Infrared photocoagulation of hemorrhoids: principle, indications and contraindications. Infrared photocoagulation of hemorrhoids for the treatment of serious illness Precautions and limitations

Surgical treatment of hemorrhoids is classical and minimally invasive. If there are very few classical methods for removing nodes, then it takes a long time to understand gentle surgical techniques. In this article we will talk about a proven and effective method of treatment - infrared coagulation.

The essence of the technique

To carry out the manipulation you will need a special device. It allows you to bring the tip to the hemorrhoids. This probe creates a powerful stream of infrared radiation. Once on the tissue, the flow is converted into thermal energy, which destroys cell proteins.

Laser and electric knife work in a similar way. Only instead of infrared waves, they destroy tissue with current and laser radiation.

The flow of rays is directed by the doctor to the base of the node (the place where the feeding vessels pass). The probe destroys blood vessels and cuts off the hemorrhoids from nutrition. After some time, the hemorrhoids undergo necrosis, are rejected, and the “bumps” come out during bowel movements. Only a postoperative scar remains on the wall of the rectum.

Indications and contraindications for surgery

Infrared coagulation is indicated for stage 1 and stage 2 internal hemorrhoids. Only this type of hemorrhoid can be treated with a photocoagulator. In later stages, infrared coagulation is suitable for emergency stopping of bleeding from inflamed hemorrhoids.

Contraindications to the procedure are:

  1. proctitis in the acute phase;
  2. paraproctitis;
  3. rectal fistulas;
  4. nonspecific ulcerative colitis;
  5. Crohn's disease;
  6. thrombosis of the hemorrhoid.

The absence of anesthesia and local anesthesia greatly expands the use of this procedure. The manipulations performed by the doctor are outside the zone of sensitivity (above the dentate line). The correct technique ensures only mild discomfort during manipulation.

Complications

Infrared coagulation requires highly qualified surgeons. The radiation flow has powerful energy that can cause serious changes in the human body.

The most common complications of the procedure are:

  1. bleeding;
  2. infections;
  3. pain syndrome;
  4. acute urinary retention.

Bleeding can occur if there is insufficient thermal effect on the tissue of the feeding pedicle. In this case, the vessels are not completely cauterized. Bleeding can be stopped by repeated coagulation or ligation of the node stalk.

Normally, after the procedure, the patient experiences slight bleeding from the anus on days 7-10 of the postoperative period. This is the dead node being rejected. Usually the patient is warned about this.

Infection is a possible scenario for any operation. Follow your doctor's recommendations and you can minimize the risk of this complication.

Pain during surgery indicates that the doctor made a mistake. If the manipulations took place above the dentate line, then severe pain can be avoided. There may be mild discomfort and a burning sensation in the intestines.

In the postoperative period, pain is also moderate. The doctor may prescribe NSAIDs for 2-3 days. Usually they are enough to relieve sensitivity.

Urinary retention is a reflex reaction of the body to manipulations in the intestine. It is typical for men, due to the proximity of the prostate gland. To eliminate this problem, urine is released through a catheter. The main thing is not to tolerate it and consult a doctor in time.

conclusions

So, we list the main pros and cons of the technique:

  1. the procedure is performed on an outpatient basis and does not require hospitalization;
  2. used only for the initial stages of internal hemorrhoids;
  3. it can be used to urgently stop bleeding;
  4. The effectiveness of the method is 75% in the initial stages of the disease. Relapses occur within 5 years;
  5. the method does not require anesthesia;
  6. pain syndrome in the postoperative period is insignificant;
  7. You can treat 1 node per session; the procedure is repeated after 10-14 days;
  8. Complications with photocoagulation are rare.

The method of treating hemorrhoids with heat is accessible and effective. In the initial stages of the disease, it allows you to completely get rid of the symptoms of the disease.

And node removal has become easier and more gentle for patients. Increasingly, proctologists are recommending infrared coagulation - a low-traumatic and uncomplicated method of cauterizing painful lumps. In some cases, it successfully replaces long-term treatment and allows a person to quickly return to a comfortable life. Like any medical procedure, it has its own nuances and contraindications.

Features of the technique

Infrared photocoagulation is a special method for removing nodes and treating hemorrhoids, based on modern technologies. To operate the device, the property of light rays of a certain spectrum is used to quickly and painlessly cauterize soft tissues and vessel walls. When aimed at the affected area, they concentrate heat, causing instant coagulation of proteins in molecules.

To carry out the procedure, the proctologist surgeon uses a modern special device - a manipulator with quartz attachments. It operates from a power unit, and all actions are carried out using sterile polymer attachments. The operating principle of such a device is quite simple:

  • a special infrared lamp accumulates a certain number of particles and transfers them to the tip;
  • the surgeon brings him to the most vulnerable base of the hemorrhoid;
  • Within 1–3 seconds, cells coagulate and tissues fuse together inside the nodules.

After the manipulation, the inflamed hemorrhoidal cone stops receiving nutrients from the blood and dies. Due to the similar operating principle, many patients confuse coagulation with laser surgery.

Indications for use

The main problem with hemorrhoids is the formation of nodes from blood plexuses and vessels. They protrude on the surface of the intestine, protrude from the anus or surround it around the perimeter. Different in size, such formations bring with them unpleasant symptoms:

  • , which increases with increased pressure or a rush of blood to the sphincter;
  • and discomfort in the anus;
  • when emptying;
  • constant or long-term appearance;

All symptoms are accompanied by pain, which exhausts the patient. Trying to go to the toilet “in a big way” turns into a real ordeal. The number and degree of symptoms depends on the stage:

  1. They are not excreted for a long time and do not cause problems with bowel movements. A person can only feel such a tubercle when washing or feel heaviness in the rectal canal.
  2. The size and volume of the nodes increases, they interfere with regular bowel movements. Solid particles of feces injure them, causing bleeding. If the formations are located internally, the symptoms may be unclear and require clarification from a proctologist.
  3. The bumps become inflamed and come out of the sphincter, preventing you from sitting on a hard chair, working or resting normally. The patient has to push them into the rectal canal to prevent pinching by the pelvic floor muscles.
  4. The patient may experience suppuration of the subcutaneous tissue, proctitis, or accumulation of blood clots in the hemorrhoidal node. This requires surgery.

Coagulation of hemorrhoids is most effective at the initial stage, allowing you to completely and without traces get rid of protruding lumps. Clamping with rings (ligation) is not possible due to its small size. In addition, the technique gives excellent results for the following complications of hemorrhoids:

  • multiple small lumps in the lower intestine;
  • bleeding due to injury to the nodule;
  • external formations of stage 1 or 2;
  • anal fimbriae that interfere with bowel movements;

Infrared coagulation for hemorrhoids in an advanced stage can only be used in complex treatment with rectal medications, massages and more radical methods of therapy.

Benefits of technology

Compared to traditional surgical removal of nodes, ICC for hemorrhoids has a number of obvious advantages:

  • does not require a long preparatory period for the patient;
  • high efficiency at the initial stage of the disease;
  • absence of severe pain and discomfort during the procedure;
  • smoothing scars and cuts with bleeding;
  • The rehabilitation period is no more than a day.

The only drawback is the cost of the technique, which “bites” for many patients. In addition, the equipment is available only in large proctology centers and clinics, and is completely unavailable in the periphery.

How is the operation performed?

Before the procedure begins, the patient is given a local anesthesia, which slightly dulls the sensations and helps to feel more comfortable. The person sits on a chair resembling a gynecological one, raising his legs on special stands. If this position is uncomfortable for any reason, the surgeon may suggest kneeling and resting on your elbows.

Using a special illuminated anoscope, the doctor examines the rectal canal, identifying the number and location of hemorrhoidal cones and their condition. The tip of the device enters the opening and a quick cauterization is carried out. In one session, you can treat several of these problem areas and heal microcracks in the lower intestine.

Cauterization is carried out at several points, as if surrounding the node. This is a piece of jewelry that requires precision and concentration from the proctologist. If used correctly, there will be no scars or scar tissue left on the treated area, and the mucous membrane will be completely restored.

If there are too many hemorrhoids or they have a wide base, repeated coagulation may be required. At least 2 weeks must pass between sessions so that the body is fully strengthened and blood supply to the anus and soft tissues around is established.

During the day after using the device, the patient may experience discomfort, pulling sensations or dull pain. It can be stopped with Ketanov or Solpadeine on the recommendation of the treating specialist. The next day, the person goes about his usual activities, attends work and leads a normal daily life. For 1.5 months, you should not get involved in active sports and prevent constipation and congestion in the intestines.

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. A laser coagulator is brought to the nodes through the anoscope and its tip is pressed against the base of the node for a few 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, to avoid major 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

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

Although 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 connected 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 the development of complications 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.

To coagulate the leg, a minimally invasive technique such as infrared photocoagulation can be used, which is performed under the influence of a beam focused through a special light guide. Subsequently, the node’s nutrition stops, it dries out and is excreted naturally along with feces.

