One of the minimally invasive surgical interventions that allows you to solve the problem of hemorrhoids without blood and pain is infrared coagulation of hemorrhoids. This type of treatment, although considered new, has already gained popularity due to the simplicity and safety of the operation. How is the procedure performed and what does the patient need to know?

The essence of the infrared coagulation technique

consists in the local impact of infrared radiation on the legs of the problematic venous plexuses of the rectum. As a result of thermal irradiation, a coagulation process occurs in tissues (adhesion, cauterization, coagulation of small particles), which leads to disruption of blood circulation in the capillaries. As a result, the node does not receive enough nutrients and oxygen, and then dies.

The procedure is carried out using a coagulator - a special device consisting of an electrical unit, a manual applicator gun equipped with a hard quartz LED, and a holder. The device operates in this way: a low-voltage lamp sends streams of infrared radiation to an LED, which is directed to the treated area. Using a polymer tip, the rays penetrate the intestinal mucosa without losing the power of light energy.

Indications for infrared coagulation of hemorrhoids

After examination and diagnosis, the specialist refers the patient to coagulation of hemorrhoids at:

• initial stages of the disease (grade 1 and 2);
• hemorrhoids complicated by bleeding;
• combined hemorrhoids;
• rectal bleeding that began after unsuccessful ligation (tightening of nodes with a special thread or latex rings).

For the external form of hemorrhoidal disease, such treatment tactics are not used; there are other, more effective methods for this.

Preparation for infrared coagulation surgery

Like all surgical interventions, photocoagulation of hemorrhoids is not carried out without a preliminary examination, which includes:

• general blood and urine tests;
• blood sugar testing;
• Wasserman reaction;
• electrocardiography;
• fluorography;
• digital examination of the anal canal;
• anoscopy, and, if necessary, sigmoidoscopy or colonoscopy.

The day before surgery, the patient must stop eating heavy foods: fatty, salty, fried, spicy, spicy. He should also refrain from foods that increase flatulence: legumes, cabbage, grapes, carbonated drinks. Before the procedure, the patient is given a cleansing enema, and the day before he takes a laxative.

The effectiveness of the infrared coagulation procedure

Photocoagulation of hemorrhoids judging by reviews, allows you to significantly improve your condition just a few days after the manipulation: bleeding and the size of the lumps decrease, pain during bowel movements decreases. Relapses of the disease within 5 years occur in 8% of patients. In advanced cases, this technique is ineffective, so patients are advised to choose another method of treatment, a more drastic one, or use coagulation as an additional treatment.

Carrying out manipulation

Even though coagulation of hemorrhoids It is painless; during insertion of the dilator and anoscope, unpleasant sensations may occur, so the procedure is performed under local anesthesia. The patient takes a knee-elbow position on the operating table or sits in a proctology chair, spreading his legs wide and tucking them to his stomach.

The tissues of the perianal area are stretched with a dilator, and an anoscope with a lighting device is inserted into the anal canal to help the specialist examine the problem area. After this, a quartz LED is brought to the leg of the node and coagulation is carried out, which is performed instantly (in 1-2 seconds).

If pile very large, then the top of the formation is also processed. No more than three nodes can be treated in one procedure. When the manipulation is over, the patient needs to rest for 15–20 minutes. Then it rises to normalize blood circulation.

Important! If there are a lot of cones, the intervention is repeated after two to three weeks. Depending on the severity of the pathological process and the nature of the lesion in the rectal area, the patient may require from one to six procedures.

Rehabilitation after infrared coagulation of hemorrhoids

In the postoperative period, the patient does not require additional treatment measures. After completion of the manipulation, he is under medical supervision for 2–3 hours, and if there are no complications, he is sent home (in rare cases, there were complaints of fever and mild pain, but all this went away after 1–2 days). Within a day, a person can return to normal life.

To minimize the risk of complications, for 2-3 weeks you should adhere to a gentle diet, avoid constipation, do not lift heavy objects, engage in moderate physical activity, and avoid drinking alcohol. To achieve normalization of stool, make it soft and regular, laxatives prescribed by your doctor will help. 10 days after the intervention, the patient must undergo a re-examination by a specialist to assess his health status and the results of the treatment.

