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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...

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Autores principales: Olajide, Thomas Olagboyega, Balogun, Olanrewaju Samuel, Bode, Christopher O., Atoyebi, Oluwole Ayoola
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10395859/
https://www.ncbi.nlm.nih.gov/pubmed/37538221
http://dx.doi.org/10.4103/jwas.jwas_42_23
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author Olajide, Thomas Olagboyega
Balogun, Olanrewaju Samuel
Bode, Christopher O.
Atoyebi, Oluwole Ayoola
author_facet Olajide, Thomas Olagboyega
Balogun, Olanrewaju Samuel
Bode, Christopher O.
Atoyebi, Oluwole Ayoola
author_sort Olajide, Thomas Olagboyega
collection PubMed
description 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.
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spelling pubmed-103958592023-08-03 Challenges and Prospects of Laser Haemorrhoidoplasty in a Low Resource Setting: The LUTH Experience Olajide, Thomas Olagboyega Balogun, Olanrewaju Samuel Bode, Christopher O. Atoyebi, Oluwole Ayoola J West Afr Coll Surg Original Article 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. Wolters Kluwer - Medknow 2023 2023-06-27 /pmc/articles/PMC10395859/ /pubmed/37538221 http://dx.doi.org/10.4103/jwas.jwas_42_23 Text en Copyright: © 2023 Journal of West African College of Surgeons https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Olajide, Thomas Olagboyega
Balogun, Olanrewaju Samuel
Bode, Christopher O.
Atoyebi, Oluwole Ayoola
Challenges and Prospects of Laser Haemorrhoidoplasty in a Low Resource Setting: The LUTH Experience
title Challenges and Prospects of Laser Haemorrhoidoplasty in a Low Resource Setting: The LUTH Experience
title_full Challenges and Prospects of Laser Haemorrhoidoplasty in a Low Resource Setting: The LUTH Experience
title_fullStr Challenges and Prospects of Laser Haemorrhoidoplasty in a Low Resource Setting: The LUTH Experience
title_full_unstemmed Challenges and Prospects of Laser Haemorrhoidoplasty in a Low Resource Setting: The LUTH Experience
title_short Challenges and Prospects of Laser Haemorrhoidoplasty in a Low Resource Setting: The LUTH Experience
title_sort challenges and prospects of laser haemorrhoidoplasty in a low resource setting: the luth experience
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10395859/
https://www.ncbi.nlm.nih.gov/pubmed/37538221
http://dx.doi.org/10.4103/jwas.jwas_42_23
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