Comparison of laser haemorrhoidoplasty and ferguson haemorrhoidectomy in treating grade III and grade IV haemorrhoids: A prospective randomised study

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dc.authorid0000-0002-4481-2161
dc.contributor.authorMert, Tuba
dc.date.accessioned2023-01-13T09:18:54Z
dc.date.available2023-01-13T09:18:54Z
dc.date.issued2023
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Genel Cerrahi Ana Bilim Dalı
dc.description.abstractObjective: To compare the efficiency and safety of laser haemorrhoidoplasty (LH) with Ferguson haemorrhoidectomy (FH) in patients with third- and fourth-grade haemorrhoids. Study Design: Randomised controlled trial. Place and Duration of Study: General Surgery Clinic, Medipol University Pendik Hospital, İstanbul, Turkey, from 1st December 2021 to 1st May 2022. Methodology: The patients who had an indication for surgery for grade III or grade IV haemorrhoidal disease (HD) and who were 18 years and older were randomly allocated to the two study groups. While LH was performed using a 980-diode laser in the patients enrolled in the laser group, a standard FH was performed using diathermy in the patients in the second study group. The length of surgery (LOS), the number of excised lumps, wound healing time, time to symptom relief, pre- and postoperative Visual Analogue Scale (VAS) scores and the difference between them (? VAS), and complication rates were compared between two study groups. Results: LH had less LOS with a similar number of excised lumps, furthermore, it provided faster-wound healing and less time-to-symptom relief when compared to FH. The median VAS score decreased from 5 to 0 in the LH group and from 5 to 2 in FH, and ? VAS scores of the groups were statistically significantly different (p<0.001). LH also had better outcomes than FH in terms of having any type of postoperative complication. Conclusion: LH might be an alternative treatment modality in patients with grade III and grade IV HD with a low level of complication rate.
dc.identifier.citationMert, T. (2023). Comparison of laser haemorrhoidoplasty and ferguson haemorrhoidectomy in treating grade III and grade IV haemorrhoids: A prospective randomised study. Journal of the College of Physicians and Surgeons Pakistan, 33(1), 41-46. https://dx.doi.org/10.29271/jcpsp.2023.01.41
dc.identifier.doi10.29271/jcpsp.2023.01.41
dc.identifier.endpage46
dc.identifier.issn1022-386X
dc.identifier.issn1681-7168
dc.identifier.issue1
dc.identifier.pmid36597234
dc.identifier.scopus2-s2.0-85145330348
dc.identifier.scopusqualityQ4
dc.identifier.startpage41
dc.identifier.urihttps://dx.doi.org/10.29271/jcpsp.2023.01.41
dc.identifier.urihttps://hdl.handle.net/20.500.12511/10306
dc.identifier.volume33
dc.identifier.wos001089305300007en_US
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorMert, Tuba
dc.language.isoen
dc.publisherCollege of Physicians and Surgeons Pakistan
dc.relation.ispartofJournal of the College of Physicians and Surgeons Pakistanen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectHaemorrhoidectomy
dc.subjectHaemorrhoids
dc.subjectLaser Therapy
dc.subjectOperative Time
dc.subjectPain Measurement
dc.subjectPostoperative Complications
dc.titleComparison of laser haemorrhoidoplasty and ferguson haemorrhoidectomy in treating grade III and grade IV haemorrhoids: A prospective randomised study
dc.typeArticle

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