Possible complications

After surgery, complications occur in the form of:

• acute pain syndrome;
• rectal bleeding;
• thrombosis hemorrhoidal cones;
• necrosis of the treated node.

But such cases are recorded extremely rarely.

Painful sensations are associated with the fact that hemorrhoids are located in places where pain receptors are located. Here, medications in the form of rectal suppositories with anti-inflammatory and analgesic effects help correct the situation and make you feel better. Anal bleeding occurs when a dead node falls off 5-7 days after the procedure. To prevent this phenomenon, experts recommend avoiding constipation and not taking blood thinning medications. Thrombosis and tissue necrosis are provoked by prolonged and extensive infrared photocoagulation of hemorrhoids(for example, after treating several problem areas during one procedure).

Important! You can prevent complications from developing if you follow the recommendations and entrust the operation only to professionals. If alarming symptoms occur, you should immediately seek medical help to prescribe appropriate therapy.

Contraindications to infrared coagulation

Infrared coagulation of hemorrhoids is a modern procedure for the treatment of hemorrhoids, characterized by a combined or internal form of the pathological process. But in advanced stages of the disease, this method is not used. It is also contraindicated for:

• purulent-inflammatory processes occurring in the anorectal area;
• combined hemorrhoids with no clear delineation of the pathological process;
• tears in the anus and mucous membrane of the anal canal;
• rectal fistulas, fissures;
• inflammation of the rectum and pelvic tissues;
• thrombosis of nodes.

Advantages and disadvantages of the procedure

has good reviews, since the operation is characterized by:

• highly effective in treating pathology in the early stages;
• speed of implementation (from 7 to 30 minutes);
• painlessness;
• bloodlessness or minimal blood loss;
• simplicity of preoperative preparation;
• short and easy rehabilitation period;
• low risk of complications;
• absence of postoperative scars and scars;
• excluding the possibility of getting a burn, since the procedure is not based on the effects of electric current;
• using local rather than general anesthesia;
• carried out on an outpatient basis rather than in a hospital;
• affordable price.

The disadvantages of the intervention include the following:

• low effectiveness in the treatment of hemorrhoids at stages 3 and 4;
• influencing the manifestation of the disease, rather than eliminating its true cause;
• the likelihood of relapse;
• the need for several procedures when treating multiple varicose plexuses;
• carrying out the operation only on paid terms.

Among the disadvantages of infrared coagulation, one more can also be noted: if the leg of the node is not treated sufficiently, thrombosis and tissue necrosis can develop, and if it is torn off due to death or if the mucous membrane is injured during defecation, severe anorectal bleeding can begin.

Cost of treatment

Removal cost hemorrhoidal lump by performing infrared coagulation varies depending on the complexity of the case, the status of the medical institution and its location. On average, you will need to pay from 5 to 7 thousand rubles for one procedure.

Photocoagulation of hemorrhoids is a quick and painless method of treating hemorrhoids, the essence of which is the effect of high temperature on the problem area.

During the procedure, the pathways that feed the hemorrhoids are blocked, causing the latter to die. Coagulation is effective only and.

Infrared coagulation of hemorrhoids – this is a method of treating hemorrhoids based on the effects of infrared rays. Light penetrates directly to the mucous membranes of the cones and acts on them with heat, forming a burn.

The procedure is performed using a special device - a coagulator, the tip of which is applied to at several points at once. This allows coagulation of the pedicle of the internal node.

Thanks to this, the conditions under which blood could flow to it disappear, therefore, in the absence of nutrients, it gradually dies, dries out and is excreted along with the feces.

For reference. One session allows you to process no more than three nodes. The next procedure is possible only after 2 weeks.

The operation is performed without hospitalization and is characterized by a low degree of invasiveness and painlessness.

To carry out cauterization, a device for bipolar coagulation of hemorrhoids (for example, Ultroid) is used.

In addition to infrared, laser coagulation is also performed hemorrhoids. This operation is somewhat different from the technique described above.

