexner, “Etiology and management of fecal incontinence,” Dis. Colon Rectum, vol. 36, no. 1, pp. 77–97, Jan. 1993.
[9] A. Medina-Gallardo, Y. Curbelo-Peña, X. De Castro, P. Roura-Poch, J. Roca-Closa, and E. De Caralt-Mestres, “Is the severe pain after Milligan-Morgan hemorrhoidectomy still currently remaining a major postoperative problem despite being one of the oldest surgical techniques described? A case series of 117 consecutive patients,” Int. J. Surg. Case Rep., vol. 30, pp. 73–75, 2017.
[10] A. Sturiale et al., “Long-term results after stapled hemorrhoidopexy: a survey study with mean follow-up of 12 years,” Tech. Coloproctol., vol. 22, no. 9, pp. 689–696, Sep. 2018.
[11] C. Ratto, P. Campennì, F. Papeo, L. Donisi, F. Litta, and A. Parello, “Transanal hemorrhoidal dearterialization (THD) for hemorrhoidal disease: a single-center study on 1000 consecutive cases and a review of the literature,” Tech. Coloproctol., vol. 21, no. 12, pp. 953–962, 2017.
[12] G. Naldini and A. Sturiale, “Stapled hemorrhoidopexy and THD/HAL-RAR: false myths of the third millennium,” Tech. Coloproctol., vol. 24, no. 9, pp. 985–986, 2020.
[13] L. Brusciano et al., “Postoperative discomfort and pain in the management of hemorrhoidal disease: laser hemorrhoidoplasty, a minimal invasive treatment of symptomatic hemorrhoids,” Updates Surg., vol. 72, no. 3, pp. 851–857, 2020.
[14] M. Naderan, S. Shoar, M. Nazari, A. Elsayed, H. Mahmoodzadeh, and Z. Khorgami, “A Randomized Controlled Trial Comparing Laser Intra-Hemorrhoidal Coagulation and Milligan–Morgan Hemorrhoidectomy,” J. Investig. Surg., vol. 30, no. 5, pp. 325–331, 2017.
[15] H. Maloku, Z. Gashi, R. Lazovic, H. Islami, and A. Juniku-Shkololli, “Laser hemorrhoidoplasty procedure vs open surgical hemorrhoidectomy: A trial comparing 2 treatments for hemorrhoids of third and fourth degree,” Acta Inform. Medica, vol. 22, no. 6, pp. 365–367, 2014.
[16] A. Jahanshahi, E. Mashhadizadeh, and M. H. Sarmast, “Diode laser for treatment of symptomatic hemorrhoid: A short term clinical result of a mini invasive treatment, and one year follow up,” Pol. Prz. Chir. Polish J. Surg., vol. 84, no. 7, pp. 329–332, 2012.
[17] G. Naldini et al., “Improvement in Hemorrhoidal Disease Surgery Outcomes Using a New Anatomical/Clinical–Therapeutic Classification (A/CTC),” Surg. J., vol. 06, no. 03, pp. e145–e152, 2020. | ||
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