Comparative Study between Laser Hemorrhoidoplasty Procedure versus Conventional Open Surgical Hemorrhoidectomy

Emad, Abd El-Salam Amer; Mohamed, Mohamed Fathi Labib; Metwally, Ahmed Sobhi Ragab

doi:https://doi.org/10.21608/aimj.2025.446499

Comparative Study between Laser Hemorrhoidoplasty Procedure versus Conventional Open Surgical Hemorrhoidectomy

Document Type : Original Article

Authors

Department of General Surgery, Faculty of Medicine for Boys, Al-Azhar University, Cairo, Egypt.

https://doi.org/10.21608/aimj.2025.446499

Abstract

Background: The Laser Hemorrhoidoplasty procedure is utilized in the management of 2nd- and 3rd-degree hemorrhoidal illness. The utilized energy must be minimized.
Aim: To compare the results of laser Hemorrhoidoplasty and open surgical Hemorrhoidectomy in cases with 2nd- and 3rd-degree piles, regarding complications, technical difficulties, and incidence of recurrence.
Patients and methods: This prospective research has been performed at Al-Azhar University Hospitals including forty cases with second and third degree hemorrhoids, who were categorized into two groups: Group A comprised twenty cases who underwent the Laser Hemorrhoidoplasty surgery, while Group B consisted of twenty cases who received open surgical Hemorrhoidectomy, throughout a period of twelve months beginning in May 2022.
Results: The open surgical Hemorrhoidectomy had a significantly longer operation than laser Hemorrhoidoplasty (p<0.001). The open surgical Hemorrhoidectomy had a significantly increased blood loss compared to laser Hemorrhoidoplasty (p-value less than 0.001). The open surgical Hemorrhoidectomy had a significantly increased hospital stay when compared to laser Hemorrhoidoplasty (p-value less than 0.001). Duration of return to work was significantly greater in group B than in group A. There was a statistically significant rise in Morphine dose (mg) in group B compared to group A (p-value less than 0.05).
Conclusion: Laser Hemorrhoidoplasty demonstrated superior outcomes in terms of time of operation, blood loss, hospitalization, pain management, and postoperative recovery compared to traditional open surgical Hemorrhoidectomy. These findings support laser techniques as a promising minimally invasive approach for hemorrhoid management.

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