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12.09.2022 | Original Article

Laser hemorrhoidoplasty for hemorrhoidal disease: a systematic review and meta-analysis

verfasst von: Hendry Lie, Evelyn Franca Caesarini, Antonius Agung Purnama, Andry Irawan, Taufik Sudirman, Wifanto Saditya Jeo, Bernardus Parish Budiono, Erik Prabowo, M. Iqbal Rivai, Ryanto Karobuana Sitepu

Erschienen in: Lasers in Medical Science | Ausgabe 9/2022

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Abstract

Laser hemorrhoidoplasty (LHP) is known as a new minimally invasive and painless procedure for symptomatic hemorrhoids. However, Milligan-Morgan (MM) may offer the best result of long-term cure rates. In this study, we aim to compare the efficacy between LHP and MM for hemorrhoidal disease treatment. Using specific keywords, we comprehensively go through the potential articles on PubMed, Europe PMC, and Google Scholar sources until April 19, 2022. All published studies on LHP and MM hemorrhoidectomy were collected. Statistical analysis was done by using Review Manager 5.4 software. Twelve studies with a total of 1756 patients with hemorrhoid grades II–IV were included for the analysis. Our pooled analysis revealed that LHP was associated with shorter operative time (p < 0.00001), shorter length of hospital stay (p = 0.0005), lower risk of urinary retention (p = 0.005) and anal stenosis (p = 0.0004), and lower VAS 24-h post-operative (p < 0.00001) when compared with MM. However, LHP and MM did not differ in terms of recurrence rate (p = 0.70). LHP was superior to MM procedure in terms of shortening the recovery time and minimizing post-operative complications for patients with hemorrhoidal disease.

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Titel: Laser hemorrhoidoplasty for hemorrhoidal disease: a systematic review and meta-analysis
verfasst von: Hendry Lie
Evelyn Franca Caesarini
Antonius Agung Purnama
Andry Irawan
Taufik Sudirman
Wifanto Saditya Jeo
Bernardus Parish Budiono
Erik Prabowo
M. Iqbal Rivai
Ryanto Karobuana Sitepu
Publikationsdatum: 12.09.2022
Verlag: Springer London
Erschienen in: Lasers in Medical Science / Ausgabe 9/2022
Print ISSN: 0268-8921
Elektronische ISSN: 1435-604X
DOI: https://doi.org/10.1007/s10103-022-03643-8

Springer Medizin

Abstract

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