Due to its simplicity and safety, infrared coagulation has become popular among doctors and patients. In our article we will tell you about the essence of this method of treating hemorrhoids, its indications, contraindications, procedure, possible complications and results.

Coagulation of the hemorrhoidal pedicle is carried out using a special device, an infrared coagulator. It consists of a power unit, a rigid quartz light guide and a tip made of heat-resistant polymer material.

The device is equipped with a halogen-tungsten lamp, which is located in a spherical reflector with a gold coating. The lamp creates a stream of infrared light that hits the reflector and is focused into the light guide. Next, the beam hits the tissue of the hemorrhoid and is converted into thermal energy, which causes cauterization of the tissue. The depth of coagulation can be adjusted by the exposure time of the beam. To do this, the doctor uses a timer, which can be adjusted for a time interval from 0.5 to 3 seconds.


Indications for the procedure

Indications for infrared photocoagulation of hemorrhoids may include the following clinical cases:

  • circular hemorrhoids at stages I-II, with nodes located at the level of the anorectal line;
  • bleeding with internal hemorrhoids stage I-II;
  • elimination of bleeding from small hemorrhoids after the ligation procedure with latex rings.

In the later stages of hemorrhoids, this method can only be used as an auxiliary manipulation to stop hemorrhoidal bleeding.

Contraindications

  • combined form of hemorrhoids;
  • III-IV stage of hemorrhoids;
  • tendency to thrombosis or thrombosis of hemorrhoids;
  • hemorrhoids, combined with concomitant pathologies of the rectum and anus: anal fissures, fistulas, paraproctitis, cryptitis, etc.

How is the procedure performed?


Modern equipment provides new opportunities for the treatment of hemorrhoids.

To perform infrared photocoagulation, the patient is prepared for the procedure in the same way as for hemorrhoidal ligation. The session is performed on an outpatient basis.

The procedure for performing infrared photocoagulation:

  1. The patient is placed on a gynecological chair in the “supine” position with his legs thrown back on special supports. If necessary, in some clinical cases, the doctor may ask the patient to take the side-lying position or the knee-elbow position.
  2. An anoscope with a tube diameter of 18 mm and a length of about 6-8 cm, which is equipped with a special illuminating device, is inserted into the anal canal. The device is positioned in such a way that the node that needs infrared photocoagulation is visible in its lumen.
  3. The tip of the infrared coagulator is brought to the base of the node and placed on the mucous membrane. In this case, the tip is lightly pressed against the tissues of the leg of the node.
  4. After this, the proctologist begins the photocoagulation procedure. To do this, he performs cauterization at 3-4 points of the hemorrhoidal pedicle, while retreating from each previous point by a distance of about 0.5 cm. The duration of the coagulation process depends on the size of the hemorrhoidal lump (1-3 seconds) and is determined by the doctor individually for each patient .
  5. After coagulation is completed, the doctor removes the device from the anoscope and conducts a control examination of the nodes treated with infrared radiation.
  6. The anoscope is carefully removed from the rectum.
  7. The patient can get up from the gynecological chair and go home after receiving the doctor’s recommendations about the necessary restrictions in physical activity and taking painkillers.

During all manipulations, the patient does not feel significant pain. In one session, the proctologist can perform cauterization on no more than three nodes. If there are multiple hemorrhoidal cones, a repeat procedure is performed, which is prescribed 12-14 days after the first.

Possible complications of the procedure

Immediately after correctly performed infrared photocoagulation, the patient may experience minor discomfort and pain, which are not considered complications, go away on their own or are eliminated by taking non-narcotic analgesics.

Complications of the procedure develop when the proctologist is insufficiently qualified. These include the following conditions:

  • severe pain syndrome that developed due to the effect of the coagulator on areas located below the pectineal line;
  • thrombosis of nodes caused by too large a cauterization area and the development of the inflammatory process;
  • necrosis of the hemorrhoidal site, provoked by an increase in the duration of coagulation and, in some cases, accompanied by minor bleeding.

All of the above complications are easily eliminated with symptomatic treatment.

results

After correct infrared coagulation of hemorrhoids, the patient stops:

  • episodes of node prolapse;
  • bleeding from the rectum.

This minimally invasive method of treating hemorrhoids is especially effective in the initial stages of the disease, and in later stages it guarantees only a temporary result in the form of stopping bleeding.

Video on the topic “Infrared photocoagulation of hemorrhoids” (English):