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<p>Hemorrhoidal disease is an anorectal condition that is common and is often treated through surgery in high-grade cases. Although effective, open hemorrhoidectomy has high levels of perioperative morbidity. Another less invasive alternative is laser haemorrhoidectomy, but the comparative data of this method in the Indian secondary care centres are scarce. A comparative study was conducted at the Government Headquarters Hospital, Ramanathapuram, Tamil Nadu, between March 2021 and June 2022. The patients randomly assigned (<i>n</i> = 21 and <i>n</i> = 21) were divided into open and laser hemorrhoidectomy groups. There was an assessment of the outcomes as an Intraoperative Blood Loss (IBL), operative duration and postoperative pain, bleeding, and hospital stay. There was no significant difference in baseline demographics and clinical characteristics (<i>p</i> &gt; 0.05). The laser haemorrhoidectomy also had a significant shortening of the operating time (24.1 ± 7.8&#xa0;min vs. 43.3 ± 9.4&#xa0;min; <i>p</i> &lt; 0.001) and blood loss (16.5 ± 2.6 mL vs. 38.6 ± 4.4 mL; <i>p</i> &lt; 0.001). At 12 and 48&#xa0;h, respectively, the bleeding and pain after surgery were less in the laser group (<i>p</i> &lt; 0.05). Laser surgery had a short mean hospital stay (1.43 ± 0.51 days versus 2.52 ± 0.68 days; <i>p</i> &lt; 0.001). Laser hemorrhoidectomy has shown better short-term results over that of open surgery in terms of reduced operation time, pain, blood loss, and hospitalization. It is safe and effective as alternatives in which facilities are available. Multicentric studies are needed on a larger scale to evaluate long-term outcomes, recurrence, and cost-effectiveness.</p>

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Comparative Study of Open versus Laser Hemorrhoidectomy: Operative Duration and Postoperative Outcomes

  • 期刊论文

  • 发表日期：

    2026年5月28日

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  • Aswin Kumar G. S.,
  • Kannaki R.,
  • Dinesh Mukil N.

摘要

Hemorrhoidal disease is an anorectal condition that is common and is often treated through surgery in high-grade cases. Although effective, open hemorrhoidectomy has high levels of perioperative morbidity. Another less invasive alternative is laser haemorrhoidectomy, but the comparative data of this method in the Indian secondary care centres are scarce. A comparative study was conducted at the Government Headquarters Hospital, Ramanathapuram, Tamil Nadu, between March 2021 and June 2022. The patients randomly assigned (n = 21 and n = 21) were divided into open and laser hemorrhoidectomy groups. There was an assessment of the outcomes as an Intraoperative Blood Loss (IBL), operative duration and postoperative pain, bleeding, and hospital stay. There was no significant difference in baseline demographics and clinical characteristics (p > 0.05). The laser haemorrhoidectomy also had a significant shortening of the operating time (24.1 ± 7.8 min vs. 43.3 ± 9.4 min; p < 0.001) and blood loss (16.5 ± 2.6 mL vs. 38.6 ± 4.4 mL; p < 0.001). At 12 and 48 h, respectively, the bleeding and pain after surgery were less in the laser group (p < 0.05). Laser surgery had a short mean hospital stay (1.43 ± 0.51 days versus 2.52 ± 0.68 days; p < 0.001). Laser hemorrhoidectomy has shown better short-term results over that of open surgery in terms of reduced operation time, pain, blood loss, and hospitalization. It is safe and effective as alternatives in which facilities are available. Multicentric studies are needed on a larger scale to evaluate long-term outcomes, recurrence, and cost-effectiveness.