LASER Haemorrhoidoplasty versus Stapler Haemorrhoidopexy: A Prospective Comparative Study

Area of Science:

• Colorectal Surgery
• Minimally Invasive Procedures
• Medical Technology Innovation

Background:

• Hemorrhoids, particularly grade III-IV, pose a significant clinical challenge.
• Traditional surgical interventions often involve considerable pain, blood loss, and recovery time.
• Stapler Haemorrhoidopexy (SH) is a common but not complication-free treatment option.

Purpose of the Study:

• To prospectively compare the efficacy and safety of LASER Haemorrhoidoplasty (LH) against Stapler Haemorrhoidopexy (SH).
• To evaluate key outcomes including operative time, blood loss, pain, hospital stay, and complication rates.
• To determine the optimal treatment for grade III-IV hemorrhoids.

Main Methods:

• A prospective comparative study involving 84 patients with grade III-IV hemorrhoids.
• Patients were equally divided into two groups: LASER Haemorrhoidoplasty (LH) and Stapler Haemorrhoidopexy (SH).
• Data on operative time, blood loss, pain scores (VAS), hospital stay, and complications were collected over a 4-month follow-up period.

Main Results:

• LASER Haemorrhoidoplasty (LH) demonstrated significantly shorter operative times (28.6 min vs 36.2 min) and less blood loss (6.42 ml vs 12.6 ml) compared to SH.
• Postoperative pain scores were markedly lower in the LH group at 12 hours (3.8 vs 6.81) and 24 hours (2.6 vs 4.6).
• Complication rates were significantly lower in the LH group (2.4%) versus the SH group (16.7%), with shorter hospital stays and earlier return to work observed for LH.

Conclusions:

• LASER Haemorrhoidoplasty (LH) is a highly effective and safe alternative for treating grade III-IV hemorrhoids.
• LH offers significant advantages over Stapler Haemorrhoidopexy (SH), including reduced pain, blood loss, and complications.
• The procedure is associated with shorter hospital stays and faster recovery, making it a superior option for patients.