Introduction: According to the vascular theory arterial
overflow in the superior haemorrhoidal arteries would lead
to dilatation of the haemorrhoidal venous plexus. The
technique helps to promote the obliteration of the terminals
of the superior rectal artery. The objective of this study is to
describe the results of 100 patients with hemorrhoidal disease
treated by the Hemorrhoidal LASER Procedure technique.
Method: Under SAB anesthesia terminal arteriole of the
upper rectal arteries were fulgurated by fiber laser diode,
causing interruption of hemorrhoidal flow. This procedure
is repeated circumferentially, following the clockwise
positions.This procedure can be performed as a day care
surgery.
Results: Between January 2018 to January 2019, 100 patients
underwent the Hemorrhoidal LASER Procedure technique
for hemorrhoidal disease grades I, II and III. Total 100
patients were treated with HeLP procedure. Among them
number of men was 81 and female was 19.The procedure
proved to be successful at 3 month follow up of 92% patient.
No major adverse effects or complications were reported. Post
operative minor pain that required medication was 5 cases
(5% patient). Postoperative minor bleeding was observed in
3 cases that were managed conservatively. At 3 month after
procedure resolution of symptoms were observed in 88% cases
with overall satisfaction rate was 89%. Significantly higher
quality of life was observed in laser haemorrhoidal procedure.
Conclusion: Hemorrhoidal LASER Procedure is a painless
outpatient technique .It is a safe, effective, improve symptoms
& chance of cure is high compared to other conventional
surgery. Similar benefits are seen for patient with severe
anal spasm, external thrombosis, fissure and sentinel tags &
fistula.
Keywords: Hemorrhoids; Hemorrhoidal LASER procedure;
Hemorrhoidal dearterialization, LHP.
(J Bangladesh Coll Phys Surg 2020; 38: 18-22)
DOI: http://dx.doi.org/10.3329/jbcps.v38i1.44684