A laser beam that has the ability to cauterize tissue and thus removes both internal and external hemorrhoids, regardless of how deep they are localized.

During the procedure, if removal of the internal node is required, the formation is burned out from the inside. Subsequently, an area consisting of connective tissue is formed at this place.

If the node is localized outside, it is cut off using a laser beam. In this case, there is no bleeding, since the beam instantly seals the blood vessels.

A type of manipulation is laser coagulation using sclerosant. In this case, the node is cauterized with a laser and cut off from the source of blood supply, then a sclerosing (soldering, or gluing, walls) substance is injected inside. This method of treatment is recommended if the nodes have reached large sizes and are falling out.

Indications for use

Photocoagulation using the energy of infrared rays is indicated for internal hemorrhoids of the first and second stages of development, especially if the pathological process is accompanied by bleeding.

Depending on the severity of the pathology, the procedure can be performed from one to six times.

Advantages and disadvantages of the procedure

To the advantages of the method infrared coagulation include the following:

Disadvantages photocoagulation of hemorrhoids are:

• the likelihood of developing thrombosis or necrosis of the node if there is insufficient coagulation of its stem;
• the development of bleeding as a result of trauma to the mucous membrane during defecation;
• inability to eliminate the root cause, resulting in a risk of relapse.

If we study reviews of infrared coagulation of hemorrhoids, we can note that relapse after this procedure occurs in 15% of patients over a five-year period.

Contraindications for carrying out

Infrared cauterization is prohibited when:

• proctitis;
• cone thrombosis;
• availability ;
• fistulas;
• third and ;
• combined type hemorrhoids.

Before performing the procedure, the patient should prepare for it.

Preparation

No special preparations are required from the patient. You should cleanse your intestines in advance with a laxative or enema. One day before and one day after the manipulation, you should avoid heavy foods - fried, spicy and fatty.

Before prescribing the procedure, the specialist prescribes several diagnostic measures. This:

• digital examination of the anal canal;
• general urine and blood tests;
• electrocardiography;
• blood sugar test.

In the absence of contraindications, the patient is prescribed photocoagulation.

Carrying out the operation

Manipulation to reduce the size of hemorrhoids or their excision is carried out as follows:

Important! Usually one node is coagulated in one procedure. In rare cases, it is possible to perform manipulation on three nodes.

Recovery period

The patient must remain in a medical facility for several hours after the operation. If no complications arise, he is sent home.

During the day after coagulation, the patient may experience an increase in temperature.

Pay attention! For 30 days from the date of the procedure, you should refrain from physical activity, eating fatty and fried foods, smoked foods, and drinking alcohol.

To reduce the risk of bleeding, the patient should stop taking various non-steroidal anti-inflammatory drugs.

Possible complications

Complications after infrared photocoagulation of hemorrhoids develop quite rarely. However, the risk of:

• pain;
• bleeding caused by the final death and falling off of the node;
• thrombosis of growths;
• dying off of the area where the node is located.

Complications usually develop when photocoagulation is performed unskillfully.

Infrared photocoagulation of hemorrhoids: reviews

Anna, 34 years old:

“I was recommended to treat stage 2 hemorrhoids using infrared coagulation. The operation is truly painless. Unpleasant sensations occur only when local anesthesia is administered. During the action of the rays, a pleasant warmth is felt. “Everything went very quickly and painlessly; after the operation I didn’t even feel pain, although they warned that it could arise and persist for 24 hours.”

Alexey, 43 years old:

“I won’t say that the procedure for photocoagulation of hemorrhoids is pleasant. Bloodless - yes, but during it I felt significant discomfort. The operation took place quite quickly, which is an undeniable advantage, but the fact that during cauterization there was a distinct smell of something fried in the air aggravated the discomfort. There was no pain, but 4 hours after the operation, sensitivity began to return, and with it a noticeable pain appeared, like from a burn.

Relief came only after 3 days, but I was able to sit fully only after two weeks. Subsequently, it turned out that I still had one more internal nodule. A month later the procedure had to be repeated again. Fortunately, this time the rehabilitation period was not so long, and the pain was not so severe.”

