WORLD JOURNAL OF ADVANCE
HEALTHCARE RESEARCH

*Dr. Nashwan Ahmed Al-Yamoor, Dr. Aws Nezar Thanoon Al-Dabagh, Dr. Khalid Abdulkader Hamed Al-Dabbagh

ABSTRACT

Background: Hemorrhoids are specialized submucosal tissue cushions found in the anal canal. Typical symptoms include painless rectal bleeding, anal pain, itching, discharge, and hemorrhoidal tissue prolapse. Hemorrhoids are treated based on their severity; minor cases can be managed without surgery, while severe cases require surgery. Various treatment options include band ligation, stapled hemorrhoidopexy, sclerotherapy, Doppler-guided artery ligation, hemorrhoidal dearterialization, and surgical excision. Objectives: To compare the clinical outcomes between laser treatment and traditional surgical treatment of hemorrhoids. Methods: The study included 100 patients. Those with coagulopathy, inflammatory bowel disease, or previous anorectal surgery were excluded. The study patients were divided into two groups: laser hemorrhoidectomy (Group A) and open hemorrhoidectomy (Group B). The study questionnaire was divided into four parts. Part one for the sociodemographic information. Part two for the operative time. Part three for postoperative pain assessment according to the Visual Analogue Score (VAS) at 24 hours, hospital stay, time to return to normal activity, early postoperative complications such as bleeding, infection, failure of operation and urinary retention. And part four for follow up visit at 6-months for late postoperative complications such as stenosis, incontinence, and recurrence. Results: Group A showed significantly reduced postoperative pain, a faster recovery, and a shorter hospital stay compared to Group B. However, the rates of hemorrhoid recurrence were comparable in both groups. Consequently, the study concluded that laser hemorrhoid treatment provides a less painful and faster alternative to traditional surgery, although long-term results remain similar. Conclusions: Laser hemorrhoidoplasty is a safer, effective, and less painful alternative to conventional surgical hemorrhoidectomy. It dramatically decreases hospitalization time and enhances surgical recovery. However, both techniques are equally effective in preventing long-term complications.