Laser hemorrhoidoplasty for the treatment of second-degree and third-degree hemorrhoids, is it effective? | ||||
| The Egyptian Journal of Surgery | ||||
| Volume 43, Issue 4, October 2024, Page 1532-1539 PDF (811.68 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/EJSUR.2024.297455.1100 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
Mohamed A. Naieem  ; Ahmed Swelam; Sherif A. Saber; Gamal Mousa
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| 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 | ||||
| Laser hemorrhoidoplasty; second-degree hemorrhoids; third-degree hemorrhoids; visual analog scale | ||||
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