Conclusion

Hemorrhoids are removed using a minimally invasive operation such as photocoagulation. It can be performed using laser or infrared rays. The manipulation is painless and effective. However, coagulation does not treat the cause of hemorrhoids, so there is a risk of recurrence.

• Minimally invasive techniques used in our clinic allow you to treat hemorrhoids on the same day of treatment on an outpatient basis, without pain and side effects, without surgery
• Experienced proctologists
• Modern minimally invasive methods (sclerotherapy, infrared photocoagulation, radio wave treatment, disarterization of hemorrhoidal arteries, latex ligation)
• Deltaclinic proctologists were among the first in Russia to use minimally invasive methods of treating hemorrhoids (infrared photocoagulation, sclerotherapy, latex ligation, disarterization of hemorrhoids)

The statistics of requests from patients with proctological problems are as follows: hemorrhoids - 40%, anal fissures, fistulas - 20%, paraproctitis - 6%, condylomas - 18%, other (eczema, tumors, sexually transmitted diseases) - 16%.

How to prepare for micro-surgery

The essence of the method lies in cauterizing the stem of the hemorrhoid with a beam of high-power infrared rays. The micro-operation is carried out using a special device - an infrared coagulator. It is a power unit with a manual applicator on which a rigid light guide (quartz type) with a Teflon tip is located.

The technique is performed in several stages:

1. The patient takes a knee-elbow position on the couch or lies on his back in a gynecological chair, resting his feet on special supports.
2. For the procedure, an anoscope with a tube length of 6-8 cm, a diameter of at least 1.8 cm, and an illuminator at the end of the device is used.
3. The device is inserted into the rectal cavity so that the problem node extends into the lumen of the anoscope tube.
4. Then the tip of the coagulator is inserted into the cavity of the device and gently pressed against the mucous tissue of the vascular pedicle of the node.
5. At the next stage, they move directly to coagulation, cauterizing at 3-4 points of the base.

In case of prolonged rectal bleeding, it is also possible to perform coagulation of the nodes; it is carried out as follows:

1. The anoscope is inserted into the rectal cavity.
2. The doctor thoroughly dries the surface using a tuffer.
3. The tip of the coagulator is pressed tightly onto the bleeding area and cauterized for 3 seconds.
4. Hemorrhoidal bleeding stops during cauterization.

In one session of infrared coagulation, up to three nodes can be cauterized. A repeat session is carried out only two weeks after the first. Depending on the stage of hemorrhoids and the severity of symptoms, the patient may be recommended to undergo from 1 to 6 procedures.

This is a simple proctological procedure that requires minimal patient preparation:

• 2-3 days before the procedure it is strongly recommended to exclude heavy foods from the menu;
• the day before the procedure, it is necessary to perform a bowel cleansing (cleansing enema or taking laxatives).

To carry out the coagulation procedure, a special instrument is used - a coagulator, which includes an electric unit and a manual applicator with a hard quartz LED.

The surgeon inserts the device into the anal canal and positions it in such a way that the node in need of photocoagulation is clearly visible in the lumen. The tip of the device is placed on the mucous membrane at the base of the node and pressed. After installation, the surgeon begins the operation and performs cauterization at several points. The distance between points is no more than 5 mm.

After the operation is completed, the surgeon examines the treated internal nodes and removes the device.

Almost immediately the patient can get up and go home. During one operation, the surgeon can treat no more than three nodes. If there are more cones, the manipulation is repeated, but not earlier than after 2 weeks.

No special preparation is required for infrared photocoagulation.

To prevent the appearance of stool on the operating day, the patient is advised to refrain from eating solid food 24 hours before and after photocoagulation. Before manipulation, you should cleanse the intestines using laxatives or an enema.

Advantages and disadvantages of the procedure

Main indications for microsurgery:

• internal hemorrhoids of 1-2 degrees, complicated by rectal bleeding;
• combined hemorrhoids stage 1-2, when internal hemorrhoidal cones are located near the anorectal line;
• small-diameter internal nodes remaining after ligation.

