350 ambulatory hemorrhoidectomies using a scanner coupled to a CO2 laser

Area of Science:

• Proctology
• Surgical Technology
• Laser Applications

Background:

• Laser technology has been used in surgery since the 1960s, offering benefits like hemostasis and reduced pain.
• However, some studies question these purported advantages of laser surgery.
• The introduction of scanner devices has led to improved outcomes in various surgical fields, including proctology.

Purpose of the Study:

• To evaluate the impact of a scanner device on laser hemorrhoidectomy outcomes.
• To assess improvements in pain, healing, secretion, and hemostasis post-procedure.

Main Methods:

• A total of 350 patients underwent laser hemorrhoidectomy using a CO2 laser coupled with a scanner device.
• Patient outcomes were monitored for up to 36 months, focusing on pain, healing, bleeding, and secretion.
• Data collected included analgesic use, pain duration, healing time, complications, and return to work.

Main Results:

• 96% of patients used analgesics for up to 3 days; only 1.42% experienced prolonged strong pain.
• Complete healing occurred between 30-40 days post-operation, with healthy tissue regeneration by day 90.
• Complications were minimal, including rare instances of hemorrhage and stenosis; 20% experienced residual "plicoma".

Conclusions:

• The integration of a scanner device with a CO2 laser significantly enhances postoperative outcomes in laser hemorrhoidectomy.
• This technological advancement appears superior to other laser techniques for hemorrhoid treatment.
• The study supports the use of scanner-coupled lasers for improved patient recovery and surgical results.