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Research Journal of Medical Sciences

ISSN: Online 1993-6095
ISSN: Print 1815-9346
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Evaluation of Laser Hemorrhoidoplasty and a Combination Procedure of Finger Guided Hemorrhoidal Artery Ligation (FGHAL) and Laser Hemorrhoidoplasty for Surgical Treatment of Hemorrhoidal Cases in a Tertiary Care Centre: An Observational Study

Diptangshu Das, Manojit Barman, Arunava Jana and Pathik Shit
Page: 303-306 | Received 31 Dec 2023, Published online: 25 Feb 2024

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https://doi.org/10.36478/10.59218/makrjms.2024.4.303.306

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Abstract

The combination of laser hemorrhoidoplasty (LH) with Finger Guided Hemorrhoidal Artery Ligation (FGHAL) is a newer technique to treat patients with hemorrhoidal diseases. To evaluate the role of laser hemorrhoidoplasty (LH) and a combination procedure of FGHAL +LH for treatment of hemorrhoidal diseases to check the patient's efficiency, safety, and complication in the early and long‐term results. It is an observational study done from 1st July 2022 to 31st May 2023 and follow up for 6 months (October 2023), 80 patients were included in this study. Patients were evaluated in terms of duration of surgery, wound healing time, time to symptom relief, pre‐and postoperative Visual Analogue Scale (VAS) scores for pain and short term and long term complication rate. Out of 80 patients, 48(60%) were male and 32(40%) were female. The majority of cases belong to the age group 50‐59 years (38 cases‐ 47.5%). The most common indication for operative intervention was bleeding (100%) per rectum which is followed by pain. Although the local complications like local hematoma, pain/ burning sensation and thrombosis was more in the combined group (6.25 %) w.r.t LH (2.5%), the long term benefits of combined procedure was significant. Average wound healing time, time for symptom relief and pain score was comparably similar in both the groups after 1 week, 1 month and 6 month follow up however chance of recurrence is minimal in the latter group. A combination procedure (FGHAL+LH) might be an acceptable treatment modality in patients with haemorrhoidal diseases with a low level of complication rate when compared to Laser Hemorrhoidoplasty alone. However, multicentric larger number of cases are needed to derive any proper conclusion.

How to cite this article:

Diptangshu Das, Manojit Barman, Arunava Jana and Pathik Shit. Evaluation of Laser Hemorrhoidoplasty and a Combination Procedure of Finger Guided Hemorrhoidal Artery Ligation (FGHAL) and Laser Hemorrhoidoplasty for Surgical Treatment of Hemorrhoidal Cases in a Tertiary Care Centre: An Observational Study.
DOI: https://doi.org/10.36478/10.59218/makrjms.2024.4.303.306
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2024.4.303.306