الفهرس 
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Abstract
Hemorrhoidal disease (HD) is a widespread anorectal condition affecting millions of people around the world and representing a major medical and socioeconomic issue, severely influencing patients’ quality of life. Hemorrhoids or hemorrhoidal columns are essential in the maintenance of continence by providing soft-tissue support and keeping the anal canal closed tightly. Currently, hemorrhoids are the pathologic term describing symptomatic and abnormally downward displacement of normal anal cushions.
The treatment options for symptomatic haemorrhoids have varied over time. Measures have included conservative medical management, non-surgical treatments and various surgical techniques. Conventional open haemorrhoidectomy (CoH), which is the most well-known and frequently applied surgical treatment method, initially described by Milligan-Morgan (MM) is still regarded by literature in the modern era as the current gold standard surgical treatment.
However, postoperative pain, hemorrhage, urinary retention, and abscess formation are the most common side effects associated with MM. Therefore, for the fear of postoperative pain and complications, mildly symptomatic patients often hesitate and delay undergoing to surgical treatment for this benign disease.
Laser hemorrhoidoplasty (LHP) is a new minimal invasive, painless, safe, and effective procedure for day-surgery treatment of symptomatic haemorrhoids
A systematic review of literature was conducted including all relevant randomized controlled trials (RCTs) and prospective comparative cohort studies (CCSs) on laser haemorrhoidectomy versus conventional surgical haemorrhoidectomy in management of II- and III-degree haemorrhoid
Nine studies were included in the present meta-analysis that involved total of 1656 patients. This study is the second systematic review and meta-analysis after Wee et al. (2023) specifically comparing LH against CH for grade II or III hemorrhoids. LH was demonstrated to have several advantages over CH both intraoperatively and postoperatively in the short as well as medium term.
According to our findings, laser hemorrhoidoplasty in II-III degree haemorrhoids is a good, safe, and effective alternative to conventional hemorrhoidectomy, with a shorter operative time, reduced intraoperative bleeding, and less postoperative pain with faster return to work, that pain is the cause of the highest limitation in function and quality of life occurs. The likelihood of postoperative anal stenosis and urine retention is also reduced in the LH group. Our study didn’t find statistically significant difference between both groups regarding acute thrombosis and in terms of recurrence rate.