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Laser Technique in Anorectal Surgery

Jose Manuel Moreno Berber, MD. Hospital Ángeles Puebla

Objective: Laser Technique in Anorectal Surgery has advantages over the traditional procedures. Pain after laser surgery is less and patient return sooner.

Description: LHP procedure in hemorrhoids, FILAC in anal fistula and Silac in cyst pilonidal disease, give benefits in the recovery time of the patients. All patients had a complete preoperative evaluation and we offer the laser technique to improve the pain in the postoperative period and  have a short recovery time.

Background: The first applications of laser energy in the gastrointestinal tract occurred just a decade ago. Since then, laser therapy has been widespread in the management of colon and rectum disease.

In a descriptive, retrospective and cross-sectional study, my surgical team reported the initial experience of laser use in treatment of anorectal conditions in the period of January 2013 until august 2016 in Puebla, Puebla, Mexico.

We use Leonardo and Cerialeas device. Results were expressed using descriptive statistics and we registered 304 patients treated by laser application for anorectal disease. All patients were  hospitalized less than 24 hours for the surgery.

The largest group included patients with hemorroidal disease using the HLP technique. We used FILAC technique for the treatment of anal fistula with an 86% of success.

Conclusion: Laser technique in anorectal disease is safe and helps the patient in the postoperative period. It is necessary to perform randomized comparative  trials  to the complete evaluation of this technique.


Presented at the SAGES 2017 Annual Meeting in Houston, TX.

Abstract ID: 98896

Program Number: ETP777

Presentation Session: Emerging Technology Poster Session (Non CME)

Presentation Type: Poster

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