{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T15:30:12Z","timestamp":1787758212273,"version":"build-2784847793"},"reference-count":17,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2021,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Surgical treatment of haemorrhoidal disease by laser haemorrhoidoplasty is a minimally invasive procedure that facilitates the postoperative course. Due to less aggression on the anoderm and the anal canal mucosa, it causes less significant postoperative pain and low morbidity compared with conventional excision according to the Milligan\u2013Morgan or Fergusson procedure. We report, through a preliminary study, our data on laser haemorrhoidoplasty and discuss the indications and results.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>This is a descriptive prospective study carried out on 21 patients operated on for haemorrhoidal disease by laser haemorrhoidoplasty with or without mucopexy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The series was composed of 17 men and 4 women with a male\/female ratio of 4.25:1. The average age was 39.6 years with a range of 27\u201362 years. The symptomatology was rectal bleeding in 16 cases (76%) and anal swelling in 18 cases (85.7%). These include grade 2 haemorrhoids in 2 cases (9.5%), grade 3 in 12 cases (57%), and grade 4 in 7 cases (33%). It was associated with an anal fissure in four cases (19%) and an anal fistula in three cases (14.2%). Mucopexy and laser coagulation were performed therapeutically in 13 cases (61.9%) and laser coagulation without mucopexy was performed in 8 cases (38%). The energy delivered was on average 1488 or 496 J per pile. It was associated with skin tag excision in 18 cases (85.7%), fissurectomy, sphincterotomy, anoplasty in 4 cases (19.2%), and fistulectomy for low anal fistula in 2 cases (9.5%). Piles retraction was judged sufficient in 17 patients (81%). The postoperative course was simple with no notable complaints in 16 patients (76%). Complications consisted of minimal bleeding in six cases (28%), significant bleeding in two cases with readmission, residual skin tag in six cases (28.5%), and subcutaneous fistula in two cases (9.5%). No recurrence of the symptoms of the haemorrhoidal disease was noted.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Laser haemorrhoidoplasty is a minimally invasive alternative for the treatment of haemorrhoidal disease, especially for grade 2 and 3 haemorrhoids without major prolapse. Postoperative pain is minimal, and the risk of stenosis or incontinence is almost non-existent.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jwas.jwas_97_22","type":"journal-article","created":{"date-parts":[[2022,7,28]],"date-time":"2022-07-28T07:01:16Z","timestamp":1658991676000},"page":"33-37","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":9,"title":["Treatment of Haemorrhoidal Disease by Laser Haemorrhoidoplasty at Dakar Preliminary Study of 21 Patients"],"prefix":"10.4103","volume":"11","author":[{"given":"Balla","family":"Diop","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pape Abdoulaye","family":"Ba","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmet","family":"Diouf","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Baba","family":"NDiaye","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adamson","family":"Phiri","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cheikna","family":"Sylla","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-6-20240907","doi-asserted-by":"crossref","first-page":"365","DOI":"10.5455\/aim.2014.22.365-367","article-title":"trial comparing 2 treatments for haemorrhoids of third and fourth degree","volume":"22","author":"Halit","year":"2014","journal-title":"Acta Inform Med"},{"key":"R2-6-20240907","doi-asserted-by":"crossref","first-page":"1044","DOI":"10.1016\/j.gassur.2005.12.004","article-title":"The vascular nature of hemorrhoids","volume":"10","author":"Aigner","year":"2006","journal-title":"J Gastrointest Surg"},{"key":"R3-6-20240907","first-page":"327","article-title":"First results after laser obliteration of first and second-degree