Laser hemorrhoidoplasty versus open hemorrhoidectomy in Upper Egypt

Abstract

Background: Using a Hemorrhoid laser procedure (LHP) in this Comparative study was proved to be more effective, easily used, noninvasive, non-toxic, painless, and highly effective. Objective: Hemorrhoid laser procedure (LHP) is a recent maneuver for the management of hemorrhoids (piles) wherein the rectal arterial flow supplying the hemorrhoidal plexus is closed by laser coagulation. Aim of the work: the comparison of safety, efficacy and advantages of LHP with the open technique for the treatment of patients complained from hemorrhoids. Patient and method: This study was done at the department of general surgery, Al-Al zher university Hospital, Assuit, and Al-Rehab Hospital, between November 2019 and November 2020. 40 Patients complained for grade III hemorrhoids were combatable for this study. Those patients had been divided into 2 groups. Group I: Twenty patients managed by the LHP, and Group II: Twenty patients managed with open hemorrhoidectomy. Evaluation of the time of the operation, postoperative bleeding and pain with a visual analog scale, was done. Results: The number of male patients was 23 and female patients were 17. There were major considerable variations in regard of operative time, postoperative bleeding and early postoperative pain between laser hemorhoidoplasty and open surgical technique. There were statistically considerable differences among the 2 groups concerning the early postoperative period (p < 0.01). The Average operative time for LHP was 15.90 minutes versus 26.80 minutes for the open technique (p < 0.01). Conclusion: LHP had greater effectiveness than the open approach concerning Postoperative pain, bleeding and operative time.