Laser hemorrhoidoplasty for the treatment of second-degree and third-degree hemorrhoids, is it effective?

Document Type : Original Article

Authors

Department of aGeneral Surgery, bGastrointestinal and Laparoscopic Surgery, Faculty of Medicine, Tanta University, Tanta, Egypt

Abstract

Background: Treatment of anorectal diseases has always been a challenge as there are many treatment options, and this
multiplicity added more confusion about the best modality for treatment, which is still controversial. This work aimed to
analyze the safety and efficacy of laser hemorrhoidoplasty therapy using the 1470 nm laser in patients with second-degree
and third-degree hemorrhoids.
Patients and Methods: This prospective clinical study was carried out on 100 patients aged from 19 to 59 years, both
sexes, with second-degree or third-degree hemorrhoids after failure of medical treatment. Endoscopic evaluation of the
colon was performed on high-risk patients aged over 50 presenting with symptomatic hemorrhoids and rectal bleeding to
exclude any associated pathology.
Results: A Intraoperative complications were hematoma in 15 (15%) patients and mucosal injury in four (4%) patients.
Operative duration ranged from 7 to 22 min with a mean±SD value of 16.95±2.94 min. Postoperative pain score and
discharge were significantly lower after 1 weak, 1 month, and 3 months compared to after 24 h (P<0.05). Postoperative
bleeding and edema were insignificantly different between after 24 h and 1 weak and significantly lower after 1 and 3
months compared to after 24 h (P<0.05). Postoperative stenosis, incontinence, and recurrence were not reported in any
patients.
Conclusion: We conclude that diode laser is a safe, minimally invasive method for treating second-degree and thirddegree
hemorrhoids with the advantages of low postoperative pain, short hospital stay, early return to normal activities,
and short operative time. However, it is important to know that laser hemorrhoidoplasty costs more than conventional
procedures.

Keywords

The Egyptian Journal of Surgery
Volume 43, Issue 4
October 2024
Pages 1532-1539

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