Our Clinic's Experience with Laser Hemorrhoidoplasty.

Abstract

Aim: we aim to present the outcomes of the Laser Hemorrhoidoplasty (LHP) procedure performed in our clinic. 
 Material and methods: In this retrospective study, we analyzed the outcomes of LHP performed on 112 patients in our clinic over a 24-month period. Patients were scheduled for follow-up visits at three weeks post-surgery, followed by subsequent follow-ups at three and six-month intervals.
 Results: Of the 112 patients, 73 (65.17%) were male, and 39 (34.82%) were female. The mean age was 52.6 years (range: 20-65). The mean operation duration was 18.3 minutes (range: 12-25). Seventy patients were classified as grade 2, while 42 patients were classified as grade 3. The mean hospital stay was 1.16 days. Among the 70 patients with grade 2 hemorrhoids, 5 were lost to follow-up, while 24 were followed up at 6 months and 41 at 1 year. One (1.42%) patient who attended the 1-year follow-up showed recurrence. Four patients (9.52%) showed recurrence. One patient with grade 3 hemorrhoids experienced postoperative bleeding lasting one week, requiring erythrocyte suspension replacement. Another patient with grade 3 hemorrhoids developed a hematoma, which resolved with conservative treatment. Eight patients (7.14%) with grade 3 hemorrhoids developed postoperative edema, all of whom improved with conservative treatment. Pain, evaluated using the Visual Analog Scale, was measured as 2.03 on the first postoperative day and 1.49 on the second postoperative day. 
 Conclusion: LH treatment has been found to be a successful alternative treatment option for Grade 2 and Grade 3 diseases. It is emphasized that patient selection is crucial in LH treatment.