Volume 24, Issue 105, September - October, 2020

Laser Hemorrhiodoplasty for Treatment of Third and Fourth Degree Heamorrhiodes: A Pilot Study

Mohamed Ali Nada, Mahmoud Ahmed Farghaly, Ali Mohamed Nageb^♦

Department of Coloanal Surgery Unit, Faculty of Medicine-Ain Shams University, Cairo, Egypt

^♦Corresponding author
Ali Mohamed Nageb, Mobile: 01007028636; Email: dr.ali-nageb.gs@hotmail.com

ABSTRACT

Background: Patients’ postoperative discomfort and pain represent the most feared and complained complications after surgical hemorrhoidectomy. In response to the high request of painless treatments, in the recent years, many trials assisted to the widespread of minimal invasive and non-excisional techniques including, HAL, THD and stapled hemorrhoidopexy. Objective: The aim of this study is assessment of laser hemorrhiodoplasty for treatment of third and fourth degree hemorrhiods with follow up regarding; post-operative pain, bleeding, wound healing and hospital stay. Patients and Methods: This study was conducted at general surgery department of ain shams university hospital from December 2017 through December 2019. It included 20 patients 55% males and 45% females. Their age ranged from 28 to 60 years, with an average of 44 years (± 11.6). Patients aged 50 years and older represented 35% of all study participants. The majority of participants (75%) had grade III hemorrhoids. Results: In our study the operative time ranged from 15 to 30 minutes, with a mean of 19.3 minutes (± 4.37), while the hospital stay ranged from 12 to 18 hours, with a mean of 13.8 (± 2.82) hours. And with regarding the postoperative complications in our study, only two patients were complicated (10%). The first patient had pain (5%) and abscess (5%), while the second patient had bleeding (5%) and edema (5%). No fistula, no stricture, no incontinence, no recurrence have occurred. Conclusion: Laser hemorrhoidectomy is a safe and effective procedure associated with low incidence of post-operative complications and it is more effective in grade III than grade IV but we cannot generalize the results as it was a pilot study, so further investigations are needed with larger, preferably randomized and controlled trials to confirm the results of this study in the future.

Keywords: Hemorrhoidal artery ligation, hemorrhoidal dearterialization

Medical Science, 2020, 24(105), 3093-3100

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