Laser for Hemorrhoids
Skilled surgeons use laser
light with pinpoint accuracy. The unwanted hemorrhoid is simply vaporized
or excised. The infinitely small laser
beam allows for unequaled precision and accuracy, and usually rapid, unimpaired
The result is less discomfort, less medication, and faster healing. A
hospital stay is generally not required. The laser
is inherently therapeutic, sealing off nerves and tiny blood vessels with
an invisible light. By sealing superficial nerve endings patients have
a minimum of postoperative discomfort. With the closing of tiny blood
vessels, your proctologist is able to operate in a controlled and bloodless
Procedures can often be completed more quickly and with less difficulty
for both patient and physician. Laser
can be use alone or in combination with other modalities. For more detailed
information on combining modalities in surgery, view our video on the
performance of both a Laser
& Harmonic Scalpel Hemorrhoidectomy. Get > Real
In a documented study of 750 patients undergoing laser
treatment for hemorrhoids, 98% successful results were reported. The patient
satisfaction was 99%.
Published Laser Research
Dis Colon Rectum 1995 Dec;38(12):1265-9 Related
Ambulatory hemorrhoidectomy with CO2 laser.
Hodgson WJ, Morgan J.
Section of Gastro-Intestinal and Colo-Rectal
Surgery, Westchester Medical Center, Valhalla, New York, USA.
PURPOSE: This study was undertaken to evaluate ambulatory
hemorrhoidectomy using the CO2 laser. METHODS: Ninety consecutive patients
(50 males, 40 females), 80 percent of whom had second or third degree
hemorrhoids, had ambulatory hemorrhoidectomy performed with a CO2 laser
in the left lateral Sims position under local anesthesia and intravenous
sedation. Dissection was entirely performed with the CO2 laser using an
open technique. RESULTS: One patient with polycythemia vera was admitted
subsequently for secondary hemorrhage. All but three patients had healed
within four weeks. No long-term sequelae were encountered. CONCLUSION:
These results compare favorably with those obtained by others and show
that ambulatory laser hemorrhoidectomy may simplify management in selected
J Chir (Paris) 1990 Apr;127(4):227-9
[Outpatient hemorrhoidectomy using the CO2 laser]
In the free standing center of ambulatory surgery of Nice,
proctology with carbon dioxide laser is a basic activity. Among 177
cases of proctology operated during 1989, we find 91 hemorrhoidectomies
realized with CO2 laser in strictly ambulatory surgery (no hospitalization).
This work's interet is demonstrating adaptation to the laser makes many
advantages to the classic operation of Milligan and Morgan: simplification
of the surgical technique easy post-operative course, no hospitalization
and quicker return to work, leading to a lower cost of this
pathology. Complications are rare and excellent results
Dis Colon Rectum 1991 Jan;34(1):78-82
The role of lasers in hemorrhoidectomy.
Wang JY, Chang-Chien CR, Chen JS, Lai CR, Tang RP
Department of Surgery, Chang Gung Memorial Hospital Taipei,
Abstract: Laser hemorrhoidectomy patients had less
pain, less constipation, less urinary retention, and spent less time in
the hospital than traditional hemorrhoidectomy patients.
Eighty-eight patients who received treatment for hemorrhoids
were randomized into two groups. Group A received the Nd-YAG laser phototherapy
for internal hemorrhoid combined with the CO2 laser for external hemorrhoid.
Group B was treated with closed Ferguson hemorrhoidectomy. The need of
narcotic injections for pain relief was 11 percent in group A vs. 56 percent
in group B (P less than 0.001). The incidence of postoperative urinary
retention was 7 percent in group A, vs. 39 percent in group B (P less
than 0.05). No enema was required postoperatively in group A, vs. 9 percent
in group B; 84 percent of the patients in group A were discharged on the
second postoperative day, vs. 83 percent of the patients in group B discharged
on the fifth postoperative day. The cost was 20 percent less in the former
Jpn J Surg 1989 Nov;19(6):658-61
The laser treatment of hemorrhoids: results of a study
on 1816 patients.
Iwagaki H, Higuchi Y, Fuchimoto S, Orita K
Higuchi General Hospital, Okayama, Japan.
Laser is an effective, simple and harmless clinical procedure
used for the treatment of hemorrhoids, as an alternative to medical therapy
or surgery. In this report, we describe our experience of applying carbon
dioxide laser to hemorrhoids in a total 1816 consecutive patients. The
results lead us to conclude that the laser treatment of hemorrhoids
is effective in pain alleviation from the first session and that patients
so treated have a much more comfortable postoperative course.
Vestn Khir Im I I Grek 1989 Sep;143(9):3-5
[Carbon dioxide laser in the surgical treatment of proctologic
Skobelkin OK, Tolstykh PI, Derbenev VA, Ste'nko VG, Kochurkov
Results of the surgical treatment of 556 patients
with different diseases of the anorectal area with the help of CO2 laser
are presented. Functional results were good, the amount of postoperative
complications was 1.5 times less, recurrences were half less, the
time of intrahospital treatment was 1.5 day shorter, the period of ambulatory
rehabilitation 3.8 days shorter.
Int J Colorectal Dis 1995;10(1):22-4
CO2 laser haemorrhoidectomy--does it alter anorectal function
or decrease pain compared to conventional haemorrhoidectomy?
Chia YW, Darzi A, Speakman CT, Hill AD, Jameson JS, Henry
Department of Surgery, Central Middlesex Hospital, London,
Carbon dioxide (CO2) laser haemorrhoidectomy is feasible
and safe provided it is used with care. It is associated with a reduced
requirement for post-operative analgesia. The CO2 laser caused no
significant alteration in anorectal physiology.
Dr. Gerald Kirshenbaum, Aurora, CO and Dr. Allen Snyder,
It is a simple, rapid, and remarkably effective procedure.
These doctors report that the procedure is significantly shorter
with the Contact Laser technique, taking approximately 20 minutes for
one large hemorrhoid and about 45 minutes for three. Following cold knife,
electrocautery, or non-contact laser hemorrhoidectomy, patients typically
remain in the hospital for 3-5 days and leave in considerable discomfort.
Following Contact Laser hemorrhoidectomy, the typical patient will
return home the same day, by 3 or 4 days they are moving their bowels
without undue pain or difficulty, and they can return to their normal
routine by 7-10 days post-operatively.
Both physicians find a marked difference in pain compared
to traditional techniques. Though it is not clear which aspects of
the procedure are responsible for this reduction in post-surgical symptoms,
the total procedure using this technique appears to have a positive impact
on the patient's recovery. There is less tissue damage and muscle
stimulation than with other methods, the laser seals lymphatics so that
there is markedly less edema, and there is some belief that the
laser energy may also seal nerve endings.
1. Video: Laser
& Harmonic Scalpel Hemorrhoidectomy (5 minutes), Rick Shacket,
DO. 2002, get > Real