{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T13:11:35Z","timestamp":1792674695722,"version":"4.5.0"},"reference-count":14,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,11,7]],"date-time":"2024-11-07T00:00:00Z","timestamp":1730937600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,11,7]],"date-time":"2024-11-07T00:00:00Z","timestamp":1730937600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100007102","name":"Zagazig University","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100007102","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Surg Endosc"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>This study aims to assess and compare the outcomes of traditional surgery and laser surgery for anal hemorrhoids in patients with inflammatory bowel disease.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>This is a single-center prospective randomized comparative clinical trial performed at Zagazig University Hospitals from September 2023 to September 2024. The study comprised 48 patients who were admitted during this period and had inflammatory bowel disease along with hemorrhoids. The patients were randomly allocated into two groups: Group I consisted of 24 patients who underwent laser hemorrhoidoplasty, selected based on odd numbers, while Group II consisted of 24 patients who underwent traditional surgery, selected based on even numbers.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Group I, which underwent laser treatment for hemorrhoids in inflammatory bowel patients, demonstrated significantly better outcomes than traditional surgery (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001) regarding operation time, pain score and duration, postoperative anal discharge, return to work time, and patient satisfaction. Moreover, laser treatment was found to be more effective than traditional surgery for treating hemorrhoids in inflammatory bowel patients in terms of postoperative bleeding and anal stenosis. Additionally, there was a higher frequency of residual hemorrhoids in laser group.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>Laser treatment is mostly superior to traditional surgery for hemorrhoids in inflammatory bowel patients.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Trial registration<\/jats:title>\n                <jats:p>Clinical Trial.gov (NCT06216223), registered on December 27, 2023, last updated in\nMay 12, 2024.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Protocol registration ID<\/jats:title>\n                <jats:p>#101080-5-9-2023<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00464-024-11351-3","type":"journal-article","created":{"date-parts":[[2024,11,7]],"date-time":"2024-11-07T16:04:34Z","timestamp":1730995474000},"page":"249-258","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Laser hemorrhoidoplasty versus hemorrhoidectomy in the treatment of surgically indicated hemorrhoids in inflammatory bowel patients: a randomized comparative clinical study"],"prefix":"10.1007","volume":"39","clinical-trial-number":[{"clinical-trial-number":"nct06216223","registry":"10.18810\/clinical-trials-gov"}],"author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3708-5840","authenticated-orcid":false,"given":"Reham","family":"Zakaria","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed Mahmoud","family":"Amin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heba Alhussein","family":"Abo-Alella","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yasmine Hany","family":"Hegab","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,11,7]]},"reference":[{"issue":"4","key":"11351_CR1","first-page":"223","volume":"61","author":"S D'Ugo","year":"2015","unstructured":"D\u2019Ugo S, Stasi E, Gaspari AL, Sileri P (2015) Hemorrhoids and anal fissures in inflammatory bowel disease. Minerva Gastroenterol Dietol 61(4):223\u2013233","journal-title":"Minerva Gastroenterol Dietol"},{"key":"11351_CR2","doi-asserted-by":"publisher","first-page":"47","DOI":"10.1186\/1471-230X-13-47","volume":"13","author":"S D'Ugo","year":"2013","unstructured":"D\u2019Ugo S, Franceschilli L, Cadeddu F, Leccesi L, Blanco Gdel V, Calabrese E, Milito G, Di Lorenzo N, Gaspari AL, Sileri P (2013) Medical and surgical treatment of haemorrhoids and anal fissure in Crohn\u2019s disease: a critical appraisal. BMC Gastroenterol 13:47. https:\/\/doi.org\/10.1186\/1471-230X-13-47","journal-title":"BMC Gastroenterol"},{"key":"11351_CR3","doi-asserted-by":"publisher","first-page":"953","DOI":"10.1007\/s10151-023-02859-2","volume":"27","author":"PC