OUTCOME OF PATIENTS WITH HEMORRHOIDAL DISEASE TREATED BY HYBRID DIGITAL HEMORRHOIDAL ARTERY LIGATION WITH LASER HEMORRHOIDOPLASTY
DOI:
https://doi.org/10.22159/ajpcr.2023v16i9.49383Keywords:
Digital Haemorrhoidal Artery Ligation, Haemorrhoidoplasty, Outcome, RecurrenceAbstract
Objectives: The objectives of the study are as follows: (1) To analyze the efficacy of hybrid digital hemorrhoidal artery ligation (HAL) with laser hemorrhoidectoplasty in terms of post-operative pain as well as time taken to return to daily routine activities. (2) To analyze complications as recurrence rates in studied patients.
Methods: This was a prospective study conducted in the Department of General Surgery, GMERS Medical College Navsari, Gujarat, India. Sixty adult patients with haemorrhoids were included in the study on the basis of a predefined inclusion and exclusion criteria. All patients underwent HAL with laser hemorrhoidectoplasty. Patients were followed up for pain (as assessed by Visual Analog score), per rectal bleeding and whether they have completely returned to their pre-intervention activities. Complications and recurrence rates were also analyzed.
Results: There were 38 (63.33%) males and 22 (36.67%) females with male preponderance having an M: F ratio of 1:0.57. The mean age of the studied cases was found to be 43.24±13.98 years. The most common presenting complaint was rectal bleeding which was seen in 54 (90%) patients followed by pain (80%) and pruritis (30%). Prolapse was seen in 12 (20%) patients. The mean duration of post-operative bleeding was 28.36±9.86 h. Mean duration when pain-free bowel movement occurred was found to be 21.86±12.76 h. At 1-month follow-up, pain has been reduced as compared to at the time of presentation and the difference was found to be statistically highly significant (p<0.0001). Mean duration of hospital stay was found to be 2.12±1.14 days. In 3 patients (5%), there was recurrence during follow-up period of 6 months.
Conclusion: Hybrid digital HAL with laser hemorrhoidoplasty is a minimally invasive procedure found to have excellent outcome, with respect to reduced post-operative pain and low complication rates.
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