Background: Hemorrhoidal disease refers to the abnormal changes in blood vessels within the anal cushion. Surgery is
recommended when conservative treatments are unsuccessful or for severe cases. One of the surgical techniques used is
Milligan–Morgan (MM) hemorrhoidectomy. Nonexcisional laser hemorrhoidoplasty (LHP) is a recently developed and
less invasive procedure.
Objective: To assess the amount of bleeding during surgery, the duration of the operation, the level of pain after surgery,
the incidence of infection, and the time it took for patients to resume their work and complete recovery between LHP and
MM procedures.
Patients and Methods: A cross-sectional study was performed on a cohort of 40 patients diagnosed with the hemorrhoidal disease who were eligible for surgery. The study was conducted in the General Surgery Department of a tertiary hospital.
The individuals were categorized into two groups: 20 individuals with MM and 20 individuals with LHP.
Results: The average age of study participants was 33.4±10.3 years. Most of them were males (62.5%). The average
duration of the surgical procedure in the LHP group was significantly shorter compared to the MM group (20.3±1.1 min
against 25.3±2.5 min, respectively). The LHP group exhibited a notable reduction in intraoperative hemorrhage compared
to the MM group. The pain score in the LHP group was less after 6 h. The MM group saw significantly longer periods
required for returning to work and completing recuperation.
Conclusion: LHP results in reduced operative time, intrasurgical bleeding, and postoperative pain. Additionally, it
promotes faster healing, quicker return to work, and shorter recovery time.