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The effects of laser procedure in symptomatic patients with haemorrhoids: A systematic review

PURPOSE: Haemorrhoids are normal structures in the human body, only seen as pathological when symptomatic. Nowadays, new techniques have surfaced using a diode laser which, after locating the target arteries, blocks the blood flow while hitting and shrinking the local mucosa/submucosa at a depth of...

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Autores principales: Torrinha, Gonçalo, Gonçalves, Tatiana, Sousa, Maria, Högemann, Gerrit, Goulart, André, Carvalho, Alexandre Fernandes, Leão, Pedro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9791955/
https://www.ncbi.nlm.nih.gov/pubmed/36578968
http://dx.doi.org/10.3389/fsurg.2022.1050515
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author Torrinha, Gonçalo
Gonçalves, Tatiana
Sousa, Maria
Högemann, Gerrit
Goulart, André
Carvalho, Alexandre Fernandes
Leão, Pedro
author_facet Torrinha, Gonçalo
Gonçalves, Tatiana
Sousa, Maria
Högemann, Gerrit
Goulart, André
Carvalho, Alexandre Fernandes
Leão, Pedro
author_sort Torrinha, Gonçalo
collection PubMed
description PURPOSE: Haemorrhoids are normal structures in the human body, only seen as pathological when symptomatic. Nowadays, new techniques have surfaced using a diode laser which, after locating the target arteries, blocks the blood flow while hitting and shrinking the local mucosa/submucosa at a depth of 4 mm. Our work aimed to give a broad view over this new technique and its consequences in the post-operative follow-up with a systematic review. METHODS: EMBASE and MEDLINE databases were consulted, retrieving clinical trials, which mentioned the use of 980 nm diode laser on the treatment of haemorrhoids. RESULTS: Ten clinical trials analyzing the post-operative effects of laser haemorrhoidectomy were selected, including 2 randomized controlled clinical trials and 1 controlled clinical trial. The overall quality of the trials was low, indicating a high risk of bias. CONCLUSION: The laser haemorrhoidectomy procedure revealed a high therapeutic potential, considering the reduced number of postoperative complaints (bleeding/pain), the high symptom resolution and the reduced recurrence, albeit the high heterogeneity between the studies in terms of reported results. Future investigations with higher quality and controlled double-blinded studies obtaining better-categorized results should be conducted in order to better evaluate this procedure and compare it to the current paradigm.
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spelling pubmed-97919552022-12-27 The effects of laser procedure in symptomatic patients with haemorrhoids: A systematic review Torrinha, Gonçalo Gonçalves, Tatiana Sousa, Maria Högemann, Gerrit Goulart, André Carvalho, Alexandre Fernandes Leão, Pedro Front Surg Surgery PURPOSE: Haemorrhoids are normal structures in the human body, only seen as pathological when symptomatic. Nowadays, new techniques have surfaced using a diode laser which, after locating the target arteries, blocks the blood flow while hitting and shrinking the local mucosa/submucosa at a depth of 4 mm. Our work aimed to give a broad view over this new technique and its consequences in the post-operative follow-up with a systematic review. METHODS: EMBASE and MEDLINE databases were consulted, retrieving clinical trials, which mentioned the use of 980 nm diode laser on the treatment of haemorrhoids. RESULTS: Ten clinical trials analyzing the post-operative effects of laser haemorrhoidectomy were selected, including 2 randomized controlled clinical trials and 1 controlled clinical trial. The overall quality of the trials was low, indicating a high risk of bias. CONCLUSION: The laser haemorrhoidectomy procedure revealed a high therapeutic potential, considering the reduced number of postoperative complaints (bleeding/pain), the high symptom resolution and the reduced recurrence, albeit the high heterogeneity between the studies in terms of reported results. Future investigations with higher quality and controlled double-blinded studies obtaining better-categorized results should be conducted in order to better evaluate this procedure and compare it to the current paradigm. Frontiers Media S.A. 2022-12-12 /pmc/articles/PMC9791955/ /pubmed/36578968 http://dx.doi.org/10.3389/fsurg.2022.1050515 Text en © 2022 Torrinha, Gonçalves, Sousa, Högemann, Goulart, Carvalho and Leão. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (https://creativecommons.org/licenses/by/4.0/) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Surgery
Torrinha, Gonçalo
Gonçalves, Tatiana
Sousa, Maria
Högemann, Gerrit
Goulart, André
Carvalho, Alexandre Fernandes
Leão, Pedro
The effects of laser procedure in symptomatic patients with haemorrhoids: A systematic review
title The effects of laser procedure in symptomatic patients with haemorrhoids: A systematic review
title_full The effects of laser procedure in symptomatic patients with haemorrhoids: A systematic review
title_fullStr The effects of laser procedure in symptomatic patients with haemorrhoids: A systematic review
title_full_unstemmed The effects of laser procedure in symptomatic patients with haemorrhoids: A systematic review
title_short The effects of laser procedure in symptomatic patients with haemorrhoids: A systematic review
title_sort effects of laser procedure in symptomatic patients with haemorrhoids: a systematic review
topic Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9791955/
https://www.ncbi.nlm.nih.gov/pubmed/36578968
http://dx.doi.org/10.3389/fsurg.2022.1050515
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