In later stages of hemorrhoids, infrared photocoagulation can only be used in conjunction with other treatment methods: ligation, radical surgery.

The operation is prohibited in the following cases:

• sphincteral fissures;
• fistulas and purulent-inflammatory processes in the rectum;
• cryptite;
• combined type hemorrhoids with complications;
• pronounced thrombosis of hemorrhoids in the acute stage.

All of the above contraindications are relative. Typically, the patient is prescribed appropriate treatment and after remission occurs and acute symptoms disappear, the nodes are cauterized.

Coagulation of hemorrhoids is a procedure that has many advantages:

• high efficiency of the method (for hemorrhoidal disease of 1-2 degrees);
• short duration – the procedure is performed within 30 minutes;
• absence of pain during and after the manipulation;
• short recovery period - 1-2 days;
• absence of postoperative scars;
• affordable price.

The disadvantages include the following:

• thrombosis or necrosis of the mucosal area - develops with improper, insufficient coagulation of the hemorrhoidal arteries;
• rectal bleeding - develops due to the detachment of dead nodes during defecation;
• recurrence of hemorrhoids - according to statistics, the recurrence of the disease occurs in 15% of patients during the first 5 years after surgery.

After photocoagulation, the patient may feel discomfort associated with the separation of the hemorrhoid and the regeneration of the burn area.

Minor bleeding is allowed, which is caused by the same process. It can be repeated only after 3 weeks.

In the period after surgery, it is important to protect the vessels and rectal mucosa from mechanical damage.

In the first weeks after the procedure, you need to lead a gentle lifestyle - avoid overload, stress, alcohol and heavy food.

Infrared coagulation of hemorrhoids is effective in the treatment of hemorrhoids in the early stages. All manipulations take no more than 30 minutes.

The operation is painless and bloodless, leaving no scars or scars. This is confirmed by numerous reviews of patients who underwent photocoagulation.

No preliminary preparation is required before the operation. In addition, there is no rehabilitation period. The very next day the patient can return to normal life. In addition, this method attracts many due to its low price.

However, like other minimally invasive techniques, photocoagulation has some disadvantages. An insufficiently performed operation can cause thrombosis or necrosis of the node. Bleeding may occur due to the detachment of dead tissue. In addition, it can be caused by injuries resulting from the process of defecation on the treated mucous membrane.

Therefore, there is a high probability of reappearance of hemorrhoidal cones and another photocoagulation session.

Indications and contraindications for the procedure

To carry out photocoagulation, a special device is used - an infrared photocoagulator.

The method allows you to get rid of hemorrhoids, but does not treat the underlying cause of the disease.

Infrared photocoagulation for hemorrhoids acts on the pedicle on which the node rests, cauterizing it and separating the enlarged section of the vein from the healthy part of the vessel.

The crust resulting from a mini-burn comes out with the natural process of defecation.

In the absence of basic treatment for hemorrhoids, the likelihood of recurrence of lumps even after the removal procedure is very high.

The coagulation method is indicated for the treatment of hemorrhoids of stages 1 and 2, including those complicated by bleeding. In addition, the method is used to prevent blood loss from small nodes when ligation with latex rings is impossible.

The use of the technique is not recommended for stage 3 and 4 hemorrhoids, as well as for the combined form of the disease. It is not performed if there is thrombosis of hemorrhoids or if there is a tendency to form blood clots. In addition, a contraindication to the procedure is hemorrhoids that develop against the background of pathologies of the rectum and anus: cracks, fistulas, paraproctitis and other diseases.

Possible complications

Infrared coagulation is a simple and painless procedure that is easily tolerated by most patients. However, in isolated cases, a number of the following complications may occur:

• slight increase in body temperature in the area of ​​manipulation - a symptom may appear during surgery and, as a rule, goes away on its own within 1-6 hours after it;
• mild but noticeable pain in the rectum - occurs due to a violation of the technology of the procedure, when cauterization of tissue was performed in the sensitive area of ​​the dentate line. In this case, the doctor will recommend taking analgesics and anti-inflammatory drugs;
• hemorrhoidal bleeding - occurs when the nodes are injured by dense feces, when dead tissue comes off and comes out;
• thrombosis of cones - develops with coagulation of a large area of ​​​​the mucosa;
• tissue necrosis - can occur if cauterization is too long.

