Doppler-guided hemorrhoidal dearterialization with laser (HeLP): a prospective analysis of data from a multicenter trial

Techniques in Coloproctology
P GiamundoA M Tamburini

Abstract

Doppler-guided hemorrhoidal laser procedure (HeLP) is a new minimally invasive technique to treat symptomatic hemorrhoids. The aim of this multicenter study was to prospectively assess clinical results and patients' satisfaction in patients treated with HeLP. Indications for HeLP included patients with symptomatic hemorrhoids resistant to medical therapy, with low-grade prolapse. Clinical efficacy was evaluated assessing resolution of symptoms and patient satisfaction. Frequency of bleeding and frequency of acute hemorrhoid-related symptoms were given a score of 0 to 4 (where 4 = more than 3 episodes/week) and 0 to 3 (where 3 = more than 5 episodes/year), respectively. Quality of life, pain at rest, and pain with evacuation were scored using a visual analogue scale (VAS) of 0 to 10. Intra- and postoperative complications were recorded. Potential predictive factors for failure were assessed. Two hundred and eighty-four patients (183 males, 101 females) with a mean age of 47.5 years were included in the study. At 6-month follow-up, symptoms had completely resolved in 257/284 (90.5%) and 275/284 (96.8%) patients were satisfied with the results. An analysis of a subgroup of 144 patients followed up for a minimum of 12 months reveal...Continue Reading

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Aug 31, 2016·Techniques in Coloproctology·P Giamundo, P De Nardi

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Citations

Sep 16, 2018·Techniques in Coloproctology·Steven R Brown, Matthew J Lee
Apr 10, 2020·Khirurgiia·A Yu TitovR Yu Khryukin
Jul 28, 2020·Techniques in Coloproctology·X HanX Wang
Sep 12, 2020·Lasers in Medical Science·Gregoire LongchampFrederic Ris
Jan 21, 2021·World Journal of Surgery·Kasun LakmalDharmabandhu N Samarasekera
Aug 1, 2021·Lasers in Medical Science·Aymen TriguiRafik Mzali

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