Diode Laser & Conventional Surgery Treatment, A Comparative Study in Anal Diseases

Abstract

Anal pain is a common complaint, mostly of benign etiology but with psychological impact & interferes with life activities. The causes of anal pain usually can be easily diagnosed & treated with over the counter pain relievers & hot water soaks.Aim of the Study: To compare the effectiveness of treatment with laser surgery to the traditional type of surgery.Patients & Method: A prospective study was conducted on patients admitted to Samarra General Hospital & a private hospital from first of October 2017 to thirty one of May 2018. Ninety eight patients underwent different traditional & laser surgical procedures for hemorrhoids, anal fissure &fistula in ano. Of them, 68 patients (69.3%) were males & 30 patients (30.7%) were females with age range from 20-55 years (mean age of 32 year). The patients were divided into 2 groups:Group A (49 patients) were treated by traditional method & Group B (49 patients) were treated by laser surgery.Results: The laser surgery was less than traditional surgery in duration of operation by 17 minutes. For the intraoperative blood loss the laser surgery was less than traditional surgery. The infection rate was 1 of 49 cases in laser surgery while it was 7 of 49 cases in traditional surgery. The healing duration in laser surgery was less than traditional surgery. Duration of return to work was 22 days & 23 days in laser & traditional surgeries respectively. Finally the pain score according to numeric pain scale was mild for laser surgery & moderate for traditional one.Conclusion: Laser surgery was better than traditional surgery in treatment of anal disease.