A Clinical Study on Laser Hemorrhoidoplasty in a Tertiary Care Centre

Background: Hemorrhoidectomy is one of the most common surgical procedures performed routinely, and with the advances in Laser technology Laser Hemorrhoidoplasty is now an alternative to open method. The aim of this study was to determine the outcomes and postoperative complications of Laser Hemorrhoidoplasty. Patients and Methods: It was a Prospective Observational study done in 40 cases selected by Systemic Random Sampling method in those attending the General Surgery Outpatient Department in a Tertiary Care centre, for Laser Hemorrhoidectomy during a period of 6 months. Post operatively patients were followed for 12 months. Duration of the procedure, intraoperative complications, postoperative pain, and the resolution of hemorrhoids, and recurrence of hemorrhoids were analyzed. Results: In the study male patients were 60% and female cases were 40%. 65% of patients were in the age group of 40 – 50 years. Average intra operative time was 23min. There were no significant intra operative complications. Post operatively pain was less as per Visual Analogue Scale. There was no rectal tenesmus or alteration of defecation habits. Hemorrhoid symptoms and size reached approximately three to four months post-procedure. The frequency of pain, bleeding, pruritus ani, were decreased by 75-80%. There was a significant reduction in hemorrhoids with the rate of recurrence being 7% over 12 months of follow-up. Conclusion: Laser Hemorrhoidoplasty is a safe procedure, not associated with any excessive postoperative complications. It improves patient’s quality of life and can be a substitution of other surgical methods and as a day care procedure.