Medical Science
Volume 24, Issue 104, July - August, 2020
Laser hemorrhoidoplasty versus circumferential stapler hemorrhoidopexy: The early and mid-term results
Tran Vinh Hung1, Duong Van Hai2, Huynh Quang Huy3♦
1Binh Dan Hospital, Ho Chi Minh City, General Surgery Department, Pham Ngoc Thach University of Medicine, Vietnam
2Binh Dan Hospital, Ho Chi Minh City University of Medicine and Pharmacy, Vietnam
3Radiology department, Pham Ngoc Thach University of Medicine, Vietnam; Email: huyhq@pnt.edu.vn
♦Corresponding author
Radiology department, Pham Ngoc Thach University of Medicine,
Vietnam;
Email: huyhq@pnt.edu.vn
ABSTRACT
Background: Laser hemorrhoidoplasty (LHP) is a minimally-invasive, less, or nearly no pain treatment for symptomatic hemorrhoids
with short operative time and hospitalization. The purpose of this study was to compare this procedure with Circumferential Stapler
Hemorrhoidopexy (CSH). Methods: Patients with symptomatic hemorrhoids in grade II to grade IV were selected according to the
selection criteria and the sample size. The two techniques were evaluated concerning the operative time, postoperative pain,
complications, and hospitalization. Results: There were 204 patients treated with LHP with 1470 nm wavelength diode laser, and 200
ones underwent Circumferential Hemorroidopexy. Grade III hemorrhoids were more common (77.5% in the LHP group and 94% in
CSH group). The mean operative time between the two groups was similar. Postoperative pain was significantly less in the LHP
group only on the day of operation. Mean hospital stay had not much different (1.33 days in LHP group and 1.66 days, p < 0.001).
The overall incidence of complications in the LHP group was significantly lower than in the CSH group (8.8% and 15.5%, p = 0.040).
The minimum follows–up was four months; the maximum follow – up was 38 months. Conclusions: LHP is safe, minimally invasive,
and has an equivalent effect with CSH with fewer overall complications, especially anal stenosis.
Keywords: Circumferential Stapled Hemorrhoidopexy, Laser Hemorrhoidoplasty.
Medical Science, 2020, 24(104), 2295-2301
