Surgery (and endoscopy)
Therapy (acupuncture & ray-treatment)
2014年6月16日星期一
VELAS15D Diode Laser
VELAS15D (15W, 1470nm) diode laser provide ideal solution for endovenous vein treatment/EVLT
https://www.youtube.com/watch?v=DdmFy1ilKuU&feature=youtu.be
www.gigaalaser.com
donna@gigaalaser.com
https://www.youtube.com/watch?v=DdmFy1ilKuU&feature=youtu.be
www.gigaalaser.com
donna@gigaalaser.com
Welcome to visit Gigaa Medical Laser at ExpoMed 2014
ExpoMed 2014 will take place in Salones Maya 1y2，-WTC,Cd.de Mexico from 18th to 20th. We are looking forward to meet you during ExpoMed 2014, please visit GIGAALASER at Booth No.503.
2014年6月6日星期五
Effect of diode laser coagulation treatment on grade III internal hemorrhoids
Keywords:Hemmorrhoids , diode laser, laser surgery
[Abstract]
Objective : To evaluate the curative effects of diode laser coagulation on grade III internal hemorrhoids .
Methods : From March 2004 to December 2004,86 patients with grad III internal hemorrhoids were divided into two groups, received laser coagulation(laser group, n=64) or received hemorrhoidectomy (control group, n=40 ). Complications , symptom relief ,pain scores and satisfaction scores were compared between the two groups six months after operation.
Result : Pain scores were lower in laser group than that of the control group on the first day and seventh day after operation. Small amount of bleeding occourred in the laser group(12 cases) and control group(35cases), however,non of them required special hemostasis. Laser coagulation and closed hemorrhoidectomy were equally effective in controlling symptomatic prolapse. There was no difference in terms of continence scores and patients’ satisfaction between the two groups (P>0.05).
Concludion : Diode laser coagulation can be considered as a safe and effective procedure for the treatment of grade III hemorrhoids.
Methods : From March 2004 to December 2004,86 patients with grad III internal hemorrhoids were divided into two groups, received laser coagulation(laser group, n=64) or received hemorrhoidectomy (control group, n=40 ). Complications , symptom relief ,pain scores and satisfaction scores were compared between the two groups six months after operation.
Result : Pain scores were lower in laser group than that of the control group on the first day and seventh day after operation. Small amount of bleeding occourred in the laser group(12 cases) and control group(35cases), however,non of them required special hemostasis. Laser coagulation and closed hemorrhoidectomy were equally effective in controlling symptomatic prolapse. There was no difference in terms of continence scores and patients’ satisfaction between the two groups (P>0.05).
Concludion : Diode laser coagulation can be considered as a safe and effective procedure for the treatment of grade III hemorrhoids.
......
donna@gigaalaser.com
2014年6月2日星期一
Hemorrhoids
Hemorrhoids (US English) or haemorrhoids UK /ˈhɛmərɔɪdz/, are vascular structures in the anal canal which help with stool control. They become pathological or piles when swollen or inflamed. In their normal state, they act as a cushion composed of arterio-venous channels and connective tissue.
The symptoms of pathological hemorrhoids depend on the type present. Internal hemorrhoids usually present with painlessrectal bleeding while external hemorrhoids may produce few symptoms or if thrombosed significant pain and swelling in the area of the anus. Many people incorrectly refer to any symptom occurring around the anal-rectal area as "hemorrhoids" and serious causes of the symptoms should be ruled out.[4] While the exact cause of hemorrhoids remains unknown, a number of factors which increase intra-abdominal pressure, in particular constipation, are believed to play a role in their development.
Initial treatment for mild to moderate disease consists of increasing fiber intake, oral fluids to maintain hydration,NSAIDs to help with the pain, and rest. A number of minor procedures may be performed if symptoms are severe or do not improve with conservative management. Surgery is reserved for those who fail to improve following these measures. Up to half of people may experience problems with hemorrhoids at some point in their life. Outcomes are usually good.
Surgery
A number of surgical techniques may be used if conservative management and simple procedures fail. All surgical treatments are associated with some degree of complications including bleeding, infection, anal strictures and urinary retention, due to the close proximity of the rectum to the nerves that supply the bladder. There may also be a small risk of fecal incontinence, particularly of liquid, with rates reported between 0% and 28%. Mucosal ectropion is another condition which may occur after hemorrhoidectomy (often together with anal stenosis). This is where the anal mucosa becomes everted from the anus, similar to a very mild form ofrectal prolapse.
- Excisional hemorrhoidectomy is a surgical excision of the hemorrhoid used primarily only in severe cases. It is associated with significant post-operative pain and usually requires 2–4 weeks for recovery. However, there is greater long term benefit in those with grade 3 hemorrhoids as compared to rubber band ligation.It is the recommended treatment in those with a thrombosed external hemorrhoid if carried out within 24–72 hours. Glyceryl trinitrate ointment post procedure, helps both with pain and healing.
- Doppler-guided, transanal hemorrhoidal dearterialization is a minimally invasive treatment using an ultrasound doppler to accurately locate the arterial blood inflow. These arteries are then "tied off" and the prolapsed tissue is sutured back to its normal position. It has a slightly higher recurrence rate, but fewer complications compared to a hemorrhoidectomy.
- Stapled hemorrhoidectomy, also known as stapled hemorrhoidopexy, is a procedure that involves the removal of much of the abnormally enlarged hemorrhoidal tissue, followed by a repositioning of the remaining hemorrhoidal tissue back to its normal anatomic position. It is generally less painful and is associated with faster healing compared to complete removal of hemorrhoids. However, the chance of symptomatic hemorrhoids returning is greater than for conventional hemorroidectomyand thus it is typically only recommended for grade 2 or 3 disease.
......
www.gigaalaser.com
donna@gigaalaser.com
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