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The effectiveness of flavonoids in the postoperative treatment of patients with hemorrhoids. Pirogov Russian Journal of Surgery. 2024;(9):52-56

Effects of wound healing and activation of tissue regeneration for the management of hemorrhoids and anal fissures. Russian Journal of Evidence-Based Gastroenterology. 2024;(2):71-78

Relationship between pelvic floor dysfunction and proctologic diseases in women of late reproductive age. Russian Bulletin of Obstetrician-Gynecologist. 2024;(3):66-70

An integrated approach to the conservative management of patients with hemorrhoids. Resolution of the scientific and practical conference — interdisciplinary expert discussion club (March 30, 2024). Russian Journal of Evidence-Based Gastroenterology. 2024;(3):67-72

Objective is to analyze efficacy and safety of submucosal laser ablation of internal hemorrhoids (SLT). Material and methods. Systematic review included 10 articles published in electronic databases PubMed, Cochrane Library, Elibrary until January 2019. There were only full-text publications from prospective clinical trials devoted to submucosal laser ablation in the treatment of hemorrhoids. Isolated SLT was used in 4 trials, combination with other minimally invasive procedures was reported in 6 reports. Results. SLT was predominantly used in the treatment of hemorrhoids grade 2—3. Efficacy of procedure was 91.1—100% after 6 months and 87.5—100% after 12 months. Intra- and postoperative complications included intraoperative bleeding (8.4%), perianal and external piles edema (8.2%), postoperative bleeding (2.7%), urinary retention (1.2%), anal fistula (0.6%), perianal abscess (0.14%). Conclusion. Submucosal laser ablation is quite effective and safe option for treatment of hemorrhoids grade 2—3. However, further researches are required considering the absence of clear recommendations on laser beam parameters, indications for procedure and data on long-term outcomes.

Authors:

Titov A.Yu.

A.N. Ryzhikh State Research Center of Coloproctology, Ministry of Health of Russia;
Department of Coloproctology, Russian Medical Academy of Continuing Professional Education, Ministry of Health of Russia

Kostevich I.V.

Sankt-Petersburg Research Institute of Ear, Throat and Nose Diseases, Ministry of Health of the Russian Federation, Sankt-Petersburg, Russia, 190013

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