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Rodoman G.V.

State clinical hospital №24, Moscow city health department

Kornev L.V.

Gorodskaia klinicheskaia bol'nitsa #24

Shalaeva T.I.

Kafedra obshcheĭ khirurgii lechebnogo fakul'teta Rossiĭskogo gosudarstvennogo meditsinskogo universiteta im. N.I. Pirogova;
Gorodskaia klinicheskaia bol'nitsa #13, Moskva

Malushenko R.N.

Russian Peoples’ Friendship University, Department of ultrasound diagnostics and surgery

Efficiency of combined methods of hemorroid treatment using hal-rar and laser destruction

Authors:

Rodoman G.V., Kornev L.V., Shalaeva T.I., Malushenko R.N.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2017;(5): 47‑51

DOI: 10.17116/hirurgia2017547-51

Views: 2737

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To cite this article:

Rodoman GV, Kornev LV, Shalaeva TI, Malushenko RN. Efficiency of combined methods of hemorroid treatment using hal-rar and laser destruction. Pirogov Russian Journal of Surgery. 2017;(5):47‑51. (In Russ.)
https://doi.org/10.17116/hirurgia2017547-51

Подписка 2025 (Pirogov Russian Journal of Surgery)
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Aim. To develop the combined method of treatment of hemorrhoids with arterial ligation under Doppler control and laser destruction of internal and external hemorrhoids. Material and methods. The study included 100 patients with chronic hemorrhoids stage II and III. Combined method of HAL-laser was used in study group, HAL RAR-technique in control group 1 and closed hemorrhoidectomy with linear stapler in control group 2. Сomparative evaluation of results in both groups was performed. Results. Combined method overcomes the drawbacks of traditional surgical treatment and limitations in external components elimination which are inherent for HAL-RAR. Moreover, it has a higher efficiency in treating of hemorrhoids stage II—III compared with HAL-RAR and is equally safe and well tolerable for patients. This method does not increase the risk of recurrence, reduces incidence of complications and time of disability.

Keywords:

hemorrhoids
HAL
laser destruction

Authors:

Rodoman G.V.

State clinical hospital №24, Moscow city health department

Kornev L.V.

Gorodskaia klinicheskaia bol'nitsa #24

Shalaeva T.I.

Kafedra obshcheĭ khirurgii lechebnogo fakul'teta Rossiĭskogo gosudarstvennogo meditsinskogo universiteta im. N.I. Pirogova;
Gorodskaia klinicheskaia bol'nitsa #13, Moskva

Malushenko R.N.

Russian Peoples’ Friendship University, Department of ultrasound diagnostics and surgery

List of references:

  1. Gain MYu. Laser technologies in complex treatment of hemorrhoids. Novosty Khirurgii. 2013;21(1):.94-104. doi:10.18484/2305-0047.2013.1.94
  2. Davies J, Duffy D, Boyt N, Aghahoseini A, Alexander D, Levenson S. Botulinum toxin (Botox) reduced pain after haemorrhoidectomy. Dis Colon Rectum. 2003;46:1097-1102. doi:10.1007/s10350-004-7286-6
  3. Hardy A, Chan CL, Cohen CR. The surgical management of haemorrhoids — a review. Dig Surg. 2005;22:26-33. doi:10.1159/000085343
  4. Johaimsson HO, Graf W, Pahlman L. Long-term results of haemorrhoidectomy. Eur J Surg. 2002;168(8-9):485-489. doi:10.1080/110241502321116505
  5. MacRae HM, Temple LK, McLeod RS. A meta-analysis of hemorrhoidal treatments. Semin CR. Surg. 2002;13:77-83. doi:10.1053/scrs.2002.31452
  6. Morinaga K, Hasuda K, Ireda T. A novel therapy for internal haemorrhoids: ligation of the haemorrhoidal artery with a neewly devised instrument (Moricorn) in conjuction with a Doppler flowmeter. Am J Gastroenterol. 1995;90(4):610-613.
  7. Plapler H. A new method for hemorrhoid surgery: experimental model of diode laser application in monkeys. Photomed Laser Surg. 2008;26(2):143-146. doi:10.1089/pho.2007.2121
  8. Scheyer M. Doppler-guided recto-anal repair: a new minimally invasive treatment of hemorrhoidal disease of all grades according to Scheyer and Arnold. Gastroenterol Clin Biol. 2008;32:664. doi:10.1016/j.gcb.2008.03.001
  9. Singer MA, Cintron JR, Fleshman JW, Chaudhry V, Birnbaum EH, Read ТЕ, Spitz JS, Abcarian H. Early experience with stapled hemorrhoidectomy in theUnited States. Dis Colon Rectum. 2002;45(3):360-369. doi:10.1007/s10350-004-6183-3
  10. Sutherland LM, Burchard AK, Matsuda K, Sweeney JL, Bokey EL, Childs PA, Roberts AK, Waxman BP, Maddern GJ. A systematic review of stapled hemorrhoidectomy. Arch Surg. 2002;137(12):1395-1407. doi:10.1001/archsurg.137.12.1395
  11. Wilkerson P, Strbac M, Reece-Smith H, Middleton S. Doppler-guided haemorrhoidal artery ligation: long-term outcome and patient satisfaction. Colorectal Dis. 2008;11:394–400. doi:10.1111/j.1463-1318.2008.01602.x

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