Evidence map›Paper›PMID 36094598›Full record

SynthesisLasers in medical science2022

Laser hemorrhoidoplasty for hemorrhoidal disease: a systematic review and meta-analysis.

Hendry Lie, Evelyn Franca Caesarini, Antonius Agung Purnama, Andry Irawan, Taufik Sudirman, Wifanto Saditya Jeo, Bernardus Parish Budiono, Erik Prabowo, M Iqbal Rivai, Ryanto Karobuana Sitepu

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Lasers in medical science, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Guideline
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  3. Pooled it
  4. Trial
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Hendry LieDepartment of Surgery, Faculty of Medicine, Pelita Harapan University, Tangerang, Banten, Indonesia. hendrylie666@gmail.com.ORCID http://orcid.org/0000-0003-0076-3182
Evelyn Franca CaesariniDepartment of Surgery, Faculty of Medicine, Pelita Harapan University, Tangerang, Banten, Indonesia.
Antonius Agung PurnamaDepartment of Surgery, Faculty of Medicine, Pelita Harapan University, Tangerang, Banten, Indonesia.
Andry IrawanDepartment of Surgery, Faculty of Medicine, Pelita Harapan University, Tangerang, Banten, Indonesia.
Taufik SudirmanDepartment of Surgery, Faculty of Medicine, Pelita Harapan University, Tangerang, Banten, Indonesia.
Wifanto Saditya JeoDivision of Digestive Surgery, Department of General Surgery, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia.
Bernardus Parish BudionoDivision of Digestive Surgery, Department of General Surgery, Faculty of Medicine, Diponegoro University, Semarang, Jawa Tengah, Indonesia.
Erik PrabowoDivision of Digestive Surgery, Department of General Surgery, Faculty of Medicine, Diponegoro University, Semarang, Jawa Tengah, Indonesia.
M Iqbal RivaiDivision of Digestive Surgery, Department of General Surgery, Faculty of Medicine, Andalas University, Padang, Sumatera Barat, Indonesia.
Ryanto Karobuana SitepuDivision of Digestive Surgery, Department of Surgery, Siloam Hospitals Lippo Cikarang, Bekasi, Jawa Barat, Indonesia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Laser hemorrhoidoplasty (LHP) is known as a new minimally invasive and painless procedure for symptomatic hemorrhoids. However, Milligan-Morgan (MM) may offer the best result of long-term cure rates. In this study, we aim to compare the efficacy between LHP and MM for hemorrhoidal disease treatment. Using specific keywords, we comprehensively go through the potential articles on PubMed, Europe PMC, and Google Scholar sources until April 19, 2022. All published studies on LHP and MM hemorrhoidectomy were collected. Statistical analysis was done by using Review Manager 5.4 software. Twelve studies with a total of 1756 patients with hemorrhoid grades II-IV were included for the analysis. Our pooled analysis revealed that LHP was associated with shorter operative time (p < 0.00001), shorter length of hospital stay (p = 0.0005), lower risk of urinary retention (p = 0.005) and anal stenosis (p = 0.0004), and lower VAS 24-h post-operative (p < 0.00001) when compared with MM. However, LHP and MM did not differ in terms of recurrence rate (p = 0.70). LHP was superior to MM procedure in terms of shortening the recovery time and minimizing post-operative complications for patients with hemorrhoidal disease.

Indexed as

HemorrhoidectomyHemorrhoidsHumansLasersOperative TimePostoperative PeriodTreatment OutcomeHemorrhoidsLaserMinimal invasiveRectumSurgery

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.