AN OBSERVATIONAL CLINICAL STUDY ON LASER TREATMENT FOR HEMORRHOIDS

Introduction:Hemorrhoidal disease is a widespread anorectal disorder, with prevalence rates in India reported to be as high as 36% in the general population.Globally, hemorrhoids constitute the most common colorectal condition, affecting between 3% and 29% of individuals,with symptomatic cases exceeding 4%.Traditional treatments predominantly involve open or closed hemorrhoidectomy procedures.With advances in minimally invasive techniques, laser therapy has gained traction as a promising alternative. Conventional procedures, such as the Milligan-Morgan hemorrhoidectomy, are frequently associated with considerable postoperative pain, bleeding, urinary retention, and occasional abscess development. Long-term adverse effects may include incontinence, fistula formation, and anal stenosis. To overcome these challenges, Burch et al. introduced the Laser Hemorrhoidoplasty (LHP), a tissue-sparing, minimally invasive approach designed for patients with symptomatic second- and third-degree hemorrhoids presenting minimal rectal prolapse.The technique focuses on coagulating terminal branches of the superior hemorrhoidal artery, which leads to a gradual reduction in hemorrhoidal tissue volume. Objective:-To establish Laser treatment of haemorrhoids as a better alternative to conventional procedures for Haemorrhoids.

Methods:-We studied 25 patients with haemorrhoidal disease. We operated patients ove a 6-month period, from 1 June 2024 to 30 December 2024. It included patients who underwent surgical treatment by Laser for first degree, second degree and third-degree haemorrhoids.