The Efficacy of a Nd:YAG Laser in a Hemorrhoidectomy
Journal of the Korean Society of Coloproctology
;
: 203-208, 1999.
Article
in Korean
| WPRIM
| ID: wpr-119074
ABSTRACT
BACKGROUND:
Even though lasers have been used in hemorrhoidectomies, there has been much debate about their effect.PURPOSE:
A prospective randomized study was performed comparing the efficacy of a NdYAG laser with that of scalpel excision when performing a ligation excision, semi-closed hemorrhoidectomy.METHODS:
Sixty patients, who had more than three piles, with 3rd or 4th grade hemorrhoids, were enrolled into this study. Hemorrhoidectomies were performed under low spinal anesthesia. The ligation excision, semi-closed hemorrhoidectomy technique was used. Data evaluated included age, sex, operative time, postoperative pain scores, postoperative analgesic requirement, wound-healing time, and postoperative complications. Of the sixty patients enrolled into this study, 30 received laser excision and the other 30 scalpel excision.RESULTS:
There were no significant differences between the two groups, except for operative time (laser, 34.6 8.4 min; scalpel, 24.1 4.8 min). Postoperative complications, such as urinary retention, fecal impaction, skin tags, and postoperative fissure, were more common in the laser group.CONCLUSIONS:
A hemorrhoidectomy using a NdYAG laser takes longer than a conventional hemorrhoidectomy and neither reduces the postoperative pain nor shortens the wound-healing time. For achieving an effective treatment in hemorrhoids by using lasers, improved laser instruments are required, along with more detailed study of lasers and their effects.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pain, Postoperative
/
Postoperative Complications
/
Skin
/
Prospective Studies
/
Urinary Retention
/
Lasers, Solid-State
/
Fecal Impaction
/
Hemorrhoidectomy
/
Operative Time
/
Hemorrhoids
Type of study:
Controlled clinical trial
/
Observational study
Limits:
Humans
Language:
Korean
Journal:
Journal of the Korean Society of Coloproctology
Year:
1999
Type:
Article
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