ABSTRACT

Introduction: Hemorrhoids are a prevalent anorectal disorder. Patients with hemorrhoids may have a number of symptoms, including bleeding, itching, prolapsing, mucus discharge, and discomfort (complex piles), but the main symptoms are bleeding and prolapse.

The purpose of the study is to make a comparison regarding the safety, efficiency, and usefulness of laser hemorrhoidoplasty with the conventional surgical procedure used in the treatment of hemorrhoids.

Method: Consent was obtained from all patients. Per rectal exam and proctoscopy have been done. Blood film, blood sugar, hepatic and renal figures, and coagulation profiles were performed. 80 patients were treated with laser hemorrhoidoplasty or open surgical hemorrhoidectomy. This research was conducted between May 2020 and November 2021 at various private hospitals and specialized centers in Baghdad and Babylon cities.

Results: The LHP was conducted on 40 patients with third-degree hemorrhoids. 16 women and 24 men mean age of 47 ± 12.6. (Table 1). 40 grade III hemorrhoids and/or prolapse patients underwent open surgery. 22 men and 18 women, mean age 49.13. Group I's average hospital stay was 2 to 4 hours, whereas Group II's was from 6 to 12 hours (mean 13.8). 2. Operative time in group I 15.90 ± 3.5 min and 26.80 ± 5.8 min in group II (p0.01) (Table 3). Group I reported less postoperative pain Tables 4,5. In Group II, excess mucosal resection caused two recurrences and strictures. Group I had 2 early discomfort patients and group II had 5. Group I bleeding occurs in two patients (one receiving 100 mg aspirin, the other 75 mg clopidogrel), and three patients in Group II patients. No transfusions were needed. 3 LHP and 5 open hemorrhoidectomy patients had post-operative oedema.

Conclusion: LHP is more effective than open hemorrhoidectomy in treating third-degree piles and has lesser postoperative complications. LHP trumps open surgical hemorrhoidectomy. Less post-op pain. Laser surgery is quicker.