Systematic Review and Meta-Analysis of Laser Haemorrhoidectomy versus Conventional Surgical Haemorrhoidectomy in Management of II- and III-Degree Haemorrhoid.

Document Type : Original Article

Authors

Department of General Surgery, Faculty of Medicine, Ain Shams University, Egypt

Abstract

Introduction: Hemorrhoidal disease (HD) is a widespread anorectal condition affecting millions of people around
the world and representing a major medical and socioeconomic issue, severely influencing patients’ quality of life.
Laser hemorrhoidoplasty (LHP) is a new minimal invasive, safe and effective procedure for day-surgery treatment
of symptomatic haemorrhoids.
Aim of work: This review seeks to establish, through the available literature that compare between laser
haemorrhoidoplasty and conventional surgical haemorrhoidectomy in management of II- and III-degree haemorrhoid
as regard to operative time, postoperative pain, clinical outcomes and complication.
Patients and methods: A systematic review of literature was conducted including all relevant randomized
controlled trials and prospective comparative cohort studies on laser hemorrhoidoplasty versus conventional
surgical haemorrhoidectomy in management of II- and III-degree haemorrhoid.
Results: Laser hemorrhoidoplasty in II-III degree haemorrhoids is a good, safe, and effective alternative to
conventional hemorrhoidectomy, with a shorter operative time, reduced intraoperative bleeding, and less
postoperative pain. The postoperative anal stenosis and urine retention are also reduced in the LH group. Our study
didn’t find statistically significant difference between both groups regarding acute thrombosis and recurrence rate.
Conclusion: Our findings suggest that laser hemorrhoidoplasty is a minimally invasive technique that can be safely
applied in suitable grade II–III patients, offering lower postoperative pain rates up till the first postoperative month,
fewer complications, and improved postoperative quality of life compared to conventional surgical hemorrhoidectomy,
and therefore LHP seems to be superior in terms of patient satisfaction in the early postoperative period.

Keywords

Ain Shams Journal of Surgery
Volume 17, Issue 2
April 2024
Pages 179-196

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