Short-term outcome comparison after laser hemorrhoidoplasty and Morgan-Milligan classic hemorrhoidectomy

Autor: Ludvig Letica, Ilija Perutina
Jazyk: English<br />Croatian
Rok vydání: 2022
Předmět:
Zdroj: Liječnički vjesnik, Vol 144, Iss 1-2, Pp 47-51 (2022)
Druh dokumentu: article
ISSN: 0024-3477
1849-2177
DOI: 10.26800/LV-144-1-2-6
Popis: Aim: The aim of this study is to compare hemorrhoid laser procedure with Morgan-Milligan surgical procedure for short-term outcome. Methods: The research sample included patients with verified 3rd or 4th stage hemorrhoidal disease. Twenty-five of them were provided surgical Morgan-Milligan treatment at the Clinic for Surgery at the University Clinical Hospital Mostar, and 25 underwent laser hemorrhoidoplasty treatment in a private polyclinic in Mostar. The part of the data collected from the hospital network system and medical history from the polyclinic supplied information about gender, operative technique, duration of hospitalization, and surgical treatment price. The other part of the data is composed of phone answers of patients about postoperative pain on the 1st, 7th, and 14th day after the procedure, pain duration, and recovery time duration. Results: The study has shown that more men (74%) were surgically treated for hemorrhoidal disease than women (26%). Hospitalization time was two hours after laser procedure, but about seven days after Morgan-Milligan procedure. There was a statistically significant difference between classic Morgan-Milligan hemorrhoidectomy (CHE) group and laser hemorrhoidoplasty (LHP) group regarding the short-term outcome. Pain intensity, measured by numerical rating scale, during the first day was 6.20 in CHE, and 3.48 in LHP group, after seven days 3.44 in CHE and 1.12 in LHP, and after 14 days 1.52 in CHE and 0.44 in LHP group. Pain duration after procedures was 14 days in CHE group compared to three in LHP. Recovery time duration was about 30 days in CHE group and five in LHP. Conclusion: Minimally invasive laser hemorrhoidoplasty procedure results in better short-term outcome than open surgical hemorrhoidectomy, but is more expensive. Our results suggest that intrahemorrhoidal diode laser treatment, if available, is preferred to open hemorrhoidectomy due to lower postoperative pain intensity, pain duration time, recovery time period, and hospitalization of two hours.
Databáze: Directory of Open Access Journals
Externí odkaz: