Authors :
Dr. Jyosthna B.V;' Dr. Senthil Narayan; Dr. Pandian P; Dr. Malaidevan E; Dr. Malainesan E
Volume/Issue :
Volume 8 - 2023, Issue 3 - March
Google Scholar :
https://bit.ly/3TmGbDi
Scribd :
https://bit.ly/3mjvSE6
DOI :
https://doi.org/10.5281/zenodo.7811101
Abstract :
To compare the outcomes of Laser
Hemorrhoidectomy and Open Hemorrhoidectomy.
Objectives:
To compare Operating time, postoperative
complications like pain, bleeding, wound infection, and
hospital stay length.
Materials and Methods:
Study Design:
A prospective randomised controlled study.
Over the course of two years, 80 patients are
studied. Simple randomization divides the study
population into two groups. Patients in Group A had
laser hemorrhoidectomy, while patients in Group B had
open hemorrhoidectomy. The visual analogue scale is
used to compare postoperative pain in both groups. The
pain is evaluated after 6 hours, 24 hours, 48 hours, the
third day, and the seventh day. Postoperative
complications such as bleeding and wound infection are
evaluated.
Objective:
Hemorrhoidectomy. The postoperative pain in
both the groups is compared by visual analog scale. The
pain is assessed at 6hours in first postoperative day,
24hours, 48hours, 3rd day and 7th day. Operating time
and Postoperative complications such as bleeding,
wound infection and are assessed.
Results:
The mean difference in pain score between Laser
Hemorrhoidectomy and open Hemorrhoidectomy at 6
hours, 24 hours, 48 hours, three days, and seven days
was statistically significant (p-value 0.05) in our study.
Our findings show that when compared to open
hemorrhoidectomy, laser hemorrhoidectomy has lower
pain scores. The average day of discharge in the study
population was 1.05 ± 0.58 for Laser
Haemorrhoidectomy and 3.08 ± 1 for open
Haemorrhoidectomy. At 24 hours, 12 (30%)
participants in the Laser Haemorrhoidectomy group
and 22 (55%) participants in the Open
Haemorrhoidectomy group had bleeding, according to
our findings. The difference in proportion for bleeding
after 24 hours was statistically significant between the
study groups. (The p-value is 0.024). However, after 48
hours in the study population, 8 (20%) participants in
the Laser Haemorrhoidectomy group and 10 (25%)
participants in the Open Haemorrhoidectomy group
had bleeding. In open hemorrhoidectomy, the operating
time is 48.9 ±3.15 minutes, while laser
hemorrhoidectomy takes 12.65 ±1.03 minutes. In the
Open Haemorrhoidectomy group, 5 (12.5%) of the
participants were infected. Infection occurred in 0 (0%)
of the laser Haemorrhoidectomy participants.
Conclusion:
Because of the ease of implementation, the lack of
additional risks to the patient during the procedure, and
the possibility of performing it as outpatient surgery,
Laser Hemorrhoidectomy can be extremely beneficial
and practical.
Keywords :
Haemorrhoids, Open Vs Laser, Complications.
To compare the outcomes of Laser
Hemorrhoidectomy and Open Hemorrhoidectomy.
Objectives:
To compare Operating time, postoperative
complications like pain, bleeding, wound infection, and
hospital stay length.
Materials and Methods:
Study Design:
A prospective randomised controlled study.
Over the course of two years, 80 patients are
studied. Simple randomization divides the study
population into two groups. Patients in Group A had
laser hemorrhoidectomy, while patients in Group B had
open hemorrhoidectomy. The visual analogue scale is
used to compare postoperative pain in both groups. The
pain is evaluated after 6 hours, 24 hours, 48 hours, the
third day, and the seventh day. Postoperative
complications such as bleeding and wound infection are
evaluated.
Objective:
Hemorrhoidectomy. The postoperative pain in
both the groups is compared by visual analog scale. The
pain is assessed at 6hours in first postoperative day,
24hours, 48hours, 3rd day and 7th day. Operating time
and Postoperative complications such as bleeding,
wound infection and are assessed.
Results:
The mean difference in pain score between Laser
Hemorrhoidectomy and open Hemorrhoidectomy at 6
hours, 24 hours, 48 hours, three days, and seven days
was statistically significant (p-value 0.05) in our study.
Our findings show that when compared to open
hemorrhoidectomy, laser hemorrhoidectomy has lower
pain scores. The average day of discharge in the study
population was 1.05 ± 0.58 for Laser
Haemorrhoidectomy and 3.08 ± 1 for open
Haemorrhoidectomy. At 24 hours, 12 (30%)
participants in the Laser Haemorrhoidectomy group
and 22 (55%) participants in the Open
Haemorrhoidectomy group had bleeding, according to
our findings. The difference in proportion for bleeding
after 24 hours was statistically significant between the
study groups. (The p-value is 0.024). However, after 48
hours in the study population, 8 (20%) participants in
the Laser Haemorrhoidectomy group and 10 (25%)
participants in the Open Haemorrhoidectomy group
had bleeding. In open hemorrhoidectomy, the operating
time is 48.9 ±3.15 minutes, while laser
hemorrhoidectomy takes 12.65 ±1.03 minutes. In the
Open Haemorrhoidectomy group, 5 (12.5%) of the
participants were infected. Infection occurred in 0 (0%)
of the laser Haemorrhoidectomy participants.
Conclusion:
Because of the ease of implementation, the lack of
additional risks to the patient during the procedure, and
the possibility of performing it as outpatient surgery,
Laser Hemorrhoidectomy can be extremely beneficial
and practical.
Keywords :
Haemorrhoids, Open Vs Laser, Complications.