or the treatment of enlarged hemorrhoids, which unfortunately remain a real taboo subject, an effective and minimally invasive technique known as laser hemorrhoidoplasty now seems to be establishing itself as an alternative to various classic surgical methods.
What do we actually mean by hemorrhoids?
Dr. Salama: Hemorrhoids are ring-shaped vascular cushions with blood supply at the exit of the rectum, which everyone has and which, together with the sphincter muscle, ensure that the intestine closes properly to the outside. However, enlarged hemorrhoids, which are a taboo subject for many, often cause complaints such as itching in the anus area or bleeding during or shortly after defecation. Hemorrhoidal disease is a widespread anorectal condition that affects millions of people around the world and is a major medical and socioeconomic problem that greatly affects the quality of life of those affected.
Are enlarged hemorrhoids treated by a doctor?
Dr. Salama: The treatment of hemorrhoidal disease remains controversial! Despite numerous surgical advances, postoperative pain and discomfort remain the major weaknesses. The classic procedure is still the most frequently used, but it is also the most painful.
Are there new treatment methods with less pain and better results?
Dr. Salama: Laser hemorrhoidoplasty is already heralding a major change in the treatment of hemorrhoidal disease. It is proving more and more to be a safe, effective technique with less intensity and duration of postoperative pain. The hemorrhoidal laser procedure is a new laser procedure for the outpatient treatment of hemorrhoids. In this procedure, the arterial hemorrhoidalﬂuss supplying the hemorrhoidal plexus is stopped by thermally altering the tissue with a laser. In this technique, a laser fiber is inserted into the hemorrhoidal node and laser energy is used.
Absorption of the laser energy by the hemorrhoidal tissue results in destruction or obliteration of the hemorrhoidal vessels, followed by (submucosal ﬁbrotic) shrinkage and reduction of the overall hemorrhoidal tissue. The results are direct and gradual shrinkage of the hemorrhoids developing over six weeks.
Do studies provide evidence of the success of this laser technique?
Dr. Salama: According to several studies on laser hemorrhoidoplasty, this treatment technique is seen as a safe, minimally invasive option for treating hemorrhoids and is rated better by patients than an oﬀen surgical procedure. It is expected to result in less postoperative pain and a shorter duration of the procedure.
Why is laser hemorrhoidoplasty used in LBCL surgery and vein practice?
Dr. Salama: The advantages of laser hemorrhoidoplasty, as mentioned earlier, are that it is a minimally invasive procedure that does not require hospitalization and allows for a quick return to daily life. Laser hemorrhoidoplasty, which always preserves the anatomy of the anal canal, is most eﬀective in the hands of a surgeon who knows the hemodynamics of the area very well and has considerable experience with color duplex sonography in the anorectal area.