A Prospective Randomized Study of Laser Hemorrhoidectomy and Open Hemorrhoidectomy in Patients with Grade III and Grade IV Hemorrhoids


Authors : Dr. Jyosthna B.V;' Dr. Senthil Narayan; Dr. Pandian P; Dr. Malaidevan E; Dr. Malainesan E

Volume/Issue : Volume 8 - 2023, Issue 3 - March

Google Scholar : https://bit.ly/3TmGbDi

Scribd : https://bit.ly/3mjvSE6

DOI : https://doi.org/10.5281/zenodo.7811101

To compare the outcomes of Laser Hemorrhoidectomy and Open Hemorrhoidectomy.  Objectives: To compare Operating time, postoperative complications like pain, bleeding, wound infection, and hospital stay length.  Materials and Methods:  Study Design: A prospective randomised controlled study. Over the course of two years, 80 patients are studied. Simple randomization divides the study population into two groups. Patients in Group A had laser hemorrhoidectomy, while patients in Group B had open hemorrhoidectomy. The visual analogue scale is used to compare postoperative pain in both groups. The pain is evaluated after 6 hours, 24 hours, 48 hours, the third day, and the seventh day. Postoperative complications such as bleeding and wound infection are evaluated.  Objective: Hemorrhoidectomy. The postoperative pain in both the groups is compared by visual analog scale. The pain is assessed at 6hours in first postoperative day, 24hours, 48hours, 3rd day and 7th day. Operating time and Postoperative complications such as bleeding, wound infection and are assessed.  Results: The mean difference in pain score between Laser Hemorrhoidectomy and open Hemorrhoidectomy at 6 hours, 24 hours, 48 hours, three days, and seven days was statistically significant (p-value 0.05) in our study. Our findings show that when compared to open hemorrhoidectomy, laser hemorrhoidectomy has lower pain scores. The average day of discharge in the study population was 1.05 ± 0.58 for Laser Haemorrhoidectomy and 3.08 ± 1 for open Haemorrhoidectomy. At 24 hours, 12 (30%) participants in the Laser Haemorrhoidectomy group and 22 (55%) participants in the Open Haemorrhoidectomy group had bleeding, according to our findings. The difference in proportion for bleeding after 24 hours was statistically significant between the study groups. (The p-value is 0.024). However, after 48 hours in the study population, 8 (20%) participants in the Laser Haemorrhoidectomy group and 10 (25%) participants in the Open Haemorrhoidectomy group had bleeding. In open hemorrhoidectomy, the operating time is 48.9 ±3.15 minutes, while laser hemorrhoidectomy takes 12.65 ±1.03 minutes. In the Open Haemorrhoidectomy group, 5 (12.5%) of the participants were infected. Infection occurred in 0 (0%) of the laser Haemorrhoidectomy participants.  Conclusion: Because of the ease of implementation, the lack of additional risks to the patient during the procedure, and the possibility of performing it as outpatient surgery, Laser Hemorrhoidectomy can be extremely beneficial and practical.

Keywords : Haemorrhoids, Open Vs Laser, Complications.

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