Excision hemorrhoidectomy versus laser hemorrhoidoplasty in second and third degree hemorrhoids: a prospective cohort study

Abstract

Background Hemorrhoids are considered the commonest benign anorectal diseases globally, being the most annoying anorectal problem. They commonly present with discomfort, prolapse, and bleeding. Aim The aim of this study is to compare between surgical excision of hemorrhoids and laser hemorrhoidoplasty (LHP) in the treatment of second and third-degree hemorrhoids. Patients and methods The study was conducted on 80 patients. The patients were divided into two equal groups. First group underwent surgical excision of hemorrhoids while the second group underwent LHP. We compared the outcomes of surgical excision of hemorrhoids with LHP in the of duration of surgery, intraoperative bleeding, postoperative pain, postoperative hospital stay, and the time needed for work return and short and long-term postoperative complications. Results LHP had a significantly lower time of surgery, intraoperative blood loss and pain postoperative with no effect on defecation. There were no significant difference in the complications postoperative. Conclusion LHP is a safe and effective modality in treatment of second and third degree hemorrhoids and being more superior than traditional surgical excision of hemorrhoids.