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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...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2022
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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. |
format | Online Article Text |
id | pubmed-9791955 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
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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