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A 5–Year Follow-Up Study on Bleeding Hemorrhoids Treated with Infrared Coagulation

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Abstract

This prospective study aimed to evaluate early and long-term results of Infrared coagulation therapy in hemorrhoids. Between January 2017 and January 2022, 169 consecutive patients diagnosed with grades I to IV bleeding hemorrhoids were treated with infrared coagulation. Patients were evaluated in terms of post-procedure bleeding, soiling, pruritus, size of hemorrhoids, prolapse, number of applications required for different grades and recurrence. Bleeding in hemorrhoids subsided in one application only in 79.88% but 14.79% required two to three applications while 5.33% required emergency sealing. Soiling and pruritus subsided in three applications. Prolapse associated with grades III and IV hemorrhoids decreased after five applications and took 60 days after last IRC sitting (61.29%). Maximum number of applications required for grades I, II, III, and IV was 3, 5, 7, and 9, respectively. Overall failure rate was 7.1%. Recurrence rate was 4.14% with a mean period of recurrence being 2.6 years. In patients with bleeding hemorrhoids IRC can be used as a safe, effective and painless office or ambulatory procedure, having less post-procedure bleeding with 100% success rate in grades I and II and variable success rates of 64% and 50% in higher grades III and IV.

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References

  1. Lohsiriwat V (2012) Hemorrhoids : from basic pathophysiology to clinicalmanagement. World J Gastroenterol 18(17):2009–2017

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  2. Agbo SP (2011) Surgical management of haemorrhoids. J Surg Tech Case Rep 3(2):68–75

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  3. Holzheimer RG (2004) Haemorrhoidectomy: indications and risks. Eur J Med Res 9(1):18–36

    PubMed  Google Scholar 

  4. Moursey AL, Halladay J, Sadiq TS (2011) Haemorrhoids. Am Fam Physician 84(2):204–210

    Google Scholar 

  5. Liecester RJ, Nicholls RJ, Mama CV (1981) Infrared coagulation : a new treatment for haemorrhoids. Dis Colon Rectum 24(8):602–605

    Article  Google Scholar 

  6. Marques CF, Nahas SC, Nahas CS, Sobrado CW Jr, Habr-Gama A Jr, Kiss DR (2006) Early results of treatment of Internal haemorrhoids disease by IRC and elastic banding: a prospective randomized cross over trial. Tech Colo-proctol 10(4):312–7

    Article  CAS  Google Scholar 

  7. Blaisdell PC (1958) Prevention of massive haemorrhage secondary to haemorrhoidectomy. Surg Gynaecol Obstet 106(4):485–488

    CAS  Google Scholar 

  8. Nikshoar MR, Maleki Z, Nemati HB (2018) The clinical efficacy of IRC vs closed haemorrhoidectomy in treatment of haemorrhoids. J Lasers Med Sc 9(1):23–26

    Article  Google Scholar 

  9. Mc Lemore EC, Rai R, Siddiqui J, Basu PP, Tabbaa M, Epstein MS (2012) Novelendoscopic delivery modality of IRC therapy for Internal haemorrhoids. Surg Endosc 26(11):3082–3087

    Article  PubMed  Google Scholar 

  10. Mishalov VH, Dibrova IuA, Tsema VA (2009) Quality of life in patients with chronic internal haemorrhoids treated with Infrared photocoagulation. Klin Khir 3:24–27

    Google Scholar 

  11. Ricci MP, Matoo D, Saad SS (2008) Rubber band ligation and infrared photocoagulation for the outpatient treatment of haemorrhoidal disease. Acta Cir Bras 23(1):102–106

    Article  PubMed  Google Scholar 

  12. Gupta PJ (2007) Infrared photocoagulation of early grades of haemorrhoids - 5-year follow-up study. Bratisl Lek Listy 108(4–5):223–226

    CAS  PubMed  Google Scholar 

  13. Gupta PJ (2003) Infrared coagulation versus rubber band ligation in early stage haemorrhoids. Braz J Med Biol Res 3610:1433–9

    Article  Google Scholar 

  14. CharuaGuindic L, Espinosa A, Cazares Hernandez F (1998) Infrared photocoagulation in the treatment of haemorrhoids. Rev Gastroenterol Mex 63(3):131–4

    CAS  Google Scholar 

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Authors and Affiliations

  1. Department of General Surgery, Hind Institute of Medical Sciences, Atariya, Sitapur, India

    Pankaja Kumar & Janardan P. Ghildiyal

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  1. Pankaja Kumar
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  2. Janardan P. Ghildiyal
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Correspondence to Pankaja Kumar.

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Kumar, P., Ghildiyal, J.P. A 5–Year Follow-Up Study on Bleeding Hemorrhoids Treated with Infrared Coagulation. Indian J Surg 85, 1107–1110 (2023). https://doi.org/10.1007/s12262-023-03679-2

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  • DOI: https://doi.org/10.1007/s12262-023-03679-2

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