Hemorrhoid laser procedure for second- and third-degree hemorrhoids: results from a multicenter prospective study

Area of Science:

• Colorectal Surgery
• Minimally Invasive Procedures
• Hemorrhoid Treatment

Background:

• Hemorrhoids are a common condition requiring effective treatment.
• Hemorrhoidal dearterialization aims to reduce arterial blood supply to hemorrhoidal cushions.
• Laser energy devices offer a novel approach to surgical interventions.

Purpose of the Study:

• To evaluate the effectiveness of laser hemorrhoidal dearterialization for grade II and III hemorrhoids.
• To assess postoperative complications, pain, prolapse, and patient-reported outcomes.

Main Methods:

• A prospective study of 51 patients with grade II/III hemorrhoids from Nov 2012 to Dec 2014.
• Hemorrhoidal dearterialization using a diode laser device to ligate terminal arterial branches.
• Assessment of symptoms (bleeding, pain, prolapse) and Patient Global Improvement (PGI) scale over 24 months.

Main Results:

• Significant reduction in bleeding and pain scores observed at 3, 12, and 24 months.
• Complete bleeding resolution in 96.7% and pain resolution in 100% of patients at 24 months.
• High patient satisfaction reported, with 86.3% improved at 12 months per PGI scale.

Conclusions:

• Hemorrhoid laser procedure is effective for improving bleeding and pain in grade II and III hemorrhoids.
• The procedure demonstrates favorable long-term outcomes regarding symptom resolution and patient satisfaction.