Intermittent claudications of the hand after supracondylar humeral fracture in a 2-year old boy

Supracondylar humeral fractures (SHF) are the most common fractures associated with concomitant neurovascular injuries in children. Pink pulseless hand (PPH) labels SHF presenting without a pulse in a wellperfused hand. Management of PPH after successful SHF reduction remains controversial. Some advocate „watchful waiting”, whereas others favor early exploration. We present a case of a 2-year-old boy with PPH and intermittent claudications 6 weeks after successful SHF reduction

The use of laser in proctology

Laser koristi stimuliranu emisiju energije u obliku fotona za stvaranje monokromatskog, koherentnog i kolimiranog snopa elektromagnetskog zračenja. Danas se laser koristi u brojnim područjima, neka od kojih su prerađivačka industrija, telekomunikacije, građevina i vojna industrija. Ubrzo nakon otkrića, laserska se tehnologija počela primjenjivati u medicini. Laserske metode liječenja hemoroidalne bolesti obuhvaćaju lasersku hemoroidektomiju, lasersku hemoroidoplastiku te HeLP. Laserska hemoroidektomija najčešće se izvodi pomoću CO2 lasera, a tehnika odgovara otvorenoj hemoroidektomiji. Diodnim se laserom izvodi hemoroidoplastika. Laser se primjenjuje submukozno kako bi se postigla destrukcija submukoznih krvnih žila i stvaranje fibroznog tkiva. HeLP je dearterijalizacijska metoda koja se temelji na okludiranju ogranaka a. rectalis superior laserskom fotokoagulacijom. U liječenju perianalnih fistula koristi se laserska ablacija kanala fistule diodnim laserom. Radi se o tehnici koja pošteđuje analni sfinkter te deepitelizacijom i obliteracijom kanala fistule omogućuje cijeljenje kronične fistule. Lasersko liječenje analnih fisura uključuje primjenu CO2 lasera kojim se izvodi modificirani oblik parcijalne sfinkterotomije. Također se primjenjuje i lasersko skeniranje kojim se stimulira regeneracija i angiogeneza submukoze i kože. U kontekstu dugoročnih rezultata i manje postoperativne boli, nema još dovoljno dokaza da laserska hemoroidektomija postiže bolje rezultate od klasične. Laserska hemoroidoplastika pouzdana je metoda za liječenje hemoroida II. i III. stupnja kojom se postižu rezultati usporedivi s klasičnim kirurškim metodama, a uz značajno smanjenje postoperativne boli. HeLP je prikladna metoda za ograničen broj bolesnika s hemoroidima II. i III. stupnja bez prolapsa, međutim nedostaje istraživanja koji bi potvrdili prednost naspram povoljnijim tehnikama. Laserska ablacija fistule omogućuje cijeljenje perianalne fistule uz očuvanje sfinktera, nisku stopu komplikacija i inkontinencije. Liječenje analnih fisura laserom trenutno nije u široj uporabi, ali rezultati prvih istraživanja pokazuju vrlo obećavajuće rezultate.The laser uses stimulated emission of energy in the form of photons to create a monochromatic, coherent, and collimated beam of electromagnetic radiation. Today, lasers are used in various fields, including the manufacturing industry, telecommunications, construction, and the military industry. Soon after its discovery, laser technology was applied in medicine as well. Laser treatment methods for hemorrhoidal disease include laser hemorrhoidectomy, laser hemorrhoidoplasty, and HeLP (Hemorrhoid Laser Procedure). Laser hemorrhoidectomy is most commonly performed using a CO2 laser, and the technique is similar to open hemorrhoidectomy. Hemorrhoidoplasty is performed using a diode laser. The laser is applied submucosally to achieve the destruction of submucosal blood vessels and the formation of fibrous tissue. HeLP is a dearterialization method based on the occlusion of branches of the superior rectal artery through laser photocoagulation. For the treatment of perianal fistulas, laser ablation of the fistula tract is performed using a diode laser. This technique spares the anal sphincter and allows the healing of chronic fistulas through deepithelialization and obliteration of the fistula tract. Laser treatment of anal fissures involves the application of a CO2 laser to perform a modified form of partial sphincterotomy. Laser scanning is also used to stimulate regeneration and angiogenesis of the submucosa and skin. In terms of long-term results and reduced postoperative pain, there is still not enough sufficient evidence to suggest that laser hemorrhoidectomy achieves better outcomes than the conventional method. Laser hemorrhoidoplasty is a reliable method for treating second and third-degree hemorrhoids, with results comparable to traditional surgical approaches and a significant reduction in postoperative pain. HeLP is a suitable method for a limited number of patients with second and third-degree hemorrhoids without prolapse; however, further research is needed to confirm its advantages over other, more affordable techniques. Laser ablation of the fistula allows for the healing of perianal fistulas while preserving the sphincter, with a low rate of complications and incontinence. Laser treatment of anal fissures is currently not widely used, but the results of initial studies show satisfactory outcomes

