ISSN: 1859 - 2872
Optimization of diode laser parameters in the treatment of hemorrhoidal disease: A review of recent studies (2023-2024)
Main Article Content
Keywords
Laser hemorrhoidoplasty, diode laser, 1470nm, hemorrhoids, minimally invasive treatment, laser parameters, hemorrhoidal disease
Abstract
Objective: To review and analyze the technical parameters of diode laser used in the treatment of hemorrhoids to identify the optimal configuration regarding wavelength, power, emission mode, and total energy that maximizes efficacy and minimizes complications. Subject and method: A systematic literature review was conducted using PubMed, Google Scholar, and ResearchGate to identify studies published between January 2023 and December 2024. A total of 29 studies meeting inclusion criteria were analyzed for laser settings, clinical outcomes, and complications. Result: The 1470nm diode laser was most used wavelength, associated with high efficacy and low complication rates. The optimal configuration included a 1470nm wavelength, power setting of 6-10W, 3-second pulse duration, pulsed emission mode, and total energy of 150-250J per hemorrhoidal pile. Grade IV hemorrhoids showed a higher complication rate when treated with high energy or continuous mode. Conclusion: Laser hemorrhoidoplasty is an effective and minimally invasive treatment for grade II–III internal hemorrhoids when appropriate laser parameters are applied. Further standardized trials are needed to develop optimal clinical guidelines.
Article Details
References
1. Jahanshahi A, Hashemi SM, Aslani MM (2024) Diode laser hemorrhoidoplasty versus conventional Milligan-Morgan hemorrhoidectomy: A randomized clinical trial. J Coloproctol 44(1): 20240037.
2. Kavraal H, Dincer E, Simsek A et al (2024) Laser hemorrhoidoplasty for grade II-IV hemorrhoids using a 1470 nm diode laser: A prospective study. Int J Colorectal Dis 39(2): 233-240.
3. Hoşafcı A, Ünsal MG, Koç G (2024) Laser hemorrhoidoplasty: Initial experience in 200 patients. Turk J Surg 40(1): 10-17.
4. Hung HY, Lin CW, Chen YC et al (2023) Outcomes of laser hemorrhoidoplasty for grade II-IV hemorrhoidal disease: A prospective study. J Med Lasers 12(3): 128-134.
5. Aigner F, Gruber H, Conrad F et al (2024) Best clinical practice recommendations for the management of symptomatic hemorrhoids via laser hemorrhoidoplasty: The LHP recommendations. Lasers Med Sci 39(1): 12–20.
6. Al-Maadeed A, Al-Kuwari M, Al-Bozom I et al (2024) Outcomes of laser hemorrhoidoplasty for grade II-IV hemorrhoidal disease: A prospective study. Colorectal Dis 26(1): 45-50.
7. Ahmed K, El-Morsy G, El-Khadrawy O et al (2023) Diode laser hemorrhoidoplasty versus conventional hemorrhoidectomy: A prospective randomized study. Egypt J Surg 42(3): 123-128.
8. Basu S, Kapoor S, Goyal A et al (2023) Laser hemorrhoidoplasty versus open hemorrhoidectomy: a randomized controlled trial. Indian J Surg 85(4): 567-572.
9. Gulati S, Anand S, Kapoor N et al Comparative study of laser hemorrhoidoplasty and stapled hemorrhoidopexy in management of grade III hemorrhoids. J Minim Access Surg 20(1): 34-39.
10. Nguyen TQ, Le HT, Pham DT et al (2023) Laser hemorrhoidoplasty versus rubber band ligation: A randomized trial comparing two minimally invasive treatments for grade II hemorrhoids. BMC Surg 23(1): 245.
11. Chakraborty S, Ray S, Das S et al (2024) Laser hemorrhoidoplasty versus Milligan-Morgan hemorrhoidectomy: A comparative study. Int Surg J 11(2): 456-461.
12. Saleh AM, Al-Kandari SA, Al-Qattan HM et al (2023) Laser hemorrhoidoplasty: A minimally invasive treatment for hemorrhoids. Kuwait Med J 55(1): 45-50.
13. Zhou Y, Zhang H, Li B et al (2024) Laser hemorrhoidoplasty versus conventional hemorrhoidectomy for grade II/III hemorrhoids: A systematic review and meta-analysis. Ann Coloproctol 40(1): 17-25.
14. Tran TM, Nguyen HT, Le TT et al (2023) Outcomes of laser hemorrhoidoplasty for grade II–III hemorrhoids: A prospective study. Vietnam J Med 48(2): 89-95.
