LASER Haemorroidectomy for 2nd and 3rd Degree Piles

Abstract Background: According to the "vascular" theory, arterial overflow in the superior hemorrhoidal arteries would lead to dilatation of the hemorrhoidal venous plexus. Hemorrhoid LASER procedure (He-LP) is a new laser procedure for outpatient treatment of hemorrhoids in which hemorrhoidal arterial flow feeding the hemorrhoidal plexus is stopped by laser coagulation. Aim of Study: The aim of our study was to assess the outcome of hemorrhoidal dearterialisation by a laser energy device. Patients and Methods: From November 2018 to November 2019, 51 patients with second-or third-degree hemorrhoids were studied. The aim was a decrease in the bleeding rate and decrease post-operative complications, reduction in pain and prolapse, resolution of symptoms, and degree of patient's perception of improvement. The rate and degree of symptoms was evaluated with a four-point verbal rating scale. The rate of subjective symptomatic improvement was also assessed with the Patient Global Improvement (PGI) Scale. Results: Mean bleeding and pain scores at baseline were 2 and 0.57. All the patients were discharged on the day of surgery. Post-operative complications were bleeding and external hemorrhoidal thrombosis. Mean bleeding and pain scores at 1 and 3 months were reduced. Conclusions: LASER procedure was effective in improv-ing bleeding and pain symptoms in patients with grade II and III piles.