치핵 절제술에 대한 Nd:YAG 레이저의 효과
The Efficacy of a Nd:YAG Laser in a Hemorrhoidectomy
임석원, 이광렬, 황도연, 김건욱, 박원갑, 유정준, 이종균, 김현식,
소속 상세정보
임석원 ( Lim Seok-Won )
송도병원 외과
이광렬 ( Lee Kwang-Ryul )
송도병원 외과
황도연 ( Hwang Do-Yeon )
송도병원 외과
김건욱 ( Kim Khun-Uk )
송도병원 외과
박원갑 ( Park Won-Kap )
송도병원 외과
유정준 ( Yoo Jung-Jun )
송도병원 외과
이종균 ( Lee Jong-Kyun )
송도병원 외과
김현식 ( Kim Hyun-Sik )
송도병원 외과
KMID : 0356719990150030203
Abstract
Background: Even though lasers have been used in hemorrhoidectomies, there has been much debate about their effect.
Purpose: A prospective randomized study was performed comparing the efficacy of a Nd:YAG laser with that of scalpel excision when performing a ligation excision, semi-closed hemorrhoidectomy.
Methods: Sixty patients, who had more than three piles, with 3rd or 4th grade hemorrhoids, were enrolled into this study. Hemorr hoidectomies were performed under low spinal anesthesia. The ligation excision, semi- closed emorrhoidectomy technique was used. Data evaluated included age, sex, operative time, postoperative pain scores, postoperative analgesic requirement, wound- healing time, and postoperative complications. Of the sixty patients enrolled into this study, 30 received laser excision and the other 30 scalpel excision.
Results: There were no significant differences between the two groups, except for operative time (laser, 34.6 8.4 min; scalpel, 24.1 4.8 min). Postoperative complications, such as urinary retention, fecal impaction, skin tags, and
postoperative fissure, were more common in the laser group.
Conclusion: A hemorrhoidectomy using a Nd:YAG laser takes longer than a conventional hemorrhoi dectomy and neither reduces the postoperative pain nor shortens the wound- healing time. For achieving an effective treatment in hemorrhoids by using lasers, improved laser instru ments are required, along with more detailed study of lasers and their effects.
키워드
Hemorrhoidectomy;Nd YAG Laser
원문 및 링크아웃 정보
등재저널 정보