Short term outcomes of Laser Pile Ablation (LPA) to treat II-III degree symptomatic hemorrhoidal disease.

Introduction The aim of this study is to assess the outcomes of Laser Pile Ablation (LPA) in patients affected by II-III degree symptomatic hemorrhoidal disease. Material and Methods Consecutive patients suffering of II-III degree symptomatic HD were enrolled to undergo LPA. The primary study endpo...

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Autores principales:	Francesco Cantarella, Rebecca Aglietti, Alessandro Sturiale
Formato:	article
Lenguaje:	EN
Publicado:	Shiraz University of Medical Sciences 2021
Materias:	laser pile ablation laser hemorrhoidosplasty hemorrhoid laser stapled hemorrhoidopexy hemorrhoidectomy Medicine R
Acceso en línea:	https://doaj.org/article/eb51f646e704402c817b594477142168
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spelling	oai:doaj.org-article:eb51f646e704402c817b5944771421682021-11-14T06:50:42ZShort term outcomes of Laser Pile Ablation (LPA) to treat II-III degree symptomatic hemorrhoidal disease.2783-243010.30476/acrr.2021.91450.1103https://doaj.org/article/eb51f646e704402c817b5944771421682021-06-01T00:00:00Zhttps://colorectalresearch.sums.ac.ir/article_47685_5c254e40624998506be804760d90d456.pdfhttps://doaj.org/toc/2783-2430Introduction The aim of this study is to assess the outcomes of Laser Pile Ablation (LPA) in patients affected by II-III degree symptomatic hemorrhoidal disease. Material and Methods Consecutive patients suffering of II-III degree symptomatic HD were enrolled to undergo LPA. The primary study endpoint was to assess the post-operative pain using NRS scale (0-10) and the use of painkiller. Secondary endpoints were: intraoperative, postoperative complications and recurrence rate (including bleeding and prolapse). Patients satisfaction was assessed at 6- and 12-months using VAS scale (0-10) and also through the questions “Would you undergo this surgery again?” and “Would you recommend this procedure to a relative or friend?”. Results Twenty-five patients (7F–18M) were enrolled in the study. All the procedures were performed under spinal anesthesia and the mean amount of energy delivered was 472.6±50.7 J. The mean follow-up was 9 months (range 6-12). Mean postoperative pain, assessed through NRS scale, was 4.7±1.5 at 12 h, 4.4±1.3 at 24 h and 2.2±1.0 at day 10. The pain was managed with paracetamol 1 gr only 30.7 % required NSAIDs in addition for 3 days. Recurrence rate was 7.7% at 3 and 6 months after the procedure referring persistent bleeding. The mean time interval to return to work is 2.7±2.1 days. All the patients were extremely satisfied of the procedure VAS 9. Conclusion LPA resulted to be a safe, effective and minimally invasive procedure to treat II-III degree HD with optimal management of post-operative pain and excellent patient satisfaction.Francesco CantarellaRebecca AgliettiAlessandro SturialeShiraz University of Medical Sciencesarticlelaser pile ablationlaser hemorrhoidosplastyhemorrhoidlaserstapled hemorrhoidopexyhemorrhoidectomyMedicineRENIranian Journal of Colorectal Research, Vol 9, Iss 2, Pp 69-72 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	laser pile ablation laser hemorrhoidosplasty hemorrhoid laser stapled hemorrhoidopexy hemorrhoidectomy Medicine R
spellingShingle	laser pile ablation laser hemorrhoidosplasty hemorrhoid laser stapled hemorrhoidopexy hemorrhoidectomy Medicine R Francesco Cantarella Rebecca Aglietti Alessandro Sturiale Short term outcomes of Laser Pile Ablation (LPA) to treat II-III degree symptomatic hemorrhoidal disease.
description	Introduction The aim of this study is to assess the outcomes of Laser Pile Ablation (LPA) in patients affected by II-III degree symptomatic hemorrhoidal disease. Material and Methods Consecutive patients suffering of II-III degree symptomatic HD were enrolled to undergo LPA. The primary study endpoint was to assess the post-operative pain using NRS scale (0-10) and the use of painkiller. Secondary endpoints were: intraoperative, postoperative complications and recurrence rate (including bleeding and prolapse). Patients satisfaction was assessed at 6- and 12-months using VAS scale (0-10) and also through the questions “Would you undergo this surgery again?” and “Would you recommend this procedure to a relative or friend?”. Results Twenty-five patients (7F–18M) were enrolled in the study. All the procedures were performed under spinal anesthesia and the mean amount of energy delivered was 472.6±50.7 J. The mean follow-up was 9 months (range 6-12). Mean postoperative pain, assessed through NRS scale, was 4.7±1.5 at 12 h, 4.4±1.3 at 24 h and 2.2±1.0 at day 10. The pain was managed with paracetamol 1 gr only 30.7 % required NSAIDs in addition for 3 days. Recurrence rate was 7.7% at 3 and 6 months after the procedure referring persistent bleeding. The mean time interval to return to work is 2.7±2.1 days. All the patients were extremely satisfied of the procedure VAS 9. Conclusion LPA resulted to be a safe, effective and minimally invasive procedure to treat II-III degree HD with optimal management of post-operative pain and excellent patient satisfaction.
format	article
author	Francesco Cantarella Rebecca Aglietti Alessandro Sturiale
author_facet	Francesco Cantarella Rebecca Aglietti Alessandro Sturiale
author_sort	Francesco Cantarella
title	Short term outcomes of Laser Pile Ablation (LPA) to treat II-III degree symptomatic hemorrhoidal disease.
title_short	Short term outcomes of Laser Pile Ablation (LPA) to treat II-III degree symptomatic hemorrhoidal disease.
title_full	Short term outcomes of Laser Pile Ablation (LPA) to treat II-III degree symptomatic hemorrhoidal disease.
title_fullStr	Short term outcomes of Laser Pile Ablation (LPA) to treat II-III degree symptomatic hemorrhoidal disease.
title_full_unstemmed	Short term outcomes of Laser Pile Ablation (LPA) to treat II-III degree symptomatic hemorrhoidal disease.
title_sort	short term outcomes of laser pile ablation (lpa) to treat ii-iii degree symptomatic hemorrhoidal disease.
publisher	Shiraz University of Medical Sciences
publishDate	2021
url	https://doaj.org/article/eb51f646e704402c817b594477142168
work_keys_str_mv	AT francescocantarella shorttermoutcomesoflaserpileablationlpatotreatiiiiidegreesymptomatichemorrhoidaldisease AT rebeccaaglietti shorttermoutcomesoflaserpileablationlpatotreatiiiiidegreesymptomatichemorrhoidaldisease AT alessandrosturiale shorttermoutcomesoflaserpileablationlpatotreatiiiiidegreesymptomatichemorrhoidaldisease
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Short term outcomes of Laser Pile Ablation (LPA) to treat II-III degree symptomatic hemorrhoidal disease.

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