Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
Background: The conventional haemorrhoid surgery is being rapidly replaced by the use of laser, mostly in the western countries. India being a developing country, the use of laser for diagnosedcasesofgrade2, grade 3 andgrade4haemorrhoiddiseaseis limitedto few centers only. Our objective is to study the results of laser Haemorrhoidoplasty in patients diagnosed with grade 2, grade 3 and grade 4 hemorrhoids. Methods:Thisobservationalstudy includestheresultsofdiagnosed casesofgrade2,grade3 andgrade4haemorrhoidaldiseasetreatedwithlasersurgerybetweenJanuary2020toJanuary 2022; followed by a follow up of 1 year. Written informed consent was taken from all the subjects. All the informations regarding the patients have been randomized and recorded accordingly. Results: Out of the total 140 patients who were included in the study, In with Recurrence, 5 (12.5%) patients had Additional surgical procedure. Association of Additional surgical procedure with Recurrence was not statistically significant (p=0.6657).In with Recurrence, 5 (27.78%) patients had Grade 2, 9 (50%) patients had Grade 3 and 4 (22.22%) patients had Grade 4. Association of Grade with Recurrence was not statistically significant (p=0.1169).In with Recurrence, 10 (20.83%) patients had Complication. Association of Complication with Recurrence was statistically significant (p=0.0229).In with Recurrence, 7 (16.67%) patients had Second LHP. Association of Second LHP with Recurrence was not statistically significant (p=0.8097).In with Recurrence, 9 (20.45%) patients had Internal Pouch Count 1, 25 (56.82%) patients had Internal Pouch Count 2 and 10 (22.73%) patients had Internal Pouch Count 3. Association of Internal Pouch Count with Recurrence was not statistically significant (p=0.1287).In with Recurrence, 15 (37.5%) patients had ASA score 1, 20 (50%) patients had ASA score 2 and 5 (12.5%) patients had ASA score 3. Association of Internal Pouch Count with Recurrence was statistically significant (p=0.0481). In with Recurrence, 18 (37.5%) patients had Asthma/ COPD. Association of Asthma/ COPD with Recurrence was not statistically significant (p=0.7546). Conclusions: Laser Haemorrhoidoplasty procedure is a reliable for treating all the grade 2, grade3andgrade4haemorrhoidalcases.Asperthis studyresults,it canbe clearlystated that lasersurgeryishighlyeffectiveforgrade2andgrade3.Forbetterunderstandingmulticentric, large series studies are needed.
How to cite this article:
Diptangshu Das, Arunava Jana and Manojit Barman. Laser Haemorrhoidoplasty for 2nd, 3rd and 4th Degree Haemorrhoids: An Observational Study.
DOI: https://doi.org/10.36478/10.59218/makrjms.2024.3.123.128
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2024.3.123.128