Chong, H.Y. and Roslani, April Camilla and Rajandram, Retnagowri and Kumar, S. and Malik, A.A. and Law, C.W. and Chan, S.H. and Rajasingam, V. and Kasipillai, J. (2022) Clinical short-term outcomes of laser hemorrhoidoplasty: A multicenter study. Journal of Health and Translational Medicine, 25 (2). 73 -78. ISSN 18237339, DOI https://doi.org/10.22452/jummec.vol25no2.12.
Full text not available from this repository.Abstract
Background: Laser hemorrhoidoplasty (LHP) is a treatment for symptomatic internal hemorrhoids. Nevertheless, there are disparities in the technique employed, including combining it with pedicle ligation. We aimed to investigate if short-term clinical outcomes were different between patients undergoing LHP with and without pedicle. Methods: Patients who underwent LHP from a prospective registry of 3 centers were identified. Demographics, severity, symptoms, operative technique, post-operative pain, complications, and recurrence were investigated. Sub-investigation of patients with simultaneous pedicle ligation, and without, was performed. Statistical analysis was done using the χ2 test. P values <0.05 were noted as statistically significant. Results: One hundred and two patients (59.8 male) of a mean age of 45 years were assessed. Most (62.7) had 3rd degree hemorrhoids. Median operative time was 24 minutes (10-60 minutes) minutes. Post-operative length of stay was 26 hours (2-168 hours) hours. Median pain score 24 hours post-operatively was 0/10. The general complication percentage was 26.5, but majority complications were self-limiting. The most common complication was post-operative swelling (16 patients; 15.7). Post-operative bleeding was seen in 9 patients (8.8) at a median of 7 (1-14) days, 3 of whom needed operation and readmission. Then 4 patients (3.9) had moderate-to-severe pain (pain score of more than 5/10), 2 patients (2.0) developed ulceration and 3 patients (2.9) had recurrence, were treated conservatively. Patients with pedicle ligation had a higher complication (33.3 vs. 14.8; p=0.08), mainly bleeding and swelling but not statistically significant. Conclusions: LHP demonstrates good short-term outcomes with minimal complication and recurrence incidences. Supplementary ligation of pedicles does not provide additional benefits, and in fact, may worsen outcomes. © 2022, Faculty of Medicine, University of Malaya. All rights reserved.
| Item Type: | Article |
|---|---|
| Funders: | None |
| Uncontrolled Keywords: | Hemorrhoids; Ligation; Outcomes; Pedicle; Short-term |
| Subjects: | R Medicine > RC Internal medicine R Medicine > RD Surgery |
| Divisions: | Faculty of Medicine |
| Depositing User: | Ms. Juhaida Abd Rahim |
| Date Deposited: | 05 Dec 2023 02:37 |
| Last Modified: | 05 Dec 2023 02:37 |
| URI: | http://eprints.um.edu.my/id/eprint/43860 |
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