Laser Hemorrhoidoplasty (LHP®) (LHP®) + Mucopexy-Recto Anal Lifting (MuRAL) for Grade 4 Hemorrhoids
Innovative Minimally Invasive Methods for the Treatment of Hemorrhoids
Hemorrhoids are one of the most common diseases of the anus and rectum, significantly affecting the quality of life of patients. Modern minimally invasive techniques such as Laser Hemorrhoidoplasty (LHP) and the Mucopexy – Recto Anal Lifting (MuRAL) they offer safe, painless and fast solutions, replacing in many cases the classic hemorrhoidectomies.
Painless solution for 4th Degree hemorrhoids
Laser Hemorrhoidoplasty (LHP®) (LHP®) and Mucopexy – Recto Anal Lifting (MuRAL) methods are the most modern, safe and effective options for dealing with difficult hemorrhoids, without incisions, complications, pain or long recovery.
What is LHP® (Laser Hemorrhoidoplasty (LHP®))?
Laser Hemorrhoidoplasty (LHP®) is a minimally invasive intrahemorrhoidal technique that uses diode laser energy to treat internal hemorrhoids. The laser beam is inserted into the hemorrhoidal nodule without an incision, causing vasoconstriction and shrinking of the tissue without damaging the mucosa.
Advantages:
- Painless – no incisions
- No general anesthesia is required
- No or minimal bleeding
- Quick recovery (1-3 days)
- Suitable for 1st, 2nd & 3rd Degree hemorrhoids
What is MuRAL (Mucopexy – Recto Anal Lifting)?
MuRAL is a rectal mucosa lifting technique for the treatment of prolapsed internal hemorrhoids or rectal hernia. With the use of a special device and absorbable sutures, the hemorrhoidal nodules are lifted and the anatomy is restored.
Advantages:
- Natural restoration of anatomy
- No need for excision
- Useful in cases of prolapse
- Good functional recovery
- Suitable for 3rd & 4th Degree hemorrhoids with prolapse
Why Choose LHP® with MuRAL?
- Safety: They are applied with absolute control and precision
- Bloodless procedures – ideal for patients with sensitivity or co-morbidities
- Minimization of complications compared to classic hemorrhoidectomy
- Aesthetic and functional result without distortion of the area
- Low risk of recurrence
- Painless or minimally painful operations (no open wounds).
- No hospitalization required – most patients return the same day.
- Quick recovery – return to work within 1-5 days.
- Preservation of the anatomy and functionality of the anus.
- Suitable for many types of hemorrhoids and for 4th Degree hemorrhoids
Clues
- Symptomatic hemorrhoids of the 3rd And mainly 4th Degree
- Prolapse without major thrombosis, if there is thrombosis, the clot is removed first
- Recurrent episodes
- They are also indicated for elderly or multi-sick people
- Experience of the surgeon necessary
In Conclusion
Laser Hemorrhoidoplasty (LHP®) and Mucopexy – Recto Anal Lifting are extremely modern solutions for the treatment of hemorrhoids with respect to the function of the anus, excellent aesthetic and functional results and a quick return to daily activities. The choice of the appropriate method is made individually, depending on the degree of hemorrhoids and the needs of each patient.
Case 1: Grade 4 hemorrhoids with mild LHP® – MuRAL thrombosis without the need for resection
Method Laser Hemorrhoidoplasty (LHP®) (LHP®) + Mucopexy-Recto Anal Lifting (MuRAL)
Case 2: Grade 4 hemorrhoids with extensive LHP® – MuRAL hemorrhoidal thrombosis and necrosis and ultrasound scissor excision
Method Laser Hemorrhoidoplasty (LHP®) (LHP®) + Mucopexy-Recto Anal Lifting (MuRAL) + excision with ultrasonic scissors (HARMONIC™ 1100 Shears )