The use of laser in proctology

Laser koristi stimuliranu emisiju energije u obliku fotona za stvaranje monokromatskog, koherentnog i kolimiranog snopa elektromagnetskog zračenja. Danas se laser koristi u brojnim područjima, neka od kojih su prerađivačka industrija, telekomunikacije, građevina i vojna industrija. Ubrzo nakon otkrića, laserska se tehnologija počela primjenjivati u medicini. Laserske metode liječenja hemoroidalne bolesti obuhvaćaju lasersku hemoroidektomiju, lasersku hemoroidoplastiku te HeLP. Laserska hemoroidektomija najčešće se izvodi pomoću CO2 lasera, a tehnika odgovara otvorenoj hemoroidektomiji. Diodnim se laserom izvodi hemoroidoplastika. Laser se primjenjuje submukozno kako bi se postigla destrukcija submukoznih krvnih žila i stvaranje fibroznog tkiva. HeLP je dearterijalizacijska metoda koja se temelji na okludiranju ogranaka a. rectalis superior laserskom fotokoagulacijom. U liječenju perianalnih fistula koristi se laserska ablacija kanala fistule diodnim laserom. Radi se o tehnici koja pošteđuje analni sfinkter te deepitelizacijom i obliteracijom kanala fistule omogućuje cijeljenje kronične fistule. Lasersko liječenje analnih fisura uključuje primjenu CO2 lasera kojim se izvodi modificirani oblik parcijalne sfinkterotomije. Također se primjenjuje i lasersko skeniranje kojim se stimulira regeneracija i angiogeneza submukoze i kože. U kontekstu dugoročnih rezultata i manje postoperativne boli, nema još dovoljno dokaza da laserska hemoroidektomija postiže bolje rezultate od klasične. Laserska hemoroidoplastika pouzdana je metoda za liječenje hemoroida II. i III. stupnja kojom se postižu rezultati usporedivi s klasičnim kirurškim metodama, a uz značajno smanjenje postoperativne boli. HeLP je prikladna metoda za ograničen broj bolesnika s hemoroidima II. i III. stupnja bez prolapsa, međutim nedostaje istraživanja koji bi potvrdili prednost naspram povoljnijim tehnikama. Laserska ablacija fistule omogućuje cijeljenje perianalne fistule uz očuvanje sfinktera, nisku stopu komplikacija i inkontinencije. Liječenje analnih fisura laserom trenutno nije u široj uporabi, ali rezultati prvih istraživanja pokazuju vrlo obećavajuće rezultate.The laser uses stimulated emission of energy in the form of photons to create a monochromatic, coherent, and collimated beam of electromagnetic radiation. Today, lasers are used in various fields, including the manufacturing industry, telecommunications, construction, and the military industry. Soon after its discovery, laser technology was applied in medicine as well. Laser treatment methods for hemorrhoidal disease include laser hemorrhoidectomy, laser hemorrhoidoplasty, and HeLP (Hemorrhoid Laser Procedure). Laser hemorrhoidectomy is most commonly performed using a CO2 laser, and the technique is similar to open hemorrhoidectomy. Hemorrhoidoplasty is performed using a diode laser. The laser is applied submucosally to achieve the destruction of submucosal blood vessels and the formation of fibrous tissue. HeLP is a dearterialization method based on the occlusion of branches of the superior rectal artery through laser photocoagulation. For the treatment of perianal fistulas, laser ablation of the fistula tract is performed using a diode laser. This technique spares the anal sphincter and allows the healing of chronic fistulas through deepithelialization and obliteration of the fistula tract. Laser treatment of anal fissures involves the application of a CO2 laser to perform a modified form of partial sphincterotomy. Laser scanning is also used to stimulate regeneration and angiogenesis of the submucosa and skin. In terms of long-term results and reduced postoperative pain, there is still not enough sufficient evidence to suggest that laser hemorrhoidectomy achieves better outcomes than the conventional method. Laser hemorrhoidoplasty is a reliable method for treating second and third-degree hemorrhoids, with results comparable to traditional surgical approaches and a significant reduction in postoperative pain. HeLP is a suitable method for a limited number of patients with second and third-degree hemorrhoids without prolapse; however, further research is needed to confirm its advantages over other, more affordable techniques. Laser ablation of the fistula allows for the healing of perianal fistulas while preserving the sphincter, with a low rate of complications and incontinence. Laser treatment of anal fissures is currently not widely used, but the results of initial studies show satisfactory outcomes

