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©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Surg Proced. Jul 16, 2025; 15(2): 109348
Published online Jul 16, 2025. doi: 10.5412/wjsp.v15.i2.109348
Published online Jul 16, 2025. doi: 10.5412/wjsp.v15.i2.109348
Laser hemorrhoidoplasty in focus: A modern alternative to conventional surgical techniques for symptomatic hemorrhoids
Alfadl Abdulfattah, Department of Medicine, Jazan University, Jazan 82817, Jāzān, Saudi Arabia
Alfadl Abdulfattah, Medical Direction, Modawat Cheratable Association, Riyadh 13215, Saudi Arabia
Fabricio Doin Paz de Oliveira, Center for Inflammatory Bowel Diseases and Coloproctology, São Camilo Hospital, Concórdia, Santa Catarina, Brazil
Co-first authors: Alfadl Abdulfattah and Fabricio Doin Paz de Oliveira.
Author contributions: Abdulfattah A contributed to conceptualization, literature review, manuscript drafting, critical revision, response to reviewers, and final approval of the manuscript; de Oliveira FDP contributed to clinical insight, technical interpretation of laser techniques, review of surgical data, critical revision for intellectual content, and co-authorship of comparative analysis; Both authors approved the final manuscript and agree to be accountable for all aspects of the work.
Conflict-of-interest statement: All authors declare no conflicts of interest related to this manuscript.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Alfadl Abdulfattah, Assistant Professor, Department of Medicine, Jazan University, King Faisal Street, Jazan 82817, Jāzān, Saudi Arabia. alabdulfattah@jazanu.edu.sa
Received: May 8, 2025
Revised: May 14, 2025
Accepted: July 1, 2025
Published online: July 16, 2025
Processing time: 68 Days and 8.1 Hours
Revised: May 14, 2025
Accepted: July 1, 2025
Published online: July 16, 2025
Processing time: 68 Days and 8.1 Hours
Core Tip
Core Tip: Laser hemorrhoidoplasty (LHP) is emerging as a minimally invasive alternative to conventional excisional hemorrhoidectomy for grade II-III hemorrhoids. This review synthesizes evidence from recent comparative trials and meta-analyses, highlighting LHP’s advantages in terms of reduced postoperative pain, faster recovery, and preservation of anorectal anatomy. However, despite its favorable short-term profile, concerns about recurrence—especially in grade III cases—underscore the need for careful patient selection and long-term follow-up. These findings support LHP as a viable option in selected patients, bridging the gap between efficacy and minimally invasive care.