Infrared coagulation

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The Infrarotkoagulation is a method of treatment of symptomatic hemorrhoids first or second regions and the third degree.

description

The infrared radiation used in infrared coagulation penetrates deep into the tissue of the irradiated hemorrhoidal cushion and is converted into heat there by absorption . The local heat leads to sclerotherapy (sclerosis) of the irradiated tissue. The mobility and positioning of the infrared source allows the area and degree of tissue damage to be controlled. The radiation leads to coagulation and occlusion and sclerosis in the hemorrhoidal cushion , which can lead to local fibrosis . Infrared coagulation is usually carried out on two treatment appointments, whereby anesthesia is usually not necessary. The success rate of the method is around 75%. In the case of only bleeding first-degree hemorrhoids, this rate is similar to that of rubber band ligation .

In 1992, the authors of a meta-analysis of five prospective studies came to the conclusion that infrared coagulation was "the most advantageous non-surgical treatment method for hemorrhoids".

In Germany, infrared coagulation is used less and less for the treatment of symptomatic hemorrhoids, as other procedures, such as sclerotherapy or rubber band ligation, are favored by the treating physicians. The authors of the guidelines of the German Society for Coloproctology from 2008 advise against infrared coagulation for the treatment of hemorrhoids because of its insufficient effectiveness .

Infrared coagulation was developed in 1977 by the Swiss proctologist Alexander Neiger and colleagues.

further reading

  • A. Hardy, CL Chan, CR Cohen: The surgical management of haemorrhoids - a review. In: Digestive Surgery . Volume 22, Number 1-2, 2005, pp. 26-33, ISSN  0253-4886 . doi : 10.1159 / 000085343 . PMID 15838168 . (Review).
  • A. Neiger: The hemorrhoid obliteration by infrared coagulation. In: Phlebol Proktol. Volume 8, 1979, pp. 230-232.

Individual evidence

  1. ↑ G. Curti, M. Rossi and M. von Flüe: Therapy of proctological diseases. In: J.-R. Siewert, Volker Schumpelick, M. Rothmund (Ed.): Praxis der Visceralchirurgie: Gastroenterologische Chirurgie, Volume 3rd Edition 2, Springer, 2006, ISBN 3-540-29040-0 , pp. 505-540. limited preview in Google Book search
  2. ^ NS Ambrose, D. Morris et al.: A randomized trial of photocoagulation or injection sclerotherapy for the treatment of first- and second-degree hemorrhoids. In: Diseases of the Colon and Rectum . Volume 28, Number 4, April 1985, pp. 238-240, ISSN  0012-3706 . PMID 3884297 .
  3. ↑ a b O. Kaidar-Person, B. Person, SD Wexner: Hemorrhoidal disease: A comprehensive review. In: Journal of the American College of Surgeons . Volume 204, Number 1, January 2007, pp. 102-117, ISSN  1072-7515 . doi : 10.1016 / j.jamcollsurg.2006.08.022 . PMID 17189119 . (Review).
  4. ↑ a b A. Herold: Outpatient operation on hemorrhoids. (PDF; 303 kB) In: Outpatient surgery. Volume 7, No. 4, 2003, pp. 26-29.
  5. ^ HM MacRae, RS McLeod: Comparison of hemorrhoidal treatment modalities. A meta-analysis. In: Diseases of the Colon and Rectum . Volume 38, Number 7, July 1995, pp. 687-694, ISSN  0012-3706 . PMID 7607026 .
  6. ^ JF Johanson, A. Rimm: Optimal nonsurgical treatment of hemorrhoids: a comparative analysis of infrared coagulation, rubber band ligation, and injection sclerotherapy. In: American Journal of Gastroenterology . Volume 87, Number 11, November 1992, pp. 1600-1606, ISSN  0002-9270 . PMID 1442682 .
  7. ↑ A. Herold, C. Breitkopf et al: Haemorrhoidalleiden. ( Memento of the original from April 25, 2012 in the Internet Archive ) Info: The archive link was inserted automatically and has not yet been checked. Please check the original and archive link according to the instructions and then remove this notice. (PDF; 749 kB) Guidelines of the German Society for Coloproctology, AWMF , as of July 2008 @1@ 2Template: Webachiv / IABot / www.awmf.org
  8. ^ A. Neiger A, K. Moritz, P. Kiefhaber: Hemorrhoids sclerotherapy treatment by infrared coagulation. In: Advances in gastroenterological endoscopy. Volume 9. Witzstrock, 1978, pp. 102-106.
  9. ^ RJ Leicester, RJ Nicholls, CV Mann: Infrared coagulation: a new treatment for hemorrhoids. In: Diseases of the Colon and Rectum . Volume 24, Number 8, 1981 Nov-Dec, pp. 602-605, ISSN  0012-3706 . PMID 7318625 .