Scholarly Article
OUTCOMES OF LASER ASSISTED PROCEDURES IN GENERAL SURGERY AND UROLOGY: A PROSPECTIVE MULTICENTRE OBSERVATIONAL STUDY OF 214 PATIENTS
Varghese, Edikkula, Santhosh, Sreenivasan, Ajeesh P,
2026-09-21 · International Journal of Clinical and Biomedical Research · Sumathi Publications
Abstract
Background: Laser-assisted procedures are used for several general surgical and urological conditions, but their indications, technical objectives and clinical endpoints differ. This study described perioperative outcomes and early treatment responses across 12 procedures performed at three tertiary-care centres. Method: This prospective observational cohort included 214 consecutive adults treated during the reported study period of April 2023 to March 2026. Outcomes included technical completion, procedure-specific clinical response, complications, persistent or recurrent disease, pain, hospital stay, return to routine activity and satisfaction. Follow-up was scheduled at approximately 7 days and 1, 3 and 6 months. Outcomes were summarised descriptively; patient-reported responses were collected using a study-specific, non-validated questionnaire. Results: There were 172 men (80.4%) and 42 women (19.6%); mean age was 42.6 ± 13.8 years. General surgical procedures accounted for 157 patients (73.4%) and urological procedures for 57 (26.6%). Technical success was recorded in 207 patients (96.7%) and clinical success or satisfactory treatment response in 192 (89.7%). Complications occurred in 21 patients (9.8%), including two classified as major (0.9%). Persistent or recurrent disease was recorded in 15 patients (7.0%), and seven (3.3%) underwent additional intervention. No deaths were reported. At final assessment, 188 patients (87.9%) reported symptomatic improvement and 180 (84.1%) were satisfied or very satisfied. Conclusion: Technical completion and satisfactory early clinical responses were commonly recorded in this selected cohort. The heterogeneous procedures, absence of comparator groups and limited follow-up preclude conclusions about comparative efficacy or long-term safety. Procedure-specific studies with explicit endpoints and standardised reporting are needed.
Keywords
Laser surgery, General surgery, Urology, Postoperative outcomes, Observational study, Patient satisfaction
Citation Details
International Journal of Clinical and Biomedical Research, Vol. 11, No. 3, pp. 396-404