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coloproctology

, Volume 40, Issue 4, pp 271–275 | Cite as

Alles beim Alten in der Hämorrhoidalchirurgie?

  • M. H. Roblick
  • S. Farke
Leitthema
  • 33 Downloads

Zusammenfassung

Für die Sklerotherapie wurde ein neuer Wirkstoff entwickelt: Aluminiumkaliumsulfat und Tannin („aluminum potassium sulfate and tannic acid“, ALTA). Dieser wird in pazifischen Regionen eingesetzt und zeigt vielversprechende Ergebnisse. Er könnte sogar Operationen unnötig machen, dies bedarf jedoch weiterer Nachweise. Ein neues Instrument im chirurgischen Armamentarium ist ein Lasergerät. Die Laserbehandlung (HeLP, „hemorrhoidal laser procedure“) soll einen Prolaps verhindern, und die Hämorrhoiden werden wieder in ihre frühere anatomische Position über der Linea dentata gebracht. Erste retrospektive Studien zeigten gute Ergebnisse mit geringen postoperativen Schmerzen und Blutungen. Als Nachteile sind die hohen Kosten und der Mangel an Vergleichsstudien mit bewährten Verfahren zu nennen.

Schlüsselwörter

Hämorrhoiden Sklerotherapie Lasertherapie Aluminiumkaliumsulfat Tannin HeLP 

Anything new in hemorrhoid surgery?

Abstract

A new agent has been developed for sclerotherapy: aluminum potassium sulfate and tannic acid (ALTA). It has been used in the Pacific area and shows promising results. It could even make operations unnecessary, but this needs to be further proven. A new tool in the surgical armamentarium is a laser device. This laser treatment (HeLP, hemorrhoidal laser procedure) should reduce prolapse and reposition the hemorrhoids to their former anatomical position above the dentate line. First retrospective studies showed good results with little postoperative pain and bleeding. On the down-side there are still the high costs and the lack of comparative studies with established procedures.

Keywords

Hemorrhoids Sclerotherapy Laser treatment Aluminum potassium sulfate Tannic acid HeLP 

Notes

Einhaltung ethischer Richtlinien

Interessenkonflikt

M.H. Roblick und S. Farke geben an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren.

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Copyright information

© Springer Medizin Verlag GmbH, ein Teil von Springer Nature 2018

Authors and Affiliations

  1. 1.edh – End- und Dickdarmzentrum HannoverHannoverDeutschland
  2. 2.Allgemein- und ViszeralchirurgieSt. Marien-Krankenhaus BerlinBerlinDeutschland

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