Our Clinic's Experience with Laser Hemorrhoidoplasty

Hüsnü Çağrı Genç; Hakkı Çoşkun; Yıldırımcan Demirtaş; Sinan Soylu; Atilla Kurt

doi:10.7197/cmj.1446187

EN TR

Our Clinic's Experience with Laser Hemorrhoidoplasty

Abstract

Objective: We aim to present the outcomes of the Laser Hemorrhoidoplasty (LHP) procedure performed in our clinic. Methods: In this retrospective study, we analyzed the outcomes of LHP performed on 112 patients in our clinic over a 24-month period. Patients were scheduled for follow-up visits at three weeks post-surgery, followed by subsequent follow-ups at three and six-month intervals. Results: Of the 112 patients, 73 (65.17%) were male, and 39 (34.82%) were female. The mean age was 52.6 years (range: 20-65). The mean operation duration was 18.3 minutes (range: 12-25). Seventy patients were classified as grade 2, while 42 patients were classified as grade 3. The mean hospital stay was 1.16 days. While 5 of 70 patients with Grade 2 hemorrhoids could not be followed up after surgery, 24 were followed for 6 months and 41 for 1 year. One (1.42%) patient who attended the 1-year follow-up showed recurrence. Four patients (9.52%) showed recurrence. One patient with grade 3 hemorrhoids experienced postoperative bleeding lasting one week, requiring erythrocyte suspension transfusion. Another patient with grade 3 hemorrhoids developed a hematoma, which resolved with conservative treatment. Eight patients (7.14%) with grade 3 hemorrhoids developed postoperative edema, all of whom improved with conservative treatment. Pain, evaluated by the Visual Analog Scale, was measured as 2.03 on the first postoperative day and 1.49 on the second postoperative day. Conclusion: LH treatment has been found to be a successful alternative treatment option for Grade 2 and Grade 3 diseases. It is emphasized that patient selection is crucial in LH treatment.

Keywords

Lazer Hemoroidopeksi Klinik Deneyimimiz

Öz

Amaç: Kliniğimizde uygulanan Lazer Hemoroidoplasti (LHP) işleminin sonuçlarını sunmayı amaçladık Yöntem: Bu retrospektif çalışmada, kliniğimizde 24 aylık bir dönemde yapılan LHP'nin sonuçlarını analiz ettik. Hastalar, ameliyat sonrası üç haftalık takip ziyaretleri planlandı, ardından üç ve altı aylık aralıklarla takip edildi. Bulgular: 112 hastanın 73'ü (%65.17) erkek, 39'u (%34.82) kadındı. Ortalama yaş 52.6 idi (aralık: 20-65). Ortalama operasyon süresi 18.3 dakika idi (aralık: 12-25). Yetmiş hasta grade 2 olarak sınıflandırılırken, 42 hasta grade 3 olarak sınıflandırıldı. Ortalama hastanede kalış süresi 1.16 gün idi. Grade 2 hemoroidli 70 hastanın 5'i takipten çıkarıldı, 24'ü 6 ay ve 41'i 1 yıl boyunca takip edildi. Bir (1.42%) hasta 1 yıl sonundaki takipte nüks gösterdi. Dört hasta (%9.52) nüks gösterdi. Grade 3 hemoroidli bir hasta, bir hafta süren postoperatif kanama yaşadı ve eritrosit süspansiyonu transfüzyon ihtiyacı oldu. Grade 3 hemoroidli bir başka hasta, konservatif tedavi ile çözülen bir hematom geliştirdi. Grade 3 hemoroidli sekiz hastada (%7.14) postoperatif ödem gelişti, hepsi konservatif tedavi ile iyileşti. Görsel Analog Skala (VAS) kullanılarak ölçülen ağrı değerleri, birinci postoperatif günün 2.03, ikinci postoperatif günün ise 1.49 olarak ölçüldü. Sonuç: LH tedavisi, Grade 2 ve Grade 3 hastalıklar için başarılı bir alternatif tedavi seçeneği olduğu düşünülmektedir ve LH tedavisinde hasta seçiminin kritik önem taşıdığı vurgulanmaktadır.

Anahtar Kelimeler

Kaynakça

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Ayrıntılar

Birincil Dil

İngilizce

Konular

Genel Pratisyenlik , Hasta Güvenliği

Bölüm

Araştırma Makalesi

Yazarlar

Hüsnü Çağrı Genç
0000-0001-6963-2805
Türkiye

Hakkı Çoşkun
0000-0001-7913-8325
Türkiye

Yıldırımcan Demirtaş
0009-0000-3264-9558
Türkiye

Sinan Soylu ^*
0000-0002-3911-3227
Türkiye

Atilla Kurt
0000-0002-3649-6293
Türkiye

Yayımlanma Tarihi

29 Mart 2024

Gönderilme Tarihi

3 Mart 2024

Kabul Tarihi

23 Mart 2024

Yayımlandığı Sayı

Yıl 2024 Cilt: 46 Sayı: 1

DOI

https://doi.org/10.7197/cmj.1446187

IZ

https://izlik.org/JA25CK88SW

Kaynak Göster

RIS / Bibtex

AMA

1.Genç HÇ, Çoşkun H, Demirtaş Y, Soylu S, Kurt A. Our Clinic’s Experience with Laser Hemorrhoidoplasty. CMJ. 2024;46(1):74-77. doi:10.7197/cmj.1446187