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

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 hemorrhoidectomies(CH,Ferguson procedure) and hemorrhoidal laser procedur methods(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 Windows18(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%(n:125,male)vs.female 33.2%(62)(p<0.05).The distribution of patients according to who underwent HeLP by gender,it was found as[71.8%(n:89)male vs. female28.2%(35)(p<0.05)].For CH this distrubition rate was[male57.1%(n=36)vs.female42.9%(n=27)P<0.05].The complication rates between for procedures weren’t found statistically different from each other.CH[(n=66)(Complicative cases 9.5%(n:6)vs. HeLP[(n=116)complicative cases6.9%(n:8)(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%(9)vs.35.7%(5)(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 CH(40,9±13.7)years old vs.HeLP(38,2±13,4)years old(p:0.2)was found.The bleeding complications were found significantly higher in the HeLP than in the CH[HeLp vs.CH for hematoma;8(89.9%)vs1(11.1%)(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
• hemorrohoidectomy
• help
• comparison

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