Treatment of advanced hemorrhoidal disease: A prospective, randomized comparison of cold scalpel vs. contact Nd:YAG laser

Anthony Senagore, W. Patrick Mazier, Martin A. Luchtefeld, John M. MacKeigan, Timothy Wengert

Research output: Contribution to journalArticle

70 Citations (Scopus)

Abstract

PURPOSE: Recently, laser technology has been advocated for the treatment of hemorrhoids. However, there has been little scientific evaluation of the use of the Nd:YAG laser for excisional treatment of hemorrhoidal disease. The purpose of this study was to perform a prospective randomized study of the Nd:YAG laservs.scalpel excision, when performing a standard Ferguson-closed hemorrhoidectomy. METHODS: Patients presenting for internal-external hemorrhoidectomy were eligible for study. Hemorrhoidectomies were performed under epidural or caudal blocks. The standard Ferguson closed hemorrhoidectomy technique was used. Data evaluated included: age, sex, estimated blood loss, operative time, postoperative pain scores, postoperative analgesic use, wound healing, and time for return to work. Eighty-six patients were eligible for study (laser, N=51; scalpel, N=35). RESULTS: There were no significant differences between the groups, except for a greater degree of wound inflammation and dehiscence at the 10 day postoperative visit for the laser group (laser, 1.7±.2; scalpel, 0.8±.2;P

Original languageEnglish (US)
Pages (from-to)1042-1049
Number of pages8
JournalDiseases of the Colon and Rectum
Volume36
Issue number11
DOIs
StatePublished - Nov 1993
Externally publishedYes

Fingerprint

Hemorrhoidectomy
Solid-State Lasers
Lasers
Hemorrhoids
Return to Work
Laser Therapy
Therapeutics
Operative Time
Postoperative Pain
Wound Healing
Analgesics
Prospective Studies
Inflammation
Technology
Wounds and Injuries

Keywords

  • Ferguson hemorrhoidectomy
  • Hemorrhoidectomy
  • Nd:YAG laser

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Treatment of advanced hemorrhoidal disease : A prospective, randomized comparison of cold scalpel vs. contact Nd:YAG laser. / Senagore, Anthony; Mazier, W. Patrick; Luchtefeld, Martin A.; MacKeigan, John M.; Wengert, Timothy.

In: Diseases of the Colon and Rectum, Vol. 36, No. 11, 11.1993, p. 1042-1049.

Research output: Contribution to journalArticle

Senagore, Anthony ; Mazier, W. Patrick ; Luchtefeld, Martin A. ; MacKeigan, John M. ; Wengert, Timothy. / Treatment of advanced hemorrhoidal disease : A prospective, randomized comparison of cold scalpel vs. contact Nd:YAG laser. In: Diseases of the Colon and Rectum. 1993 ; Vol. 36, No. 11. pp. 1042-1049.
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