Please suggest. Advantages and disadvantages of laser and stapler in prolapsed hemorrhoids treatment.

Question

The ideal surgical option for the treatment of hemorrhoids should be able to provide relief of symptoms, produce few complications and have a low recurrence rate. With conventional surgery, whatever the technique or material used, the risk of recurrence is lower, i.e., it is associated with a more definitive treatment. Conversely, patients are faced with more postoperative pain and longer healing time. Despite new surgical options, hemorrhoidectomy remains the treatment of choice and the gold standard for most cases. In this context, an important aspect to be considered by surgeons is the appropriate management of postoperative pain, with local anesthetic infiltration associated with oral analgesics, or even with use of topical muscle relaxants.

With the new techniques, PPH and THD, although less postoperative pain is observed, there is a greater likelihood of recurrence. High rates of late recurrence have dampened enthusiasm for use of PPH. To date, THD has proven superior to PPH, with a lower rate of (especially late) complications and earlier return to normal activities

Sajeev Kumar · Accepted Answer

The ideal surgical option for the treatment of hemorrhoids should be able to provide relief of symptoms, produce few complications and have a low recurrence rate. With conventional surgery, whatever the technique or material used, the risk of recurrence is lower, i.e., it is associated with a more definitive treatment. Conversely, patients are faced with more postoperative pain and longer healing time. Despite new surgical options, hemorrhoidectomy remains the treatment of choice and the gold standard for most cases. In this context, an important aspect to be considered by surgeons is the appropriate management of postoperative pain, with local anesthetic infiltration associated with oral analgesics, or even with use of topical muscle relaxants.

With the new techniques, PPH and THD, although less postoperative pain is observed, there is a greater likelihood of recurrence. High rates of late recurrence have dampened enthusiasm for use of PPH. To date, THD has proven superior to PPH, with a lower rate of (especially late) complications and earlier return to normal activities

Jatin Soni · Answer

Laser will burn the heamorrhoids without causing any harm to the surrounding tissue and the patient can resume a normal life after 48 hours