If any of the above complications occur, you should immediately consult a doctor.

Most patients tolerate the photocoagulation procedure without complications.

In rare cases, minor pain may occur, which can be helped by taking analgesics and using anti-inflammatory rectal suppositories.

Bleeding may begin 7-10 days after coagulation. This is a consequence of the falling off of a dead cone. To avoid such a situation, it is recommended to deal with constipation in a timely manner and refrain from taking medications that thin the blood.

This condition can occur as a result of an operation that takes too long. In rare cases, necrosis may cause minor bleeding.

When a large area is cauterized and the inflammatory process develops, thrombosis of hemorrhoids may occur.

If any complications occur, you should inform your doctor. To eliminate them, the proctologist will prescribe symptomatic treatment.

Recently, laser coagulation of hemorrhoids has become increasingly popular. The treatment strategy for hemorrhoids depends on many factors: the stage of development of the disease, the general condition of the patient, the presence of concomitant diseases and possible complications. . If, when the first adverse symptoms occur, the patient seeks medical help in a timely manner, the treatment result will be most effective. Local medications (ointments, gels, rectal suppositories) in combination with a special diet and lifestyle adjustments are successfully treated.

In cases where a patient with hemorrhoids delays contacting a proctologist, the disease progresses and gradually enters a more severe stage. The disease becomes chronic, constantly reminds itself of itself with seasonal relapses and exacerbations, and ultimately threatens with serious complications. In advanced cases, treatment with medications no longer gives the desired effect and surgery remains the only option.

Many patients are afraid of being on the operating table to remove hemorrhoids, since they have heard a lot about the pain of classical surgery and the long and painful recovery period. There is an alternative to avoid traumatic surgery! Modern proctology offers innovative methods to solve the problem.

We are talking about bloodless, minimally invasive procedures that seriously compete with conventional surgery. One of these progressive techniques is laser coagulation of hemorrhoids. Let us tell you in more detail about what this procedure is, how it is performed, and what its advantages and disadvantages are.

Laser coagulation of hemorrhoids: what is it? The essence of the procedure

The laser coagulation technique is a unique bloodless procedure that involves the thermal action of a laser and allows painless removal of both internal and external hemorrhoids. The working tool in this case is a laser beam, which has the ability to beautifully cut and cauterize tissue.

In these cases, the laser is used after the acute manifestations of the complication have been relieved using pre-therapy methods. Laser treatment is also advisable in the initial stages of the disease, as it prevents its further development.

During the procedure, the doctor uses a laser to actually burn out the internal node from the inside and connective tissue forms in its place. External nodes are removed by a focused laser beam by cutting off. In this case, there is no bleeding, since under the influence of the beam the blood vessels are instantly welded together.

The procedure is quick and painless; during the procedure, the patient can only feel a slight tingling and warmth from the radiation. If the patient has a low pain threshold, he may feel some pain, in such cases local anesthesia is used.

Compared to other minimally invasive techniques, the laser coagulation procedure is the most effective and safe and is characterized by the absence of relapses and complications.

Advantages of laser coagulation of hemorrhoids

It has a number of advantages over other methods:

This procedure has a lot of positive aspects, but along with this there are also some negative aspects.

Flaws

• The disadvantages of the procedure include the possibility of incomplete removal of large internal nodes in one session. In such cases, a repeat procedure is required, otherwise the possibility of relapse of the disease cannot be excluded.
• The laser coagulation procedure is quite expensive and will cost the patient much more than classical surgery.

Technique for laser coagulation of hemorrhoids

A high-tech device equipped with a high-frequency laser is used for treatment. It forms a narrow beam that burns internal hemorrhoids and cuts off external hemorrhoids, followed by vaporization.

