A Comparative Study between Laser Hemorrhoidoplasty Procedure and Conventional Hemorrhoidectomy

Ahmed Fadhil Mohammed,Dheyaa Ali Hussien Al-Sultani,Husham Majeed Flaifel Janabi

doi:10.29196/jubpas.v27i1.2065

Abstract

Hemorrhoids are very common anorectal diseases that affected any age groups and both genders. There are different and several options for treatment of patients with hemorrhoids .ranging from conservative approach with dietary modifications ,rubber band ligation, sclerotherapy injection, diathermy coagulation, or minimal invasive procedures like; open surgical procedure and recently various types of laser was introduced such as carbon dioxide (CO2) laser, and the neodymium :yttrium – aluminum – garnet (Nd: YAG ) laser procedures. In our study, we choose (1000 patients) all of them were free of medical diseases, those lie into two main groups , 500 patients (males and females) with different age groups were treated with conventional open surgical (Milligan – Morgan) hemorrhoidectomy operation ,and 500 patients (males and females) with different age groups were treated with minimally invasive diode laser hemorrhoidoplasty technique . Laser hemorrhoidoplasty technique is used to treat the patients with 2nd and 3rd degree hemorrhoids, as an outpatients procedure without causing any additional harm or injuries to the surrounding normal (healthy) tissues, and significantly less post-operative complications with very short operative time and very rapid return to the normal daily activities.

Highlights

Hemorrhoids are a very common anorectal condition defined as the symptomatic enlargement and distal displacement of the normal anal cushions
The modalities of the managements depend on the general conditions of the patients and the severity of the symptoms especially pain and /or bleeding which ranged from the conservative managements and different modalities of the surgical interventions to the laser hemorrhoidoplasty .which is a new technique for outpatients treatment of the hemorrhoids in which, the feeding vessels of the pile stopped by mean of laser photothermal coagulation effect
- In our study that done in Babylon (AL-Hilla) city, by collected samples consisted of (1000 patients) which divided into two equal groups, half of them managed with open surgical technique (Milligan – Morgan)hemorrhoidectomy in AL-Hilla general teaching hospital which mainly done under general anesthesia, and another half managed with laser hemorrhoidoplasty technique, which is mainly done under local anesthesia

Summary

Introduction

Hemorrhoids are a very common anorectal condition defined as the symptomatic enlargement and distal displacement of the normal anal cushions. Piles associated with bleeding alone are called first-degree hemorrhoids.[7],[8] [9],[10] [11],[12], Patients may complain of true ‘piles’, lumps that appear at the anal orifice during defecation and which return spontaneously afterwards (second-degree hemorrhoids), piles that have to be replaced manually (third-degree hemorrhoids), or piles that lie permanently outside (fourth-degree hemorrhoids). By this stage, there is often a significant cutaneous component to the pile masses, which arise through repeated congestion and edema. In addition to the main symptoms of pain and prolapse, patients may complain of anal irritation, which may occur as a result of mucus secretion from the caudally displaced rectal mucosa, minor leakage through a imperfect anal seal or difficulties in cleaning after defecation because of the irregularity of the anal verge.[13],[14][15].[16,17,18] .[19]

Methods

Results

Discussion

Conclusion