Abstract

COMPARISON BETWEEN ANAL PROBLEMS SURGERY AND LASER MANAGEMENT

Dr. Wissam Hussein Sabbry*, Dr. Khalil Ibrahim Mohammad Hunoosh and Dr. Aws Mohammad Matrood AlJanabi

ABSTRACT

Hemorrhoids are very common anorectal diseases that affected any age groups and both genders. There are different and several options for treatment of patients with hemorrhoids. ranging from conservative approach with dietary modifications, rubber band ligation, sclerotherapy injection, diathermy coagulation, or minimal invasive procedures like; open surgical procedure and recently various types of laser was introduced such as carbon dioxide (CO2) laser, and the neodymium :yttrium – aluminum – garnet (Nd: YAG ) laser procedures. In our study, we choose all of them were free of medical diseases, those lie into two main groups, patients (males and females) with different age groups were treated with conventional open surgical.) hemorrhoidectomy operation, and patients (males and females) with different age groups were treated with minimally invasive diode laser hemorrhoidoplasty technique. Laser hemorrhoidoplasty technique is used to treat the patients with 2nd and 3rd degree hemorrhoids, as an outpatients procedure without causing any additional harm or injuries to the surrounding normal (healthy) tissues, and significantly less post-operative complications with very short operative time and very rapid return to the normal daily activities. Materials and Methods: Recently laser hemorrhoidoplasty has been available as a minimal invasive treatment for hemorrhoid problems. In the our study, which is comparative and prospective study, 25 patients were involved ,of which patients (20 males and 5 females) were treated with laser hemorrhoidoplasty This study was performed in . in Iraq, from October 2018 to February 2019. Results: The most common complaints were bleeding (57%) and pain (41%). Postoperative pain immediately and after 6 months was not significantly different between the two groups (p > 0.05). No complications were seen in any groups in follow-up. All eight scales of SF-36 questionnaire, except general health, were significantly different in the two groups. Physical functioning was lower in patients who underwent LHP, whereas the patients’ quality of life in other scales was better in the laser group. The total score of SF-36 was 66.1 ± 3.6 and 56.0 ± 3.3 in laser and surgery groups, respectively (p < 0.001). Conclusion: Laser hemorrhoidectomy is a safe procedure, not associated with any excessive postoperative complications. It improves patients’ quality of life and can be a substitution of other surgical methods.

Keywords: Laser hemorrhoidoplasty, Piles, Laser therapy, Hemorrhoidal bleeding, Post hemorrhoidoplasty complication.