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Hemorrhoid Coagulation
Aka: Hemorrhoid Coagulation, Infrared Coagulation
- See Also
- Internal Hemorrhoid
- Indications
- Indicated for Grades I to III Internal Hemorrhoid
- Most commonly used newer device
- Other uses
- Wart Treatment
- Tattoos removal
- Advantages
- Quick and inexpensive
- No known Incidence of perineal Sepsis
- Less painful than Rubber Band ligation
- Disadvantages
- Less effective on Grade III Hemorrhoids
- Not effective on Grade IV Hemorrhoids
- Failure rate is 4 fold over that of Rubber Band ligation
- Initial Expense
- Device cost $2500
- Mechanism
- Probe causes ulceration, scarring, tethering of mucosa
- Hemorrhoidal Vessels coagulated
- Technique
- Insert Anoscope
- Identify most advanced Hemorrhoid complex
- Place tip of instrument at Hemorrhoid base (proximal)
- Apply 1.5 seconds per application
- Repeat for 4-5 applications per Hemorrhoid
- Apply several places along Hemorrhoid
- Recommend performing only one quadrant per visit
- Patient returns in 3-4 weeks for a second quadrant
- Efficacy
- Rectal Bleeding relieved in 90%
- Symptom free
- At 3 months: 80%
- At 1-4 years post-treatment: 40%
- Prolapse twice as likely at 1 year as with banding