Laser Hemorrhoidoplasty Versus Ligasure Hemorrhoidectomy: A Comparative Analysis

Area of Science:

• Colorectal Surgery
• Minimally Invasive Surgical Techniques
• Hemorrhoidal Disease Treatment

Background:

• Minimally invasive surgical options for hemorrhoids are increasingly adopted.
• Laser hemorrhoidoplasty (LHP) and LigaSure™ (LigH) hemorrhoidectomy are prominent innovative techniques.

Purpose of the Study:

• To compare the effectiveness of LHP and LigH for grade III hemorrhoidal disease.
• Evaluate postoperative pain, recovery time, complications, and recurrence rates for both techniques.

Main Methods:

• Retrospective analysis of 100 patients (48 LHP, 52 LigH) with grade III hemorrhoids.
• Data collected included pain scores (VAS), return to activity, complications, and recurrence.

Main Results:

• LHP group had significantly shorter operation times and lower VAS pain scores on postoperative days 1 and 7.
• Patients in the LHP group returned to daily activities significantly faster (2.3 days vs. 4.6 days).
• LHP showed a higher recurrence rate (22%) compared to LigH (6%).

Conclusions:

• LHP is an effective surgical treatment for hemorrhoidal disease, associated with reduced morbidity and pain.
• LHP facilitates an earlier return to work and daily activities.
• While effective, LHP's recurrence rate requires consideration in treatment decisions.