DOI: 10.36347/sjams.2021.v09i05.008

Pages: 663-669

Background: Haemorrhoids and anal fissure are a common source of pain, and no surgical technique achieves a painless outcome. Endovascular laser surgery for varicose veins as described in an experimental study is a method that could be used in the treatment of haemorrhoids and anal fissure, but there are few clinical trials described in the literature. In the past decade, several studies have investigated the effect of laser therapy on haemorrhoids and anal fissure but few have explored its use in anal fissure. Objectives: The present study aimed to evaluate the outcome and efficiency of laser surgery for treating haemorrhoids and anal fissure. Materials & Methods: This was a cross-sectional study carried out in the tertiary care and mid-level private hospital in the Cumilla region. This clinical trial was conducted on all the patients referred to same surgeon in 05 different tertiary care and midlevel private hospital in Cumilla city. Patients were from Cumilla, Chandpur, B-Baria, Noakhali and Feni districts of Bangladesh. The study was conducted on short term (12 months) effects of laser surgery on haemorrhoids and anal fissure. Results: Laser surgery for haemorrhoids and anal fissure is a simple, minimum-invasive and nearly painless surgical procedure with a low rate of complications. No significant intraoperative complications occurred. The follow-up was 12 months. Postoperative pain was null in most patients. Symptoms and HD downgrading reached a ‘‘plateau’’ at 3 to 6 weeks after the laser treatment. At this evaluation, frequency of bleeding, pain, itching, and haemorrhoidal syndrome decreased by 80% to 92%. HD grade showed a significant reduction. Conclusion: The diode laser surgery can be viewed as an effective treatment for patients with haemorrhoids and anal fissure. Haemorrhoidal laser surgery is newly potential approach and patents are getting benefitted from this treatment and this can be adopted as a modality of treatment for Hemorrhoids and anal ......