Doppler guided laser photocoagulation in the treatment of hemorrhoidal disease. The results of 1 year follow up: P181

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Aim:To evaluate the early and intermediate results of laser coagulation of haemorrhoid arteries.Method:Thirty-two patients were included. The inclusion criteria were bleeding and ineffective medical treatment. Procedures were done by Doppler guided laser coagulation described by Salfi. There were six patients with 3rd degree and 24 with 2nd degree haemorrhoids. In two patients anaemia was ascertained (3rd degree). Three patients had comorbidity (one - slight soiling, two - fissure-treated conservatively). Procedures were done with local anaesthesia and short intravenous anaesthesia. Observation occurred 2 and 6 weeks postoperatively and thereafter every month. Observation time was 12 months -11 patients, 6 months - eight patients and 3 months -13 patients. Three patients were lost.Results:The reduction in symptoms were observed in all cases during 1st 3 months. Two patients were reoperated after 4-5 months both with anaemia. In one case the slight bleeding continued. In one case the recurrence of fissure was ascertained after 6 months. In two cases thrombosis of external node was ascertained 3 months postoperatively.Conclusion:Doppler-guided laser photocoagulation is apromising method for 2nd degree haemorrhoids. The more severe haemorrhoids, especially with significant bleeding and patients with comorbidity, should be reconsidered for thisprocedure.

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