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Corresponding Author

Ayman Helmy Ibrahim

Authors ORCID

0000-0001-6864-9082

Document Type

Original Article

Abstract

Background: Laser hemorrhoidoplasty (LHP) has been used recently for the advantages of less pain, faster recovery, and fewer complications to avoid postoperative consequences of conventional surgery, but it has more cost and needs sufficient experience.

Aim of the study: To compare outcomes of LHP to hemorrhoidectomy for 6 months after surgery.

Materials and Methods: Prospective randomized study was done on 94 patients devided into 2 groups; group A (43 patients) underwent LHP, and group B (51 patients) had Milligan-Morgan hemorrhoidectomy for treatment of grade II-III hemorrhoids, observation of operative and postoperative findings and questionnaire applied for patient satisfaction 6 months after surgery.

Results: Mean pain severity was less in LHP on the day of the procedure without significant difference (P=0.2), but on the seventh-day difference was significant (p=0.03). The time for recovery from pain was significantly less in LHP patients. No significant difference found in hospital stay and pain after 6 months. One patient (2.3%) in the LHP group and 6 patients in hemorrhoidectomy group (11.7%) reported postoperative bleeding. Three patients in each group showed surgery site infection. No reported fistula, stenosis, or incontinence. Readmission done for 2 patients (2.12%), both in hemorrhoidectomy group. One patient (2.3%) in LHP group and 5 patients in the hemorrhoidectomy group (9.8%) reported recurrence. After 6 months of surgery, 88.4% (30 patients) of LHP and 68.6% (35 patients) of surgery group were satisfied.

Conclusion: LHP is safe and effective for grade II & III hemorrhoids with less pain, faster recovery, and fewer complications. More extensive studies are required for long term outcomes evaluation.

Keywords

LHP, Laser hemorrhoidoplasty, hemorrhoidectomy

Subject Area

General Surgery

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