Özet:

Hemorrhoidal disease is a common perianal disease in the general population that negatively affects the quality of life. Treatment is indicated only if the patient is symptomatic. The disease stage is still determined according to Goligher’s classification, and treatments are determined accordingly. At hemorrhoidal disease stages accompanied by prolapse, excisional surgery methods are preferred. However, the contemporary literature suggests that different treatment methods can be applied in symptomatic patients at earlier stages. These methods are stapled hemorrhoidopexy, Dopplerguided hemorrhoidal artery ligation and hemorrhoidopexy, rubber band ligation, and laser hemorrhoidoplasty. These procedures can be performed according to the surgeon’s experience in appropriate patients within the indication. This video presentation demonstrates laser hemorrhoidoplasty treatment in a patient with grade 3 hemorrhoidal disease.

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