Ambe","year":"2023","unstructured":"Ambe PC (2023) Laser interventions in coloproctology. A plea for standardized treatment protocols. Tech Coloproctol 27:953\u2013955. https:\/\/doi.org\/10.1007\/s10151-023-02859-2","journal-title":"Tech Coloproctol"},{"issue":"4","key":"11351_CR4","doi-asserted-by":"publisher","first-page":"33","DOI":"10.4103\/jwas.jwas_97_22","volume":"11","author":"B Diop","year":"2021","unstructured":"Diop B, Ba PA, Diouf A, NDiaye B, Phiri A, Sylla C (2021) Treatment of haemorrhoidal disease by laser haemorrhoidoplasty at dakar preliminary study of 21 patients. J West Afr Coll Surg 11(4):33\u201337. https:\/\/doi.org\/10.4103\/jwas.jwas_97_22","journal-title":"J West Afr Coll Surg"},{"key":"11351_CR5","volume-title":"StatPearls","author":"C Cristea","year":"2024","unstructured":"Cristea C, Lewis CR (2024) Hemorrhoidectomy. In: StatPearls. StatPearls Publishing, Treasure Island"},{"key":"11351_CR6","doi-asserted-by":"publisher","first-page":"245","DOI":"10.1007\/s10877-020-00579-810","volume":"35","author":"L Gerdessen","year":"2021","unstructured":"Gerdessen L, Meybohm P, Choorapoikayi S et al (2021) Comparison of common perioperative blood loss estimation techniques: a systematic review and meta-analysis. J Clin Monit Comput 35:245\u2013258. https:\/\/doi.org\/10.1007\/s10877-020-00579-810","journal-title":"J Clin Monit Comput"},{"key":"11351_CR7","volume-title":"StatPearls","author":"N Hooper","year":"2024","unstructured":"Hooper N, Armstrong TJ (2024) Hemorrhagic shock. In: StatPearls. StatPearls Publishing, Treasure Island"},{"issue":"5","key":"11351_CR8","doi-asserted-by":"publisher","first-page":"325","DOI":"10.1080\/08941939.2016.1248304","volume":"30","author":"M Naderan","year":"2017","unstructured":"Naderan M, Shoar S, Nazari M, Elsayed A, Mahmoodzadeh H, Khorgami Z (2017) A randomized controlled trial comparing laser intra-hemorrhoidal coagulation and Milligan-Morgan hemorrhoidectomy. J Invest Surg 30(5):325\u2013331","journal-title":"J Invest Surg"},{"issue":"7","key":"11351_CR9","doi-asserted-by":"publisher","first-page":"2775","DOI":"10.1007\/s10103-022-03577-1","volume":"37","author":"AH Elfallal","year":"2022","unstructured":"Elfallal AH, Fathy M, Elbaz SA, Emile SH (2022) Comprehensive literature review of the applications of surgical laser in benign anal conditions. 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World J Laparosc Surg 12:59\u201363","journal-title":"World J Laparosc Surg"}],"container-title":["Surgical Endoscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00464-024-11351-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00464-024-11351-3\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00464-024-11351-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,12,23]],"date-time":"2024-12-23T23:02:56Z","timestamp":1734994976000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00464-024-11351-3"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,11,7]]},"references-count":14,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025,1]]}},"alternative-id":["11351"],"URL":"https:\/\/doi.org\/10.1007\/s00464-024-11351-3","relation":{},"ISSN":["0930-2794","1432-2218"],"issn-type":[{"value":"0930-2794","type":"print"},{"value":"1432-2218","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,11,7]]},"assertion":[{"value":"2 September 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"2 October 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"7 November 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Reham Zakaria, Mohamed Mahmoud Amin, Heba Alhussein abo-alella, and Yasmine Hany Hegab have no conflicts of interest or financial ties to disclose.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Disclosures"}},{"value":"This study was conducted following the ethical principles of the Declaration of Helsinki (Edinburgh 2000) and the approval of the Institutional Review Board. An exemption for informed consent was given by the Institutional Review Board. This study was approved by institutional research board (IRB) in Zagazig University with ethics Approval Number #101080 in 5-9-2023.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"Informed written consent was taken from all participants.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}},{"value":"We suggest that future studies extend the minimum follow-up period to evaluate long-term results, including the likelihood of long-term recurrence and to evaluate a larger number of cases due to the scarcity of IBD cases.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Trial limitations and recommendations"}}]}}