The procedure is performed on an outpatient basis. To access the rectum, an illuminated anoscope is used to identify internal hemorrhoids. Through the anoscope, a laser coagulator is brought to the nodes and its tip is pressed against the base of the node for several seconds. If the need arises, then not only the leg, but also the node itself is cauterized. The node is practically burned out by powerful thermal radiation from the inside, and connective tissue is formed in its place.

External formations are removed by cutting off the stem of the node with a laser. This leaves no scars, since thermal radiation promotes rapid tissue coagulation. No dressing is required after the procedure, there is no bleeding. For three hours after the manipulations, the patient remains under the supervision of a doctor, and then can go home and lead a normal lifestyle.

There are several options for the procedure:

To remove nodes, a high-intensity laser beam with a wavelength of 0.9-1.4 microns is used. The procedure begins with exposure to the proximal end of the hemorrhoid, pinpoint pressing the laser coagulator against the stem for several seconds, retreating 2 mm each time. In this case, a center of “white denaturation” appears on the treated area, and the base of the node stops being fed with blood.

There is no anatomical tissue damage, and the size of the hemorrhoidal lump is significantly reduced. After the procedure, the patient is recommended to remain at rest for several hours under the supervision of a doctor. After this he can return home.

Subdermal-submucosal excision

During the procedure, a transdermal puncture of the node is performed through an illuminated anoscope. A coagulator is introduced into the puncture through a light guide and the pathological formation is destroyed and burned out.

All manipulations are carried out under Doppler control. As a result, the node sinteres and decreases in size by three to four times.

In recent years, an innovative technology has been developed that combines the effect of a laser beam with filling the cavernous cavities of hemorrhoids with foamy sclerosant. This allows you to “blind” the tissue of the node and promotes its removal. Laser radiation stops the blood supply to the node, then a sclerosing substance in foam form is injected into it through a puncture, gluing the walls. There are no incisions, seams or injured tissue. The manipulation is painless and rather resembles a physiotherapy procedure.

Some inconvenience can only be caused by special rollers, which are left inside for a while to press down the area from which the hemorrhoid was removed. Immediately after this procedure, the patient is recommended to walk. He is under doctor's supervision for several hours, then returns to normal life.

After laser treatment, the patient does not need a rehabilitation period; after a few hours spent under the supervision of medical personnel, he can go home and live a normal life, there are no restrictions. The patient can move freely, do household chores, and begin his work duties the next day after the procedure.

The only limitation is that heavy lifting should be avoided. The recovery period will take only a few days, during which increased sensitivity in the anorectal area may persist.

Prices for treatment with laser coagulation of hemorrhoids

Prices for laser coagulation treatment in different clinics vary greatly; the total cost of the procedure will depend on the option of its implementation, the stage of the disease and the number of hemorrhoids. On average, excision of one node will cost 6,500 rubles. Complex laser removal of several nodes can cost a substantial amount, from 30,000 to 50,000 rubles. Here is the average cost of laser coagulation treatment in clinics in different cities:

Moscow– from 12 to 18 thousand rubles (for 1 hemorrhoidal node)

Saint Petersburg– from 10 to 15 thousand rubles (1 node)

Kazan– from 6 to 12 thousand rubles (1 node)

Remember that only timely seeking qualified medical help will allow you to quickly get rid of hemorrhoids and achieve a complete cure. Otherwise, the pathological process will progress, and treatment will require significant effort and material costs.

It gives the patient many unpleasant, painful minutes and is practically not amenable to conservative treatment with medications. In such cases, in order to avoid serious surgery, attention should be paid to modern minimally invasive procedures.

Use innovative high-tech methods for treating hemorrhoids, such as laser coagulation, sclerotherapy, and ligation with latex rings. This will avoid serious complications and a long recovery period.

Prevention

Everyone knows that any disease is much easier to prevent than to treat for a long time and painfully. Hemorrhoids are no exception. A few simple tips will help prevent the development of the disease

Proctology can offer a variety of methods for treating hemorrhoids. One of the developments in recent years has been infrared photocoagulation of hemorrhoids. This procedure is popular due to its ease of implementation and good results.

