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INFRARED PHOTOCOAGULATION EFFECTIVENESS IN HEMORRHOIDS TREATMENT

https://doi.org/10.35266/2949-3447-2026-1-4

Abstract

The article’s purpose is to analyze the effectiveness of infrared photocoagulation in hemorrhoids treatment. The retrospective single-center study conducted in the period from 2024 to 2025 reveals the results of treating 116 patients with chronic hemorrhoids. The research applies infrared photocoagulation for treating grade I–III hemorrhoidal disease. The authors assess the method’s effectiveness by the level of pain syndrome and complications frequency on days 3, 7, and 14 after photocoagulation, as well as disease recurrence probability three months after the procedure. Infrared photocoagulation is a minimally invasive method of treating grade I–III hemorrhoids. It shows a significant reduction in bleeding to 3.4% and a decrease in pain to 0–1 points on a visual analogue scale 14 days after the photocoagulation procedure. The aforementioned technique has the following characteristics: a low probability of developing such complications as pruritus (2.6%) and bleeding (3.4%) as well as short-term disability for 4 ± 2.3 days on average. Although the procedure exhibits high short-term clinical efficacy, a 25% recurrence of hemorrhoidal cushion prolapse is observed three months post-operation. Infrared photocoagulation is an effective treatment for chronic hemorrhoids. Nevertheless, the specified method requires further research aimed at reducing the frequency of disease recurrence.

About the Authors

A. Ya. Ilkanich
Surgut District Clinical Hospital, Surgut; Surgut State University, Surgut, Russia
Russian Federation

Doctor of Sciences (Medicine), Professor, Head of the District Center for Proctology with a Center for the Diagnosis and Treatment of Inflammatory Bowel Diseases



R. A. Kolomyts
Surgut District Clinical Hospital, Surgut; Surgut State University, Surgut
Russian Federation

Surgeon



A. A. Aysanov
Surgut District Clinical Hospital, Surgut
Russian Federation

Coloproctologist



Yu. S. Voronin
Surgut District Clinical Hospital, Surgut
Russian Federation

Candidate of Sciences (Medicine), Coloproctologist



L. A. Mekhralieva
Surgut State University, Surgut
Russian Federation

Student



References

1. Геморрой : клинич. рекомендации. 2023. 54 с. URL: https://akr-online.ru/clinical-guidelines/%D0%9A%D0%A0_%D0%93%D0%B5%D0%BC%D0%BE%D1%80%D1%80%D0%BE%D0%B8%CC%86.pdf (дата обращения: 11.03.2026).

2. Грошилин В. С., Мирзоев Л. А., Минаев С. В. и др. Малоинвазивные хирургические технологии в лечении больных с хроническим геморроем // Медицинский вестник Северного Кавказа. 2017. Т. 12, № 4. С. 394–397.

3. Ambrose N. S., Hares M. M., Alexander-Williams J. et al. Prospective randomised comparison of photocoagulation and rubber band ligation in treatment of haemorrhoids // British Medical Journal (Clinical Research Edition). 1983. Vol. 286. P. 1389–1391. https://doi.org/10.1136/bmj.286.6375.1389.

4. Грошилин В. С., Мирзоев Л. А., Швецов В. К. и др. Эффективность малоинвазивных методов в лечении хронического геморроя II–III стадий // Ульяновский медико-биологический журнал. 2017. № 2. С. 95–103.

5. Leicester R. J., Nicholls R. J., Mann C. V. Infrared coagulation: A new treatment for hemorrhoids // Diseases of the Colon & Rectum. 1981. Vol. 24, no. 8. P. 602–605. https://doi.org/10.1007/BF02605755.

6. Сотников В. М., Каторкин С. Е., Андреев П. С. Лечение пациентов с комбинированным геморроем малоинвазивными методами в амбулаторных условиях // Медицинский вестник Северного Кавказа. 2019. Т. 14, № 1–1. С. 33–36.

7. Neiger A. Infrared-photo-coagulation for hemorrhoids treatment // International Surgery. 1989. Vol. 74, no. 3. P. 142–143.

8. Абрицова М. В. Возможности малоинвазивного лечения геморроидальной болезни // Амбулаторная хирургия. 2018. № 3–4. С. 77–82.

9. Gallo G., Martellucci J., Sturiale A. et al. Consensus statement of the Italian society of colorectal surgery (SICCR): Management and treatment of hemorrhoidal disease // Techniques in Coloproctology. 2020. Vol. 24, no. 2. P. 145–164. https://doi.org/10.1007/s10151-020-02149-1.

