The Laser Therapy for Hemorrhoidal Disease: A Prospective Study

Area of Science:

• Colorectal Surgery
• Minimally Invasive Procedures
• Laser Therapy

Background:

• Hemorrhoid disease (HD) affects a significant portion of the population, often requiring treatment for symptomatic relief.
• Grades 2 and 3 hemorrhoids with mild rectal prolapse present a common clinical challenge.
• Minimally invasive surgical options are sought to improve patient outcomes and reduce recovery times.

Purpose of the Study:

• To evaluate the outcomes and postoperative complications of the hemorrhoidal laser procedure (HeLP).
• To assess the efficacy of HeLP in managing symptomatic grades 2 and 3 hemorrhoids with mild rectal prolapse.

Main Methods:

• Prospective data collection on 100 patients undergoing HeLP for grades 2-3 hemorrhoids.
• Evaluation of procedure duration, intraoperative and postoperative complications, pain levels, and symptom resolution.
• Assessment of hemorrhoid declivity, persistence, resolution, and recurrence over a median nine-month follow-up.

Main Results:

• No intraoperative complications were reported.
• Postoperative pain was minimal to none, with no significant alteration in defecation habits.
• Significant reduction in hemorrhoid symptoms (pain, bleeding) by 75-80% within 3-7 months.
• A 7% recurrence rate observed over 12 months.

Conclusions:

• HeLP is an effective, safe, and minimally painful ambulatory treatment for symptomatic grades 2-3 hemorrhoids with mild rectal prolapse.
• The procedure demonstrates favorable outcomes in terms of symptom resolution and low recurrence.
• HeLP offers a viable alternative for managing specific grades of hemorrhoid disease.