15. Rahman MM, Alamgir M, Haque M et al (2024) Laser hemorrhoidoplasty: A novel technique in the treatment of hemorrhoids. Bangladesh Med Res Counc Bull 50(1): 12-18.
16. Hassan M, Ibrahim A, El-Sayed M et al (2024) Laser hemorrhoidoplasty versus open hemorrhoidectomy: A randomized controlled trial. J Arab Soc Med Res 19(1): 25-30.
17. Fares Y, Khoury R, Haddad F et al Laser hemorrhoidoplasty: Initial experience in a Lebanese cohort. Middle East J Dig Dis 15(3): 165-170.
18. Nguyen HT, Pham VH, Tran QD et al (2024) Laser hemorrhoidoplasty for symptomatic hemorrhoids: A Vietnamese experience. Asian J Surg 47(1): 102-108.
19. Kamal M, Youssef M, El-Masry S et al (2023) Laser hemorrhoidoplasty versus stapled hemorrhoidopexy: A randomized controlled trial. Egypt J Surg 42(4): 189-194.
20. Lopez F, Garcia J, Martinez A et al (2024) Laser hemorrhoidoplasty: A prospective study in a Spanish population. Cir Esp 102(2): 123-129.
21. Smith J, Brown K, Lee M et al (2023) Long-term outcomes of laser hemorrhoidoplasty: A 5-year follow-up study. J Gastrointest Surg 27(6): 1345-1352.
22. Chen Y, Wang X, Liu Z et al (2024) Comparison of laser hemorrhoidoplasty and Doppler-guided hemorrhoidal artery ligation: A randomized trial. World J Surg 48(3): 789-795.
23. Patel R, Shah S, Desai N et al (2023) Laser hemorrhoidoplasty versus sclerotherapy: A comparative study. Indian J Gastroenterol 42(5): 367–372.
24. Kim H, Park J, Lee D et al (2024) Efficacy of laser hemorrhoidoplasty in elderly patients: A retrospective analysis. Ann Geriatr Med Res 28(1).
25. Lee J, Han S, Kim Y et al (2023) Laser hemorrhoidoplasty in outpatient setting: a feasibility study. Korean J Coloproctol 39(2): 101-107.
26. Abdallah M, Youssef T, El Sherif A et al (2024) Diode laser hemorrhoidoplasty versus Doppler-guided hemorrhoidal artery ligation: A prospective trial. Arab J Gastroenterol 25(1): 33-39.
26. Tran LH, Pham NH, Bui TK et al (2023) Evaluation of pain and wound healing after laser hemorrhoidoplasty. J Surg Sci 11(4): 55-62.
27. Rossi M, Greco L, De Luca M et al (2024) One-year outcomes of laser hemorrhoidoplasty: A multicenter Italian experience. Tech Coloproctol 28(1): 45-51.
28. Farouk R, Ali H, Osman M et al Safety of laser hemorrhoidoplasty in patients with bleeding disorders. Int J Surg 109: 105067.
2. Kavraal H, Dincer E, Simsek A et al (2024) Laser hemorrhoidoplasty for grade II-IV hemorrhoids using a 1470 nm diode laser: A prospective study. Int J Colorectal Dis 39(2): 233-240.
3. Hoşafcı A, Ünsal MG, Koç G (2024) Laser hemorrhoidoplasty: Initial experience in 200 patients. Turk J Surg 40(1): 10-17.
4. Hung HY, Lin CW, Chen YC et al (2023) Outcomes of laser hemorrhoidoplasty for grade II-IV hemorrhoidal disease: A prospective study. J Med Lasers 12(3): 128-134.
5. Aigner F, Gruber H, Conrad F et al (2024) Best clinical practice recommendations for the management of symptomatic hemorrhoids via laser hemorrhoidoplasty: The LHP recommendations. Lasers Med Sci 39(1): 12–20.
6. Al-Maadeed A, Al-Kuwari M, Al-Bozom I et al (2024) Outcomes of laser hemorrhoidoplasty for grade II-IV hemorrhoidal disease: A prospective study. Colorectal Dis 26(1): 45-50.
7. Ahmed K, El-Morsy G, El-Khadrawy O et al (2023) Diode laser hemorrhoidoplasty versus conventional hemorrhoidectomy: A prospective randomized study. Egypt J Surg 42(3): 123-128.
8. Basu S, Kapoor S, Goyal A et al (2023) Laser hemorrhoidoplasty versus open hemorrhoidectomy: a randomized controlled trial. Indian J Surg 85(4): 567-572.
9. Gulati S, Anand S, Kapoor N et al Comparative study of laser hemorrhoidoplasty and stapled hemorrhoidopexy in management of grade III hemorrhoids. J Minim Access Surg 20(1): 34-39.
