Thomas Olagboyega Olajide, Olanrewaju Samuel Balogun, Christopher O Bode, Oluwole Ayoola Atoyebi
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The duration of symptoms, grade of the haemorrhoids, duration of the procedures, and postoperative complications were evaluated.</p><p><strong>Results: </strong>Eleven patients had laser haemorrhoidoplasty. There were seven males and four females. The age range was 23-71 years, with a median age of 47 years and an interquartile range (IQR) of 28-57 years. Duration of surgery ranged from 20 to 90 min, with a median of 33 min and IQR of 25-53 min. Postoperative pain was mild in eight patients and moderate in three. Ten patients were discharged as day cases and one 3 days later due to spinal anaesthesia-related headache and acute urinary retention. One patient later had an anal ulcer probably due to too much energy delivered during the procedure, this was managed conservatively. There was no postoperative wound infection, anal incontinence, anal stenosis, subcutaneous abscess, and fistula or recurrence.</p><p><strong>Conclusion: </strong>The advantages of laser haemorrhoidoplasty make it a readily acceptable form of treatment for haemorrhoids in our setting.</p>","PeriodicalId":73993,"journal":{"name":"Journal of the West African College of Surgeons","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/16/d6/JWACS-13-96.PMC10395859.pdf","citationCount":"0","resultStr":"{\"title\":\"Challenges and Prospects of Laser Haemorrhoidoplasty in a Low Resource Setting: The LUTH Experience.\",\"authors\":\"Thomas Olagboyega Olajide, Olanrewaju Samuel Balogun, Christopher O Bode, Oluwole Ayoola Atoyebi\",\"doi\":\"10.4103/jwas.jwas_42_23\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Haemorrhoids are the most common condition of the anal canal causing significant disability. 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引用次数: 0
摘要
背景:痔疮是肛管最常见的疾病,会导致严重残疾。传统的切除性痔疮切除术及其各种改良虽然有效,但可能会出现严重的术后疼痛和其他并发症。据报道,激光痔疮成形术是有效的,并发症更少,住院时间更短。目的:本研究的目的是报告拉各斯大学教学医院使用1470 nm二极管激光进行痔疮内凝血的结果。患者和方法:使用Biolitec AG CeramOptec(德国波恩)的放射发射激光纤维进行手术。对症状持续时间、痔疮分级、手术持续时间和术后并发症进行评估。结果:11例患者行激光痔疮成形术。共有7名男性和4名女性。年龄范围为23-71岁,中位年龄为47岁,四分位间距(IQR)为28-57岁。手术时间从20到90 min,中位数为33 最小值和IQR为25-53 min术后疼痛8例为轻度,3例为中度。10名患者作为日间病例出院,1名患者在3天后因脊髓麻醉相关头痛和急性尿潴留出院。一名患者后来出现肛门溃疡,可能是由于手术过程中输送的能量过多,这是保守治疗的。无术后伤口感染、肛门失禁、肛门狭窄、皮下脓肿、瘘管或复发。结论:激光痔疮成形术的优点使其成为我们环境中易于接受的痔疮治疗形式。
Challenges and Prospects of Laser Haemorrhoidoplasty in a Low Resource Setting: The LUTH Experience.
Background: Haemorrhoids are the most common condition of the anal canal causing significant disability. Traditional excisional haemorrhoidectomy and its various modifications, while effective, may be attended by severe postoperative pain and other complications. Laser haemorrhoidoplasty is reported to be effective with fewer complications and shorter hospital stay.
Objectives: The aim of this study was to report the outcome of intrahaemorrhoidal coagulation with 1470-nm diode laser at the Lagos University Teaching Hospital.
Patients and methods: The procedures were performed with a radially emitting laser fibre from Biolitec AG-CeramOptec (Bonn, Germany). The duration of symptoms, grade of the haemorrhoids, duration of the procedures, and postoperative complications were evaluated.
Results: Eleven patients had laser haemorrhoidoplasty. There were seven males and four females. The age range was 23-71 years, with a median age of 47 years and an interquartile range (IQR) of 28-57 years. Duration of surgery ranged from 20 to 90 min, with a median of 33 min and IQR of 25-53 min. Postoperative pain was mild in eight patients and moderate in three. Ten patients were discharged as day cases and one 3 days later due to spinal anaesthesia-related headache and acute urinary retention. One patient later had an anal ulcer probably due to too much energy delivered during the procedure, this was managed conservatively. There was no postoperative wound infection, anal incontinence, anal stenosis, subcutaneous abscess, and fistula or recurrence.
Conclusion: The advantages of laser haemorrhoidoplasty make it a readily acceptable form of treatment for haemorrhoids in our setting.