A Retrospective Study in the Evaluation of Complications of Laser Haemorrhoidectomy

Abstract

Background: The search for a minimally invasive surgical procedure to treat hemorrhoids by relying on laser technology has now allowed the introduction of various minimally invasive methods. Objective: This study aims to assess complications of haemorrhoidectomy according to the VAS scale and compare it with other studies. Materials and Methods: A retrospective study was conducted on 30 patients underwent laser hemorrhoidoplasty in the period between 2020 – 3 February to August 8 – 2020; where this study is specialized in patients with haemorrhoids in the third and fourth stage. This study included 30 patients with stage III and IV hemorrhoidoplasty were compared according to the laser technique. All patients were examined before the operation according to the standard scheme, which included rectal examination, proctoscopy, feature metre, and colonoscopy with blood flow assessment. The VAS scale was used to assess the severity of pain, as the verbal rating scale allows assessing the intensity of pain through a qualitative verbal assessment. The intensity of the pain is described in specific terms ranging from 0 (no pain) to 10 (worst pain). Results: This study included 30 patients, ranging in age from 26 to 60 years, who had laser haemorrhoidectomy. Exclusion criteria: emergency haemorrhoidectomy and surgery using another haemorrhoidectomy, age over 60 years, The most common complication in this study was Abscess in 6 patients with 19.4%, Hematoma was found in two patients with 6.5%, and no complications were found in 19 patients with 61.3%, and our study was compared with previously published studies, and the Finding of agreement in the results in terms of the type of complications and their reduction in addition to their severity, and this supports our current study. In terms of relying on laser technology to haemorrhoidectomy, laser haemorrhoidectomy indicated that it is a procedure that does not require hospitalization