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논문 기본 정보

자료유형
학술저널
저자정보
Jain, Anshini (Department of Surgery, Epworth HealthCare) Lew, Chen (Department of Medicine, Nursing and Health Sciences, Monash University) Aksakal, Gamze (Department of Surgery, Eastern Health) Hiscock, Richard (Department of Surgery, Epworth HealthCare) Mirbagheri, Naseem (Department of Surgery, Epworth HealthCare)
저널정보
대한대장항문학회 Annals of Coloproctology Annals of Coloproctolgy 제40권 제1호
발행연도
2024.2
수록면
52 - 61 (10page)
DOI
10.3393/ac.2022.00164.0023

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초록· 키워드

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Purpose: Traditional therapeutic approaches to the surgical management of hemorrhoid disease such as hemorrhoidectomies are plagued with severe postoperative pain and protracted recovery. Our pilot study aims to the laser hemorrhoidoplasty (LH) patients with symptomatic hemorrhoid disease that have failed conservative management for the first time in an Australian population. Methods: Thirty patients were prospectively enrolled to undergo LH. Postoperative pain, time to return to function, and quality of life (QoL) were determined through the Hemorrhoid Disease Symptom Score and Short Health Scale adapted for hemorrhoidal disease and compared to a historical group of 43 patients who underwent a Milligan-Morgan hemorrhoidectomy by the same surgeon at 3, 6, and 12 months. Results: The LH group had significantly lower mean predicted pain scores on days 1 and 2 and lower defecation pain scores and lower opioid analgesia use on days 1, 2, 3, and 4. The median time to return to normal function was significantly lower in the LH group (2 days vs. 9 days, P<0.001). Similarly, the median days to return to the workplace was significantly lower in the LH group (6 days vs. 13 days, P=0.007). During long-term follow-up (12 months), hemorrhoid symptoms and all QoL measures were significantly improved, especially among those with grade II to III disease. Conclusion: This pilot study demonstrates low pain scores with this revivified procedure in an Australian population, indicating possible expansion of the therapeutic options available for this common condition. Further head-to-head studies comparing LH to other hemorrhoid therapies are required to further determine the most efficacious therapeutic approach.

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