Laser Surgery To The Circumferential Hemorrhoids.
- Author:
Kwang Chul KIM
1
;
Hruck Sang LEE
Author Information
1. Hyondae Surgical Clinic.
- Publication Type:Original Article
- Keywords:
Hemorrhoids;
Laser
- MeSH:
Anesthesia, Epidural;
Follow-Up Studies;
Hemorrhage;
Hemorrhoidectomy;
Hemorrhoids*;
Humans;
Laser Therapy*;
Lasers, Gas;
Male;
Pain, Postoperative;
Physiology;
Rectal Fistula;
Skin;
Urinary Retention;
Wound Healing;
Wound Infection
- From:Journal of the Korean Society of Coloproctology
1997;13(1):121-130
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: This study was undertaken to evaluate the treatment of circumferential hemorrhoids using the CO2 laser. METHOD: Five hundred seventy-two consecutive patients with circumferential hemorrhoids(411 males, 161 females) had hemorrhoidectomy performed with CO2 laser under caudal or epidural anesthesia during the 2 year-period between July 1994 and June 1996. The follow-up period was a minimum of 3 months after hemorrhoidectomy. The standard Milligan-Morgan open technique was used for most full three-quadrant hemorrhoidectomies. For the excision of necessary piles, "core-ablation" technique was employed. RESULTS: The postoperative pain lasted for an average of 2.10 days. Comlications of hemorrhoidectomy included Postoperative skin tags, bleeding, wound infection, delayed wound healing, urinary retention and anal fistula in only a few of the cases, none of which caused any long-term problems. CONCLUSIONS: These results indicate that CO2 laser hemorrhoidectomy is feasible and safe provided it is used with care, and that it seems to cause no significant alteration in anorectal physiology.