The use of laser in proctology

Laser koristi stimuliranu emisiju energije u obliku fotona za stvaranje monokromatskog, koherentnog i kolimiranog snopa elektromagnetskog zračenja. Danas se laser koristi u brojnim područjima, neka od kojih su prerađivačka industrija, telekomunikacije, građevina i vojna industrija. Ubrzo nakon otkrića, laserska se tehnologija počela primjenjivati u medicini. Laserske metode liječenja hemoroidalne bolesti obuhvaćaju lasersku hemoroidektomiju, lasersku hemoroidoplastiku te HeLP. Laserska hemoroidektomija najčešće se izvodi pomoću CO2 lasera, a tehnika odgovara otvorenoj hemoroidektomiji. Diodnim se laserom izvodi hemoroidoplastika. Laser se primjenjuje submukozno kako bi se postigla destrukcija submukoznih krvnih žila i stvaranje fibroznog tkiva. HeLP je dearterijalizacijska metoda koja se temelji na okludiranju ogranaka a. rectalis superior laserskom fotokoagulacijom. U liječenju perianalnih fistula koristi se laserska ablacija kanala fistule diodnim laserom. Radi se o tehnici koja pošteđuje analni sfinkter te deepitelizacijom i obliteracijom kanala fistule omogućuje cijeljenje kronične fistule. Lasersko liječenje analnih fisura uključuje primjenu CO2 lasera kojim se izvodi modificirani oblik parcijalne sfinkterotomije. Također se primjenjuje i lasersko skeniranje kojim se stimulira regeneracija i angiogeneza submukoze i kože. U kontekstu dugoročnih rezultata i manje postoperativne boli, nema još dovoljno dokaza da laserska hemoroidektomija postiže bolje rezultate od klasične. Laserska hemoroidoplastika pouzdana je metoda za liječenje hemoroida II. i III. stupnja kojom se postižu rezultati usporedivi s klasičnim kirurškim metodama, a uz značajno smanjenje postoperativne boli. HeLP je prikladna metoda za ograničen broj bolesnika s hemoroidima II. i III. stupnja bez prolapsa, međutim nedostaje istraživanja koji bi potvrdili prednost naspram povoljnijim tehnikama. Laserska ablacija fistule omogućuje cijeljenje perianalne fistule uz očuvanje sfinktera, nisku stopu komplikacija i inkontinencije. Liječenje analnih fisura laserom trenutno nije u široj uporabi, ali rezultati prvih istraživanja pokazuju vrlo obećavajuće rezultate.The laser uses stimulated emission of energy in the form of photons to create a monochromatic, coherent, and collimated beam of electromagnetic radiation. Today, lasers are used in various fields, including the manufacturing industry, telecommunications, construction, and the military industry. Soon after its discovery, laser technology was applied in medicine as well. Laser treatment methods for hemorrhoidal disease include laser hemorrhoidectomy, laser hemorrhoidoplasty, and HeLP (Hemorrhoid Laser Procedure). Laser hemorrhoidectomy is most commonly performed using a CO2 laser, and the technique is similar to open hemorrhoidectomy. Hemorrhoidoplasty is performed using a diode laser. The laser is applied submucosally to achieve the destruction of submucosal blood vessels and the formation of fibrous tissue. HeLP is a dearterialization method based on the occlusion of branches of the superior rectal artery through laser photocoagulation. For the treatment of perianal fistulas, laser ablation of the fistula tract is performed using a diode laser. This technique spares the anal sphincter and allows the healing of chronic fistulas through deepithelialization and obliteration of the fistula tract. Laser treatment of anal fissures involves the application of a CO2 laser to perform a modified form of partial sphincterotomy. Laser scanning is also used to stimulate regeneration and angiogenesis of the submucosa and skin. In terms of long-term results and reduced postoperative pain, there is still not enough sufficient evidence to suggest that laser hemorrhoidectomy achieves better outcomes than the conventional method. Laser hemorrhoidoplasty is a reliable method for treating second and third-degree hemorrhoids, with results comparable to traditional surgical approaches and a significant reduction in postoperative pain. HeLP is a suitable method for a limited number of patients with second and third-degree hemorrhoids without prolapse; however, further research is needed to confirm its advantages over other, more affordable techniques. Laser ablation of the fistula allows for the healing of perianal fistulas while preserving the sphincter, with a low rate of complications and incontinence. Laser treatment of anal fissures is currently not widely used, but the results of initial studies show satisfactory outcomes