Olajide Thomas Olagboyega, Balogun Olanrewaju Samuel, Bode Christopher O, Atoyebi Oluwole Ayoola
General Surgery Unit, Department of Surgery, College of Medicine, University of Lagos/Lagos University Teaching Hospital, Idi-Araba, Lagos, Nigeria.
Paediatric Surgery Unit, Department of Surgery, College of Medicine, University of Lagos/Lagos University Teaching Hospital, Idi-Araba, Lagos, Nigeria.
J West Afr Coll Surg. 2023 Jul-Sep;13(3):96-100. doi: 10.4103/jwas.jwas_42_23. Epub 2023 Jun 27.
Haemorrhoids are the most common condition of the anal canal causing significant disability. Traditional excisional haemorrhoidectomy and its various modifications, while effective, may be attended by severe postoperative pain and other complications. Laser haemorrhoidoplasty is reported to be effective with fewer complications and shorter hospital stay.
The aim of this study was to report the outcome of intrahaemorrhoidal coagulation with 1470-nm diode laser at the Lagos University Teaching Hospital.
The procedures were performed with a radially emitting laser fibre from Biolitec AG-CeramOptec (Bonn, Germany). The duration of symptoms, grade of the haemorrhoids, duration of the procedures, and postoperative complications were evaluated.
Eleven patients had laser haemorrhoidoplasty. There were seven males and four females. The age range was 23-71 years, with a median age of 47 years and an interquartile range (IQR) of 28-57 years. Duration of surgery ranged from 20 to 90 min, with a median of 33 min and IQR of 25-53 min. Postoperative pain was mild in eight patients and moderate in three. Ten patients were discharged as day cases and one 3 days later due to spinal anaesthesia-related headache and acute urinary retention. One patient later had an anal ulcer probably due to too much energy delivered during the procedure, this was managed conservatively. There was no postoperative wound infection, anal incontinence, anal stenosis, subcutaneous abscess, and fistula or recurrence.
The advantages of laser haemorrhoidoplasty make it a readily acceptable form of treatment for haemorrhoids in our setting.
痔疮是肛管最常见的疾病，会导致严重的功能障碍。传统的切除性痔切除术及其各种改良方法虽然有效，但可能伴有严重的术后疼痛和其他并发症。据报道，激光痔成形术效果良好，并发症较少，住院时间较短。
本研究旨在报告拉各斯大学教学医院使用1470纳米二极管激光进行内痔凝固术的结果。
手术使用德国波恩Biolitec AG - CeramOptec公司的径向发射激光光纤进行。评估症状持续时间、痔疮分级、手术持续时间和术后并发症。
11例患者接受了激光痔成形术。其中男性7例，女性4例。年龄范围为23 - 71岁，中位年龄为47岁，四分位间距（IQR）为28 - 57岁。手术时间为20至90分钟，中位时间为33分钟，IQR为25 - 53分钟。8例患者术后疼痛轻微，3例中度。10例患者作为日间手术出院，1例因脊髓麻醉相关头痛和急性尿潴留3天后出院。1例患者术后出现肛门溃疡，可能是由于手术过程中能量传递过多，经保守治疗。无术后伤口感染、肛门失禁、肛门狭窄、皮下脓肿、肛瘘或复发。
激光痔成形术的优点使其成为我们医院痔疮治疗易于接受的一种形式。
