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Hemorrhoidal laser procedure: short- and long-term results from a prospective study
Nicola Crea1, Giacomo Pata2, Mauro Lippa1
1Department of General Surgery, San Camillo Clinic Institute, Via Turati 44, 25123 Brescia, Italy.
American Journal of Surgery
|February 11, 2014
Summary
The hemorrhoidal laser procedure (HeLP) offers a safe and effective treatment for symptomatic hemorrhoids. This painless ambulatory treatment significantly reduces symptoms and recurrence rates over two years.
Area of Science:
- Colorectal Surgery
- Minimally Invasive Procedures
Background:
- Hemorrhoidal disease (HD) affects a significant portion of the population.
- Symptomatic second- to third-grade hemorrhoids with minimal or moderate mucosal prolapse require effective treatment options.
Purpose of the Study:
- To evaluate the long-term efficacy and safety of the hemorrhoidal laser procedure (HeLP).
- To assess symptom resolution, disease downgrading, and recurrence rates following HeLP treatment.
Main Methods:
- Prospective data collection on 97 patients undergoing HeLP.
- Assessment of procedure duration, complications, pain, and long-term outcomes including recurrence.
Main Results:
- HeLP demonstrated no significant intraoperative complications and minimal postoperative pain.
- Significant reduction in bleeding (76%), pain (79%), itching (78%), and hemorrhoidal acute syndrome (79%) at 3-6 months.
- A 5% recurrence rate of hemorrhoidal disease was observed at 2 years.
Conclusions:
- The hemorrhoidal laser procedure (HeLP) is a safe, effective, and painless treatment for symptomatic hemorrhoids.
- HeLP is well-suited for ambulatory treatment of moderate hemorrhoidal disease.
- Long-term follow-up confirms sustained symptom relief and low recurrence rates.
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