{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T12:08:36Z","timestamp":1790165316466,"version":"4.1.0"},"reference-count":25,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","license":[{"start":{"date-parts":[[2025,6,27]],"date-time":"2025-06-27T00:00:00Z","timestamp":1750982400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Context:<\/jats:title>\n                    <jats:p>Hemorrhoids affect a significant proportion of the population, and the choice between laser hemorrhoidoplasty and conventional hemorrhoidectomy remains a crucial clinical decision.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims:<\/jats:title>\n                    <jats:p>The aim of this study was to compare the outcomes of piles management with laser hemorrhoidoplasty versus conventional surgical hemorrhoidectomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Settings and Design:<\/jats:title>\n                    <jats:p>A retrospective data collection from hospital registry about 50 patients who underwent laser hemorrhoidoplasty and another 50 patients who underwent conventional hemorrhoidectomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Subjects and Methods:<\/jats:title>\n                    <jats:p>Demographic and clinical data were analyzed using descriptive and inferential statistics. Data were meticulously collected and analyzed, employing SPSS statistical software.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Statistical Analysis Used:<\/jats:title>\n                    <jats:p>SPSS statistical software was used for statistical analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The mean age was 40.45 years, with a balanced gender distribution. While no significant difference in age was observed between treatment groups, notable variations in gender and hemorrhoid degree distribution were evident. Laser hemorrhoidoplasty exhibited a higher percentage of patients with second-degree hemorrhoids, while conventional hemorrhoidectomy had a higher prevalence of more severe hemorrhoids (degree 3 or 4). Clinical outcomes revealed that laser hemorrhoidoplasty was associated with less postoperative pain and bleeding. Notably, all laser patients reported mild pain (1\u20133), while the conventional group exhibited a broader spectrum, including severe pain (7\u20139) in 96% of cases. Furthermore, bleeding outcomes were more favorable in the laser group, with 100% experiencing minor bleeding compared to the conventional group, which showed a higher incidence of both minor and moderate bleeding.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The observed advantages of laser hemorrhoidoplasty in terms of reduced postoperative pain and bleeding suggest its potential as a favorable alternative, particularly in less severe cases.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/aam.aam_226_24","type":"journal-article","created":{"date-parts":[[2025,6,27]],"date-time":"2025-06-27T10:00:18Z","timestamp":1751018418000},"page":"811-815","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":5,"title":["The Outcome of Laser Ablation Hemorrhoidoplasty versus Conventional Hemorrhoidectomy"],"prefix":"10.4103","volume":"24","author":[{"given":"Mohammed Yousef","family":"Alessa","sequence":"first","affiliation":[{"name":"Department of Surgery, King Faisal University, Hofuf, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Loai Saleh","family":"Albinsaad","sequence":"additional","affiliation":[{"name":"Department of Surgery, King Faisal University, Hofuf, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arshadullah","family":"Khan","sequence":"additional","affiliation":[{"name":"Department of Surgery, Alahsa Hospital, Hofuf, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laila Zamil","family":"Alzamil","sequence":"additional","affiliation":[{"name":"Department of Surgery, King Faisal University, Hofuf, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raghad Mabrouk","family":"Alanazi","sequence":"additional","affiliation":[{"name":"Department of Surgery, King Faisal University, Hofuf, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Najd Mabrouk","family":"Alanazi","sequence":"additional","affiliation":[{"name":"Department of Surgery, King Faisal University, Hofuf, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abeer Mabrouk","family":"Alanazi","sequence":"additional","affiliation":[{"name":"Department of Surgery, King Faisal University, Hofuf, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,6,27]]},"reference":[{"key":"R1-20251015","first-page":"69","article-title":"A comparative study between laser hemorrhoidoplasty procedure and conventional hemorrhoidectomy","volume":"27","author":"Mohammed","year":"2019","journal-title":"J Univ Babylon Pure Appl Sci"},{"key":"R2-20251015","doi-asserted-by":"crossref","first-page":"112","DOI":"10.21608\/ejhm.2022.210781","article-title":"Comparison between laser hemorrhoidoplasty procedure and conventional open surgical hemorrhoidectomy","volume":"86","author":"Yahya","year":"2022","journal-title":"Egypt J Hosp Med"},{"key":"R3-20251015","doi-asserted-by":"crossref","first-page":"22","DOI":"10.1055\/s-0035-1568144","article-title":"Review of hemorrhoid disease:Presentation and management","volume":"29","author":"Sun","year":"2016","journal-title":"Clin Colon Rectal Surg"},{"key":"R4-20251015","doi-asserted-by":"crossref","first-page":"284","DOI":"10.1097\/DCR.0000000000001030","article-title":"The American Society of colon and rectal surgeons clinical practice guidelines for the management of hemorrhoids","volume":"61","author":"Davis","year":"2018","journal-title":"Dis Colon Rectum"},{"key":"R5-20251015","doi-asserted-by":"crossref","first-page":"30","DOI":"10.25083\/2559.5555\/6.1.6","article-title":"A comparative evaluation of laser hemorrhoidoplasty versus open surgical hemorrhoidectomy treatment of grade III and IV hemorrhoids. 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