The role of lasers in hemorrhoidectomy

Abstract

Eighty-eight patients who received treatment for hemorrhoids were randomized into two groups. Group A received the Nd-YAG laser phototherapy for internal hemorrhoid combined with the CO2 laser for external hemorrhoid. Group B was treated with closed Ferguson hemorrhoidectomy. The need of narcotic injections for pain relief was 11 percent in group Avs.56 percent in group B (P<0.001). The incidence of postoperative urinary retention was 7 percent in group A,vs.39 percent in group B (P<0.05). No enema was required postoperatively in group A,vs. 9 percent in group B; 84 percent of the patients in group A were discharged on the second postoperative day,vs. 83 percent of the patients in group B discharged on the fifth postoperative day. The cost was 20 percent less in the former group. The overall complications in both groups were insignificant in difference, except prolonged wound healing in group A was noted. One year follow-up showed satisfactory results. Laser treatment is considered one of the alternatives to conventional treatment, but the surgeon needs to be aware of laser hazards.

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References

  1. 1.

    Brackett KA, Sankar MY. Effects of Nd-YAG laser photoradiation on intra-abdominal tissues: a histological study of tissue damageversus power density applied. Lasers Surg Med 1986;6:123–30.

    PubMed  Google Scholar 

  2. 2.

    Sanowski RA. Laser therapy in gastrointestinal practice. J Clin Gastroenterol 1987;9:83–7.

    PubMed  Google Scholar 

  3. 3.

    Chang-Chien CR, Wang JY. Clinical experience of closed hemorrhoidectomy in 439 cases. J Surg Assoc ROC 1978;11:137–44.

    Google Scholar 

  4. 4.

    Yu JC. Internal and external hemorrhoids treated with dual laser technique. Laser Pract Rep 1987;8:1s-2s.

    Google Scholar 

  5. 5.

    Johnston JH, Jensen DM. YAG laser treatment of experimental bleeding canine gastric ulcers. Gastroenterology 1980;79:1252–61.

    PubMed  Google Scholar 

  6. 6.

    Rutgeerts P, Vantrappen G. Safety and efficacy of neodymium-Yag laser photocoagulation: an experimental study in dogs Gut 1981;22:45–8.

    PubMed  Google Scholar 

  7. 7.

    Bown SG, Salmon PR. Nd-YAG laser photocoagulation in the dog stomach. Gut 1980;21:818–25.

    PubMed  Google Scholar 

Download references

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Correspondence to Jeng Yi Wang M.D..

Additional information

Read at the Tripartite Meeting, Birmingham, United Kingdom, June 19 to 22, 1989.

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Wang, J.Y., Chang-Chien, C.R., Chen, JS. et al. The role of lasers in hemorrhoidectomy. Dis Colon Rectum 34, 78–82 (1991). https://doi.org/10.1007/BF02050213

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Key words

  • Nd-YAG laser
  • CO 2 laser
  • Laser photocoagulation
  • Hemorrhoidectomy