hemorrhoids","volume":"29","author":"Karahaliloglu","year":"2007","journal-title":"Coloproctology"},{"key":"R4-6-20240907","doi-asserted-by":"crossref","first-page":"560","DOI":"10.4103\/mmj.mmj_101_18","article-title":"Comparative study between intrahemorrhoidal diode laser treatment and Milligan Morgan hemorrhoidectomy","volume":"32","author":"Alsisy","year":"2019","journal-title":"Menoufia Med J"},{"key":"R5-6-20240907","doi-asserted-by":"crossref","first-page":"325","DOI":"10.1080\/08941939.2016.1248304","article-title":"A randomized controlled trial comparing laser intra-hemorrhoidal coagulation and Milligan\u2013Morgan hemorrhoidectomy","volume":"30","author":"Naderan","year":"2016","journal-title":"J Invest Surg"},{"key":"R6-6-20240907","doi-asserted-by":"crossref","first-page":"455","DOI":"10.1007\/s10151-016-1479-6","article-title":"Hemorrhoid laser procedure for second- and third-degree hemorrhoids: Results from a multicenter prospective study","volume":"20","author":"De Nardi","year":"2016","journal-title":"Tech Coloproctol"},{"key":"R7-6-20240907","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":"Wesam","year":"2022","journal-title":"Egypt J Hosp Med"},{"key":"R8-6-20240907","doi-asserted-by":"crossref","first-page":"481","DOI":"10.1007\/s00384-019-03460-6","article-title":"Results of the double-blind randomized controlled trial comparing laser hemorrhoidoplasty with sutured mucopexy and excisional hemorrhoidectomy","volume":"35","author":"Poskus","year":"2020","journal-title":"Int J Colorectal Dis"},{"key":"R9-6-20240907","first-page":"380","article-title":"The prevalence of hemorrhoids and chronic constipation","volume":"98","author":"Johanson","year":"1990","journal-title":"An epidemiologic study. 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A prospective, randomized trial","volume":"29","author":"Poon","year":"1986","journal-title":"Dis Colon Rectum"},{"key":"R12-6-20240907","first-page":"5","article-title":"Prise en charge de la maladie h\u00e9morroidaire en milieu chirurgical \u00e0 propos d\u2019une s\u00e9rie de 258 observations","volume":"15","author":"Diop","year":"2021","journal-title":"Rev Afr Chir"},{"key":"R13-6-20240907","doi-asserted-by":"crossref","first-page":"477","DOI":"10.1007\/BF02049406","article-title":"Symptomatic hemorrhoids: Current incidence and complications of operative therapy","volume":"35","author":"Bleday","year":"1992","journal-title":"Dis Colon Rectum"},{"key":"R14-6-20240907","doi-asserted-by":"crossref","first-page":"1153","DOI":"10.1016\/S0039-6109(02)00082-8","article-title":"Hemorrhoids","volume":"82","author":"Sardinha","year":"2002","journal-title":"Surg Clin North Am"},{"key":"R15-6-20240907","doi-asserted-by":"crossref","first-page":"329","DOI":"10.2478\/v10035-012-0055-7","article-title":"Diode laser for treatment of symptomatic hemorrhoid: A short term clinical result of a mini invasive treatment, and one year follow up","volume":"84","author":"Jahanshahi","year":"2012","journal-title":"Pol Przegl Chir"},{"key":"R16-6-20240907","doi-asserted-by":"crossref","first-page":"819","DOI":"10.1089\/pho.2008.2368","article-title":"A new method for hemorrhoid surgery: Intrahemorrhoidal diode laser, does it work?","volume":"27","author":"Plapler","year":"2009","journal-title":"Photomed Laser Surg"},{"key":"R17-6-20240907","doi-asserted-by":"crossref","first-page":"485","DOI":"10.1007\/s10103-020-03142-8","article-title":"Non-excisional laser therapies for hemorrhoidal disease: A systematic review of the literature","volume":"36","author":"Longchamp","year":"2021","journal-title":"Lasers Med Sci"}],"container-title":["Journal of West African College of Surgeons"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jwas.jwas_97_22","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T15:06:26Z","timestamp":1787756786000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jwas.jwas_97_22"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,10]]},"references-count":17,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2021]]}},"URL":"https:\/\/doi.org\/10.4103\/jwas.jwas_97_22","relation":{},"ISSN":["2276-6944"],"issn-type":[{"value":"2276-6944","type":"print"}],"subject":[],"published":{"date-parts":[[2021,10]]}}}