10. Templeton J. L., Spence R. A. J., Kennedy T. L. et al. Comparison of infrared coagulation and rubber band ligation for first and second degree haemorrhoids: A randomised prospective clinical trial // British Medical Journal (Clinical Research Edition). 1983. Vol. 286. P. 1387–1389. https://doi.org/10.1136/bmj.286.6375.1387.

11. Walker A. J., Leicester R. J., Nicholls R. J. et al. A prospective study of infrared coagulation, injection and rubber band ligation in the treatment of haemorrhoids // International Journal of Colorectal Disease. 1990. Vol. 5, no. 2. P. 113–116. https://doi.org/10.1007/BF00298482.

12. He A., Chen M. Sclerotherapy in hemorrhoids // Indian Journal of Surgery. 2023. Vol. 85, no. 2. P. 228–232. https://doi.org/10.1007/s12262-022-03414-3.

13. Шерстобитова Е. С., Костина Д. В. Сравнительная характеристика эффективности малоинвазивных методов лечения геморроя // Вестник науки. 2024. Т. 3, № 5. С. 1503–1507.

14. Gupta P. J. Infrared coagulation versus rubber band ligation in early stage hemorrhoids // Brazilian Journal of Medical and Biological Research. 2003. Vol. 36, no. 10. P. 1433–1439. https://doi.org/10.1590/S0100-879X2003001000022.

15. Aibuedefe B., Kling S. M., Philp M. M. et al. An update on surgical treatment of hemorrhoidal disease: A systematic review and meta-analysis // International Journal of Colorectal Disease. 2021. Vol. 36, no. 9. P. 2041–2049. https://doi.org/10.1007/s00384-021-03953-3.

16. Kang D. W., Kim B. S., Kim J. H. et al. A comparative study of rubber band ligation versus BANANA-Clip in grade 1 to 3 internal hemorrhoids // Annals of Coloproctology. 2023. Vol. 39, no. 1. P. 41–49. https://doi.org/10.3393/ac.2021.00717.0102.

17. Загрядский Е. А., Толстых В. С. Допплер-контролируемая дезартеризация геморроидальных узлов. Техническая эволюция и результаты лечения (обзор литературы) // Колопроктология. 2021. Т. 20, № 1. С. 87–98. https://doi.org/10.33878/2073-7556-2021-20-1-87-98.

18. Матвеев И. А., Бородин Н. А., Дгебуадзе В. Т. и др. Сочетанные операции при лазерном лечении хронического геморроя 2–3-й стадии в амбулаторных условиях // Амбулаторная хирургия. 2023. Т. 20, № 1. С. 140–147.

19. Вышегородцев Д. В., Королик В. Ю., Богормистров И. С. и др. Применение лазера в хирургическом лечении геморроя (обзор литературы) // Колопроктология. 2021. Т. 20, № 4. С. 92–101. https://doi.org/10.33878/2073-7556-2021-20-4-92-101.

20. McLemore E. C., Rai R., Siddiqui J. et al. Novel endoscopic delivery modality of infrared coagulation therapy for internal hemorrhoids // Surgical Endoscopy. 2012. Vol. 26, no. 11. P. 3082–3087. https://doi.org/10.1007/s00464-012-2325-1.

21. Ricci M. P., Matos D., Saad S. S. Rubber band ligation and infrared photocoagulation for the outpatient treatment of hemorrhoidal disease // Acta Cirúrgica Brasileira. 2008. Vol. 23, no. 1. P. 102–106. https://doi.org/10.1590/S0102-86502008000100016.

22. Charúa Guindic L., Avendaño Espinosa O., Hernández Cázares F. Infrared photocoagulation in the treatment of hemorrhoids // Revista de Gastroenterología de México. 1998. Vol. 63, no. 3. P. 131–134.

23. Nikshoar M. R., Maleki Z., Nemati Honar B. The clinical efficacy of infrared photocoagulation versus closed hemorrhoidectomy in treatment of hemorrhoid // Journal of Lasers in Medical Sciences. 2018. Vol. 9, no. 1. P. 23–26. https://doi.org/10.15171/jlms.2018.06.


Review

For citations:


Ilkanich A.Ya., Kolomyts R.A., Aysanov A.A., Voronin Yu.S., Mekhralieva L.A. INFRARED PHOTOCOAGULATION EFFECTIVENESS IN HEMORRHOIDS TREATMENT. Vestnik SurGU. Meditsina. 2026;19(1):36-42. (In Russ.) https://doi.org/10.35266/2949-3447-2026-1-4

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