Evidence map›Paper›PMID 39511001›Full record

Trial reportSurgical endoscopy2025

Laser hemorrhoidoplasty versus hemorrhoidectomy in the treatment of surgically indicated hemorrhoids in inflammatory bowel patients: a randomized comparative clinical study.

Reham Zakaria, Mohamed Mahmoud Amin, Heba Alhussein Abo-Alella, Yasmine Hany Hegab

Registry-linked trialAbstract readRandomized Controlled TrialComparative Study
In one paragraph

Trial report in Surgical endoscopy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06216223 (Surgery Versus Laser Ablation of Anal Diseases in Inflammatory Bowel Disease Patients), which is not on this map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 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.

NCT06216223 nacompletednot on this map

Surgery Versus Laser Ablation of Anal Diseases in Inflammatory Bowel Disease Patients

TypeinterventionalSponsorZagazig UniversityRan2023 to 2024Enrolled108ConditionsInflammatory Bowel Diseases, Anal Fissure, HemorrhoidsArmstreatment of anal diseases in inflammatory bowel patients, Laser, traditional surgery
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. A systematic review of the methodological quality of randomised trials in IBD surgery.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2026
    Pooled it
  2. Article
  3. Review
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

4 authors.

Reham ZakariaDepartment of General Surgery, College of Medicine, Zagazig University, Zagazig, Sharqia, Egypt. RZakaria@medicine.zu.edu.eg.ORCID 0000-0002-3708-5840
Mohamed Mahmoud AminDepartment of General Surgery, College of Medicine, Zagazig University, Zagazig, Sharqia, Egypt.
Heba Alhussein Abo-AlellaDepartment of General Surgery, College of Medicine, Zagazig University, Zagazig, Sharqia, Egypt.
Yasmine Hany HegabDepartment of General Surgery, College of Medicine, Zagazig University, Zagazig, Sharqia, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study aims to assess and compare the outcomes of traditional surgery and laser surgery for anal hemorrhoids in patients with inflammatory bowel disease.

methodsThis is a single-center prospective randomized comparative clinical trial performed at Zagazig University Hospitals from September 2023 to September 2024. The study comprised 48 patients who were admitted during this period and had inflammatory bowel disease along with hemorrhoids. The patients were randomly allocated into two groups: Group I consisted of 24 patients who underwent laser hemorrhoidoplasty, selected based on odd numbers, while Group II consisted of 24 patients who underwent traditional surgery, selected based on even numbers.

resultsGroup I, which underwent laser treatment for hemorrhoids in inflammatory bowel patients, demonstrated significantly better outcomes than traditional surgery (p < 0.001) regarding operation time, pain score and duration, postoperative anal discharge, return to work time, and patient satisfaction. Moreover, laser treatment was found to be more effective than traditional surgery for treating hemorrhoids in inflammatory bowel patients in terms of postoperative bleeding and anal stenosis. Additionally, there was a higher frequency of residual hemorrhoids in laser group.

conclusionLaser treatment is mostly superior to traditional surgery for hemorrhoids in inflammatory bowel patients.

trial registrationClinical Trial.gov (NCT06216223), registered on December 27, 2023, last updated in May 12, 2024. PROTOCOL REGISTRATION ID: #101080-5-9-2023.

Indexed as

HemorrhoidectomyHemorrhoidsLaser TherapyAdultFemaleHumansInflammatory Bowel DiseasesMaleMiddle AgedOperative TimePatient SatisfactionPostoperative PainProspective StudiesTreatment OutcomeCrohn’s diseaseHemorrhoidsInflammatory bowelLaserPain scoreUlcerative colitis

Identifiers

PMID39511001
PMCPMC11666749

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Registered trials

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.