Laser Heamorrhoidoplasty benefits and drawback

Abstract

The superior hemorrhoidal arteries were engorged with blood, the hemorrhoidal venous plexus would
enlarge. . Heamorrhoids can be categorized as internal, external, or mixed, depending on their location in
the anal canal relative to the dentate line. The dentate line, also known as the anorectal junction, is the site
of internal heaorrhoid.
Internal heamorrhoids. They are thereafter categorized into four stages according to their severity and
degree of prolapse.
Grade I: Absence of prolapse, increased venous presence.
Grade II: Prolapse occurs under stress and resolves spontaneously.
Grade III: Prolapse occurs and requires physical assistance.
Grade IV: Extremely elevated risk of prolapse and irreducibility.
External heamorrhoids are found in anal canal, below the dentate line (1,2).
The laser (LH ) procedure is an innovative outpatient treatment for hemorrhoids that ceases blood
supply to the hemorrhoidal plexus through by coagulation of the hemorrhoid pedicle. Consequently, the
prolapsed hemorrhoidal veins diminish without causing discomfort. This treatment enhances postoperative
recovery, reduces operating room duration, minimizes intraoperative blood loss, and subsequent pain.
Men exhibit a higher propensity than women for prevalent symptoms such as rectal bleeding, anal
pruritus, pain, anal irritation, thrombosis, and a prolapsed mass.
The primary concept of LH involves utilizing a diode laser a 980 nm beneath the skin to assess the
extent of reduction in the hemorrhoidal vascular convolute. This study sought to record our experience for
hemorrhoidal laser ablation on 200 symptomatic grade II, III, and IV, at three medical centers in Thi-Qar
City from 2022 to 2024, to evaluating the efficacy and safety of this novel technique