Minimally invasive treatment of combined hemorrhoids

Abstract

Purpose. To study outcomes after the minimally invasive treatment of combined hemorrhoids.Material and methods. Two hundred and three patients with combined hemorrhoids were included in the study. Patients of the main group (n = 101) had laser coagulation of internal hemorrhoids; patients of the control group (n = 102) – ligation of internal hemorrhoids. Then, excision of external hemorrhoids was made in both groups.Results. The intensity of postoperative pain syndrome decreased more rapidly in patients from the main group comparing to the controls. The number of early postoperative complications in patients of the main group was 2 times less than in the controls. Relapse of the disease one year after the treatment was seen in 5.94 % of patients of the main group and in 22.55 % of the controls.Conclusion. Laser coagulation of internal hemorrhoids followed by the excision of external ones in patients with combined hemorrhoids can improve outcomes and reduce the number of relapses.