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[A comparative study of nonsurgical methods in the treatment of hemorrhoids]
Insights
Infrared photocoagulation offers superior hemorrhoid treatment outcomes for high-risk patients compared to traditional nonoperative methods or latex ring ligation. This technique provides a simple, effective solution with high cure rates and fewer complications.
Area of Science:
- Colorectal Surgery
- Gastroenterology
Background:
- Hemorrhoids affect a significant portion of the population.
- High-risk surgical patients require specialized treatment approaches.
- Traditional treatments for hemorrhoids have limitations, especially in high-risk individuals.
Purpose of the Study:
- To compare the efficacy of three hemorrhoid treatment methods in patients at higher surgical risk.
- To evaluate nonoperative treatment, latex ring ligation, and infrared photocoagulation.
Main Methods:
- A comparative study involving 149 high-risk patients with hemorrhoids.
- Group 1: Traditional nonoperative treatment (79 patients).
- Group 2: Latex ring ligation (17 patients).
- Group 3: Nonoperative treatment plus infrared photocoagulation (43 patients).
- Follow-up ranged from 3 to 12 months.
Main Results:
- Nonoperative treatment resulted in 100% recurrence of hemorrhoid symptoms.
- Latex ring ligation achieved a 59% cure rate but was associated with significant inflammatory complications.
- Infrared photocoagulation combined with nonoperative methods yielded an 86% cure rate (37/43 patients).
Conclusions:
- Infrared photocoagulation demonstrates superior efficacy and a better safety profile for treating hemorrhoids in high-risk patients.
- The method is technically simple, convenient, and suitable for both inpatient and outpatient settings.
- This technique offers a significant advantage over traditional nonoperative management and latex ring ligation.
Abstract:
The authors conducted comparative appraisal of the results of treatment of hemorrhoids in 3 groups of patients at a higher surgical risk in 1989-1990. Group 1 consisted of 79 patients given the traditional nonoperative treatment. Group 2 was made up of 17 patients in whom the hemorrhoidal nodes were ligated by means of latex rings. Forty-three patients of group 3 were treated by the traditional nonoperative methods and, in addition, by infrared photocoagulation, 33 at in-patients and 10 at out-patient clinics. The follow-up periods range from 3 to 12 months. The study showed that nonoperative therapy produced a temporary effect, clinical manifestations of hemorrhoids recurred in 100% of patients. In group 2 59% of patients were cured, which is evidence of the pathogenetic substantiation of the method. The treatment, however, in this group was marked by a great number of complications of an inflammatory character. The best effect was produced among patients of group 3; 37 (86%) patients were cured. Thus, the results of comparative analysis of the efficacy of these methods of treatment in patients at a higher surgical risk showed the advantages of infrared photocoagulation over nonoperative treatment and ligation of hemorrhoids with latex rings. The method of infrared photocoagulation is technically simple, convenient, and can be applied both in in- and out-patient clinics.