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- W4313045949 abstract "Abstract Purpose LASER haemorrhoidoplasty (LHP) is a novel procedure in the management of the symptomatic haemorrhoidal disease. LHP is a non-excisional procedure to treat haemorrhoids in which hemorrhoidal arterial flow feeding the hemorrhoidal plexus is abrupted by laser coagulation. Methods We conducted a retrospective review on 121 consecutive patients treated with LHP over 2018 to 2020 at a District General Hospital. A diode laser device is used to seal the terminal branches of the hemorrhoidal plexuses. Routine follow-up was at 12 weeks. Our aim was to investigate the efficacy and safety profile of LHP. Efficacy was associated with symptom resolution, the degree of patients’ perception of improvement, and the number of procedures required to treat recurrence. Safety was determined by more than one hospital follow-ups and complications necessitating treatment. Results Follow-up was achieved in 100 patients. 21 patients with incomplete data were excluded. The mean age was 45 years old. LHP was utilised in 2% of patients with grade I haemorrhoids, 24% with grade II, 67% with grade III and 7% with grade IV. At follow-up, 57% reported complete symptom resolution and 94% reported symptom improvement. Residual symptoms were observed in 29% of patients. Only 9% underwent a re-operation. 38% attended hospital for more than one outpatient visits and 5% of those required antibiotics to treat local infections. Conclusion LHP is a safe and efficacious non-excisional surgical alternative to the management of the haemorrhoidal disease. Our patients reported a high degree of symptom resolution and satisfaction. Key words haemorrhoids, benign anorectal conditions, bleeding, laser haemorrhoidoplasty" @default.
- W4313045949 created "2023-01-06" @default.
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- W4313045949 date "2022-08-01" @default.
- W4313045949 modified "2023-09-29" @default.
- W4313045949 title "WE1.4 Laser haemorrhoidoplasty (LHP) is an efficacious alternative to excisional treatment of haemorrhoidal disease: Results from a single centre retrospective study" @default.
- W4313045949 doi "https://doi.org/10.1093/bjs/znac248.090" @default.
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