[Effect of diode laser coagulation treatment on grade III internal hemorrhoids].
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 grade III internal hemorrhoids were divided into two groups, received laser coagulation (laser group, n=46) 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.


RESULTS
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 occurred in the laser group (12 cases) and control group (35 cases), 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).


CONCLUSIONS
Diode laser coagulation can be considered as a safe and effective procedure for the treatment of grade III hemorrhoids.
Wang
Dong
D
Department of Gastroenterology, The Second Affiliated Hospital, Medical School of Jinan University, Shenzhen 518020, China. wangdong_szph@hotmail.com
Zhong
Ke-li
KL
Chen
Jian-lin
JL
Wang
Xiao-xue
XX
Pan
Kai
K
Xia
Li-gang
LG
Chen
Xiao-chun
XC
Yang
Xiao-dong
XD
D000328:Adult; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006484:Hemorrhoids / Q000628:therapy*; D006801:Humans; D017075:Laser Coagulation; D054023:Lasers, Semiconductor / Q000627:therapeutic use*; D008297:Male; D008875:Middle Aged; D010147:Pain Measurement; D016896:Treatment Outcome