10. Nguyen TQ, Le HT, Pham DT et al (2023) Laser hemorrhoidoplasty versus rubber band ligation: A randomized trial comparing two minimally invasive treatments for grade II hemorrhoids. BMC Surg 23(1): 245.
11. Chakraborty S, Ray S, Das S et al (2024) Laser hemorrhoidoplasty versus Milligan-Morgan hemorrhoidectomy: A comparative study. Int Surg J 11(2): 456-461.
12. Saleh AM, Al-Kandari SA, Al-Qattan HM et al (2023) Laser hemorrhoidoplasty: A minimally invasive treatment for hemorrhoids. Kuwait Med J 55(1): 45-50.
13. Zhou Y, Zhang H, Li B et al (2024) Laser hemorrhoidoplasty versus conventional hemorrhoidectomy for grade II/III hemorrhoids: A systematic review and meta-analysis. Ann Coloproctol 40(1): 17-25.
14. Tran TM, Nguyen HT, Le TT et al (2023) Outcomes of laser hemorrhoidoplasty for grade II–III hemorrhoids: A prospective study. Vietnam J Med 48(2): 89-95.
15. Rahman MM, Alamgir M, Haque M et al (2024) Laser hemorrhoidoplasty: A novel technique in the treatment of hemorrhoids. Bangladesh Med Res Counc Bull 50(1): 12-18.
16. Hassan M, Ibrahim A, El-Sayed M et al (2024) Laser hemorrhoidoplasty versus open hemorrhoidectomy: A randomized controlled trial. J Arab Soc Med Res 19(1): 25-30.
17. Fares Y, Khoury R, Haddad F et al Laser hemorrhoidoplasty: Initial experience in a Lebanese cohort. Middle East J Dig Dis 15(3): 165-170.
18. Nguyen HT, Pham VH, Tran QD et al (2024) Laser hemorrhoidoplasty for symptomatic hemorrhoids: A Vietnamese experience. Asian J Surg 47(1): 102-108.
19. Kamal M, Youssef M, El-Masry S et al (2023) Laser hemorrhoidoplasty versus stapled hemorrhoidopexy: A randomized controlled trial. Egypt J Surg 42(4): 189-194.
20. Lopez F, Garcia J, Martinez A et al (2024) Laser hemorrhoidoplasty: A prospective study in a Spanish population. Cir Esp 102(2): 123-129.
21. Smith J, Brown K, Lee M et al (2023) Long-term outcomes of laser hemorrhoidoplasty: A 5-year follow-up study. J Gastrointest Surg 27(6): 1345-1352.
22. Chen Y, Wang X, Liu Z et al (2024) Comparison of laser hemorrhoidoplasty and Doppler-guided hemorrhoidal artery ligation: A randomized trial. World J Surg 48(3): 789-795.
23. Patel R, Shah S, Desai N et al (2023) Laser hemorrhoidoplasty versus sclerotherapy: A comparative study. Indian J Gastroenterol 42(5): 367–372.
24. Kim H, Park J, Lee D et al (2024) Efficacy of laser hemorrhoidoplasty in elderly patients: A retrospective analysis. Ann Geriatr Med Res 28(1).
25. Lee J, Han S, Kim Y et al (2023) Laser hemorrhoidoplasty in outpatient setting: a feasibility study. Korean J Coloproctol 39(2): 101-107.
26. Abdallah M, Youssef T, El Sherif A et al (2024) Diode laser hemorrhoidoplasty versus Doppler-guided hemorrhoidal artery ligation: A prospective trial. Arab J Gastroenterol 25(1): 33-39.
26. Tran LH, Pham NH, Bui TK et al (2023) Evaluation of pain and wound healing after laser hemorrhoidoplasty. J Surg Sci 11(4): 55-62.
27. Rossi M, Greco L, De Luca M et al (2024) One-year outcomes of laser hemorrhoidoplasty: A multicenter Italian experience. Tech Coloproctol 28(1): 45-51.
28. Farouk R, Ali H, Osman M et al Safety of laser hemorrhoidoplasty in patients with bleeding disorders. Int J Surg 109: 105067.
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Published
Aug 18, 2025
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How to Cite
KhánhP. P., HuyềnP. T. T., HuyL. N., ThaoN. Đắc, ÁnhN. N., Thành Đỗ T., & LýN. T. (2025). Optimization of diode laser parameters in the treatment of hemorrhoidal disease: A review of recent studies (2023-2024). Tạp Chí Y Dược lâm sàng 108, 20(5). https://doi.org/10.52389/ydls.v20i5.2741