The Comparison of Hemorrhoidal Laser Procedure and Classical(Ferguson) Surgical Hemorrhoidectomy Methods

Authors : Bülent HALLAÇLAR, Özgür ALBUZ

Pages : 37-42

Doi:10.18663/tjcl.1241303

View : 21 | Download : 9

Publication Date : 2023-03-23

Article Type : Research Paper

Abstract :Background:Generally, pathological hemorrhoids are more common in patients aged 45-65 years. Treatment options may vary according to the degree of hemorrhoids.We aimed to compare surgical treatment with classical surgical hemorrhoidectomiesinsert ignore into journalissuearticles values(CH,Ferguson procedure); and hemorrhoidal laser procedur methodsinsert ignore into journalissuearticles values(HeLP);in the treatment of grade III and grade IV hemorrhoids. Methods:Univariate analyses were performed using the Student’s t test for continuous variables and chi-squared test for dichotome variables.Data were analyzed with SPSS™for Windows18insert ignore into journalissuearticles values(SPSS, Chicago,IL);.All cases over the age of 18 and under the age of 65 without any malignancy diagnosis who underwent HeLP and CH methods due to gradeIII, gradeIV hemorrhoid disease were included in the study. Results:Totally 187 cases included in this study.The patients was 66.8%insert ignore into journalissuearticles values(n:125,male);vs.female 33.2%insert ignore into journalissuearticles values(62);insert ignore into journalissuearticles values(p<0.05);.The distribution of patients according to who underwent HeLP by gender,it was found as[71.8%insert ignore into journalissuearticles values(n:89);male vs. female28.2%insert ignore into journalissuearticles values(35);insert ignore into journalissuearticles values(p<0.05);].For CH this distrubition rate was[male57.1%insert ignore into journalissuearticles values(n=36);vs.female42.9%insert ignore into journalissuearticles values(n=27);P<0.05].The complication rates between for procedures weren’t found statistically different from each other.CH[insert ignore into journalissuearticles values(n=66);insert ignore into journalissuearticles values(Complicative cases 9.5%insert ignore into journalissuearticles values(n:6);vs. HeLP[insert ignore into journalissuearticles values(n=116);complicative cases6.9%insert ignore into journalissuearticles values(n:8);insert ignore into journalissuearticles values(p=0.56);]. The difference between complication rates according to gender is examined;The complication rates of both procedures were similar in both gender too[64.3%insert ignore into journalissuearticles values(9);vs.35.7%insert ignore into journalissuearticles values(5);insert ignore into journalissuearticles values(p=0.8);].There wasn’t statistically significant results found in the comparison made in terms of the choice of procedure in terms of the average age.The patients who underwent CHinsert ignore into journalissuearticles values(40,9±13.7);years old vs.HeLPinsert ignore into journalissuearticles values(38,2±13,4);years oldinsert ignore into journalissuearticles values(p:0.2);was found.The bleeding complications were found significantly higher in the HeLP than in the CH[HeLp vs.CH for hematoma;8insert ignore into journalissuearticles values(89.9%);vs1insert ignore into journalissuearticles values(11.1%);insert ignore into journalissuearticles values(p<0.02);].The effects of HeLP on complications in terms of number of laser shots,wavelength,energy and application time were examined, statistically significant results weren\`t. Conclusion:The male population applying for hemorrhoid treatment was found to be significantly younger than females.The male gender preferred the HeLP procedure significantly compared to the females and the complication of hemorrhage was significantly higher in the laser procedure.
Keywords : hemorrhoids, laser, classical hemorrhoidectomy, comparison, HeLP