Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
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Abstract
The emergence of laser technique has been used in the treatment of various conditions like hemorrhoids, anal fissures, fistula in ano, pilonidal sinus etc. Conventional techniques have been used for ages due to their ease of use, accuracy and minimal damage to surrounding tissue, but they cannot provide hemostasis in highly vascular conditions. On the other hand laser provides greater precision, relatively bloodless surgical and postsurgical course, minimal or no suturing and much less or no surgical pain. To compare the effectiveness of treatment with laser surgery to the conventional type of surgery. A prospective study was conducted on patients admitted with Hemorrhoids, fissures and fistula in ano in J. A. Hospital, Gwalior. A total of 156 patients underwent surgery, evenly split between Diode Laser ablation and conventional surgical techniques. The Diode Laser group had a mean age of 43.2 years, while the conventional surgery group had a mean age of 40.3 years. The Diode Laser ablation group had a significantly shorter mean surgery duration (27.6 minutes) and less intraoperative blood loss (3.18 ml) compared to the conventional surgery group (39.6 minutes and 25.7 ml, respectively). Postoperative bleeding was also much lower in the Diode Laser group, with only 6 patients experiencing bleeding (3ml) compared to 88.46% of conventional surgery patients. Additionally, the Diode Laser group reported less postoperative pain, with 56.4% of patients experiencing no pain, compared to 32.1% and 30.8% of conventional surgery patients reporting pain levels of 4 and 5, respectively. According to our study Laser surgery had lesser intra and postoperative blood loss, post operative pain, infection and chances of recurrence. Hence Laser surgery was found to be better than Conventional surgical techniques for hemorrhoids, fissures and fistula‐in‐ano.
How to cite this article:
P. Maneesha, Prajapati Rajesh, Singh Manisha and Shrivastava Prashant. A Comparative Study of use of Diode Laser and Conventional Surgical Technique in Hemorrhoids, Fissures and Fistula in ANO.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.9.500.504
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.9.500.504