Will Laser Treatment Help With Hemorrhoids?

Table of contents:

Will Laser Treatment Help With Hemorrhoids?
Will Laser Treatment Help With Hemorrhoids?

Video: Will Laser Treatment Help With Hemorrhoids?

Отличия серверных жестких дисков от десктопных
Video: Laser Hemorrhoidoplasty (LHP) 2023, February
Anonim

Will laser treatment help with hemorrhoids?

Treatment of hemorrhoids with a laser is a method that has a limited number of indications, is overblown and is often falsified. Artem Grigoryan, a Kiev doctor, shared his thoughts on the use of lasers in proctology on his Facebook page.

Will laser treatment help with hemorrhoids?
Will laser treatment help with hemorrhoids?

Photo: pixabay.com /

Treatment of hemorrhoids with a laser is a method that has a limited number of indications, is overblown and is often falsified. Artem Grigoryan, a Kiev doctor, shared his thoughts on the use of lasers in proctology on his Facebook page.

“The astonishing persistence of the advertising slogan 'laser surgery' among patients is surprising,” writes the proctologist.

He noted that, for example, in Kiev, a diode laser is installed in 7-8 operating rooms. However, the number of patients undergoing laser surgery is disproportionately large.

“In fact, of course, I understand [why so many laser operated]. Smear half of the anal canal with a coagulator … and call it a laser is a regular practice. Colleagues, throw a stone at me, who does not know what I am talking about,”- Grigorian is indignant.

Since “8 out of 10 patients come with a wish to be cured with a“laser”, invariably associating it with a magic wand,” the doctor conducted a small educational program. Below is a part of the text with minor edits.

By the 2010s, diode lasers with a wavelength of 980 nm and especially 1470 nm were widely used, which revolutionized the treatment of varicose veins of the legs. Now these lasers are being actively researched for use in proctology, and we are using them as well.

What are the indications for using these techniques?

  1. Laser ablation surgeries (LHP and HeLP) for stage 2 and 3 internal hemorrhoids. These are the most studied procedures. The period of published remote observations in the world does not exceed 3 - 4 years. In terms of postoperative pain, complications, and relapses, in comparison with other methods, they have not yet shown revolutionary results. The study continues.
  2. Rectal fistulas (FiLaC operation). The method has been used for a very short time, the results are known only in a very small number of patients. The number of relapses is 20 to 60 percent. Most likely it will not take off.
  3. Coccygeal passages, or pilonidal disease (SiLaC method). A very young technique, the first results are good, but it is not yet clear what are the advantages over the well-known pit picking method, or Bascom operation.

What patients need to remember

To date, laser treatments for hemorrhoids, anal fissures, rectal fistulas and coccygeal passages are not included in any practical recommendations, guidelines, treatment standards in any of the international communities.

  • Laser treatment of hemorrhoids is not a magic wand, it is also an operation, with its own indications, contraindications, features and complications. And we do them by carefully selecting patients and tracking the results.
  • "If you only have a hammer, you only see nails around." It's bad when a surgeon tries to cure everyone with one method, it leads to worse results. Optimal - to select the type of treatment individually for each patient, the form and stage of the disease, the characteristics of the patient's work and life.

And the most important thing. It is not a laser that operates, but a surgeon. The key to successful treatment is trust in your doctor; without him, the operation cannot be effective and safe.

Popular by topic