Systematic Review and Meta-Analysis of Laser Haemorrhoidectomy versus Conventional Surgical Haemorrhoidectomy in Management of II- and III-Degree Haemorrhoid. | ||||
| Ain Shams Journal of Surgery | ||||
| Volume 17, Issue 2, April 2024, Page 179-196 PDF (662.5 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/asjs.2024.351451 | ||||
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| Authors | ||||
Yosra Abduallah Elsayed Abu Omar ; Rania Mohamed Al Ahmady; Hosam Sobhy Abd El-rehim; Mohamed Ahmed Fouad El-shimy
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| Department of General Surgery, Faculty of Medicine, Ain Shams University, Egypt | ||||
| Abstract | ||||
| Introduction: Hemorrhoidal disease (HD) is a widespread anorectal condition affecting millions of people around the world and representing a major medical and socioeconomic issue, severely influencing patients’ quality of life. Laser hemorrhoidoplasty (LHP) is a new minimal invasive, safe and effective procedure for day-surgery treatment of symptomatic haemorrhoids. Aim of work: This review seeks to establish, through the available literature that compare between laser haemorrhoidoplasty and conventional surgical haemorrhoidectomy in management of II- and III-degree haemorrhoid as regard to operative time, postoperative pain, clinical outcomes and complication. Patients and methods: A systematic review of literature was conducted including all relevant randomized controlled trials and prospective comparative cohort studies on laser hemorrhoidoplasty versus conventional surgical haemorrhoidectomy in management of II- and III-degree haemorrhoid. Results: Laser hemorrhoidoplasty in II-III degree haemorrhoids is a good, safe, and effective alternative to conventional hemorrhoidectomy, with a shorter operative time, reduced intraoperative bleeding, and less postoperative pain. The postoperative anal stenosis and urine retention are also reduced in the LH group. Our study didn’t find statistically significant difference between both groups regarding acute thrombosis and recurrence rate. Conclusion: Our findings suggest that laser hemorrhoidoplasty is a minimally invasive technique that can be safely applied in suitable grade II–III patients, offering lower postoperative pain rates up till the first postoperative month, fewer complications, and improved postoperative quality of life compared to conventional surgical hemorrhoidectomy, and therefore LHP seems to be superior in terms of patient satisfaction in the early postoperative period. | ||||
| Keywords | ||||
| Laser Hemorrhoidectomy; conventional surgical hemorrhoidectomy; II- and III-degree hemorrhoid | ||||
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