Research Article
Volume 7 Issue 3 - 2020
Initial Experience of Anorectal Surgery with Laser Technique
José Manuel Moreno Berber*
Colon and Rectum Surgery, Hospital General Zona Norte de Puebla, Secretaria de Salud del Estado de Puebla, Hospital Angeles de Puebla, Hospital Puebla, Puebla, México
*Corresponding Author: José Manuel Moreno-Berber, Colon and Rectum Surgery, Hospital General Zona Norte de Puebla, Secretaria de Salud del Estado de Puebla, Hospital Angeles de Puebla, Hospital Puebla, Puebla, México.
Received: January 11, 2019; Published: February 07, 2020




Abstract

Background: The first applications of laser energy in the gastrointestinal tract occurred just a decade ago. Since then, laser therapy has been widespread in the management of many fields of the medicine, also in colon and rectum disease. In the present study, we report the experience in Mexico of the use of the laser in the treatment of anorectal conditions in the period from January 2013 to July 2019 in different hospitals in the City of Puebla, Mexico. 

Material and Methods: No experimental study: Descriptive, retrospective and cross-sectional study. We included patients from the Colon and Rectal Surgery Service of four hospitals in Puebla, Mexico from January 2013 to July 2019, operated with laser. Inclusion criteria: patient with diagnosis of grade II and III hemorrhoids, anal fistula, non-abscessed pilonidal cyst, perianal and anal canal condylomatosis and patients with acute chronic anal fissure. The analysis of the variables was through the program SPSS version 22 (IBM). Results were expressed using descriptive statistics. 

Results: A total population of 715 patients attended by laser application for anorectal disease, of which 423 (59.16%) were men and 292 (40.83%) were women. The largest group with anorectal disease was Group A with 467 (65.31%) patients with hemorrhoidal disease using the HLP® technique. Group B with 135 cases of anal fissure, Group C anal warts with 31 cases, and in the case of Group D 53 (7.4%) patients with fistula diagnosis we used FiLaC® with 12% relapse. Also 29 patients with cyst pilonidal disease (Group E) were treated with SILAC® technique- All patients were hospitalized less than 24 hours for the procedure. Surgical time average of 11.23 +- 3.5 minutes with an average bleeding of 4 ml/patient. The return to work of patients took place between the second and third postoperative week.

Conclusion: Laser surgery in colorectal diseases is a safe minimal invasive procedure. Laser hemorrhoidectomy proved to be an effective surgical intervention. However, there is a need of longer follow up and comparative studies with other techniques.

Keywords: Laser Therapy; Anal Canal; Anal Fistula; Laser Surgery; Mexico

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Citation: José Manuel Moreno Berber. “Initial Experience of Anorectal Surgery with Laser Technique”. EC Gastroenterology and Digestive System 7.3 (2020): 01-11.

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