Collapse

The following conditions are contraindications to the procedure:

• acute phase of proctitis;
• the presence of fistulas in the rectum;
• paraproctitis;
• ulcerative colitis;
• thrombosis of the hemorrhoid;
• Crohn's disease.

Subtleties of the process

Infrared coagulation of hemorrhoids is an operation that is performed in an outpatient setting. A photocoagulator is used for this. The radiation affects the tissue of the leg itself, which causes a coagulating effect.

In order for the procedure to be as effective as possible, preparation must be done before it is carried out. To do this, on the eve of the manipulation, you need to cleanse the intestines in one of the following ways:

• in the evening before surgery and in the morning before manipulations;
• use of laxatives. Microlax works great.

The procedure is performed in one of the positions accepted by the patient:

• on your back, sitting on a gynecological chair (legs tucked to your stomach);
• in a knee-elbow position;
• on the side.

The device (coagulator) is a structure consisting of a power unit, a rigid light guide with a polymer tip and a manual applicator. Getting into the tissue of the node, the infrared light beam is converted into thermal energy that affects the tissue. Due to exposure to heat, coagulation occurs - the death of node cells.

An anoscope with a diameter of 18 mm and a length of 6 to 8 cm is also used for manipulations. A fiber illuminator or an external light source is used for lighting.

The device is inserted into the anus so that the node is located in the lumen of the anoscope. The tip of the coagulator is inserted into the lumen of the tube and positioned so that it is in the projection of the hemorrhoidal pedicle. During exposure, it is necessary to lightly press the tip against the mucous membrane. At each node, cauterization is carried out at 3-4 points at a distance of 0.5 from each other. The duration of exposure to the beam is 1-3 seconds, depending on the size of the node and the characteristics of physiology.

After the manipulations, a crust forms at the cauterization site, which is later removed during bowel movements.

The number of procedures prescribed by a doctor depends on the stage of the disease and the severity of symptoms. Usually 1 to 6 procedures are performed for complete cure. The procedure itself takes a few seconds, during which from 1 to 3 nodes are processed. A repeat procedure can be performed only after the end of the 3-week postoperative period.

Unlike other methods, photocoagulation of hemorrhoids does not require the use of electrical current, which can create a burn if the device is not placed correctly inside the intestine.

The method is aimed at eliminating the consequences, and not at treating hemorrhoids themselves.

Results of the operation

The main determining factors for the success of the operation are:

• loss of dead nodes along with feces;
• stopping bleeding.

The procedure can receive a “satisfactory” rating if the cure turns out to be temporary, and blood is periodically released from the anus.

The result is considered unsatisfactory if there is a recurrence of bleeding and prolapse of hemorrhoids.

Recurrence of the disease may be caused by incomplete coagulation of the blood vessel.

If exposure to an infrared ray did not cover the entire area of ​​the node or was not sufficient in time, then the risk of relapse increases to 15% within 5 years after surgery.

Even after such modern manipulation, a number of complications can occur:

• thrombosis of nodes;
• necrosis of the intestinal mucosa;
• pain syndrome;
• bleeding.

After the procedure, the patient may experience discomfort in the area of ​​the operation. Bleeding may occur a couple of weeks after the hemorrhoids fall off.

• Additional recommendations

For the rehabilitation process to be successful, you must adhere to some rules:

1. It is recommended to fill your diet with foods rich in fiber and drink the daily amount of water. This will help improve motor skills and relieve constipation.
2. It is worth giving up alcohol and heavy food.
3. It is not recommended to consume foods that cause gas formation.
4. Carbonated drinks are also prohibited.
5. It is better to postpone physical activity until complete recovery.
6. In the first two to three weeks after surgery, you should not take aspirin or other non-steroidal drugs to reduce the risk of heavy bleeding.

In any case, for a high-quality operation, it is necessary that it be performed by a professional doctor with experience, since all manipulations must be precise and movements must be coordinated. The use of modern technologies in proctology will allow you to quickly and efficiently eliminate the unpleasant symptoms of the disease.