Comparative Study between Laser Hemorrhoidoplasty and Milligan-Morgan Hemorrhoidectomy in Treatment of Third-Degree Piles | ||
| The Egyptian Journal of Surgery | ||
| Volume 44, Issue 3, July 2025, Pages 866-873 PDF (692.96 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejsur.2025.344263.1312 | ||
| Authors | ||
| Gamal Mousa; Ahmed Swelam; Sherif Abdelfattah Saber; Mohamed Ahmed Naieem; Ahmed Elshora* | ||
| Department of General Surgery, Gastrointestinal and Laparoscopic Surgery, Faculty of Medicine, Tanta University, Tanta, Egypt | ||
| Abstract | ||
| Background: Currently, numerous surgical treatment options for Hemorrhoidal disease (HD) have been brought out, but their application and indications have not been able to come to a solid understanding. Laser hemorrhoidoplasty (LHP) is used to treat HD that uses a diode laser to reduce the size of hemorrhoidal cushions with minimizing pain and discomfort following surgery. Aim: This is a retrospective comparative study to compare LHP using the 1470nm laser with Milligan-Morgan hemorrhoidectomy (MM) in dealing with symptomatic third-degree piles. Patients and Methods: This comparative clinical inquiry targeted patients with third degree piles. Those who did the conventional haemorrhoidectomy were named “MM group “and those who did laser hemorrhoidoplasty were named “LHP group”. The study was done from December 2021 to December 2023. Post-operative follow up was done. Results: The two studied groups were compared as regards age, sex, and pre-operative symptoms. The mean operative duration was 16.57±3.07 vs 26.22±3.02 minutes in LHP and MM group respectively, which was statistically highly significant (P< 0.0001). Post-operative pain and post-operative discharge were significantly less in LHP group than MM group. Other post-operative issues as bleeding, edema and infection did not differ significantly between the studied groups. A significantly earlier return to regular activities was obtained in LHP group as compared to MM group. Late post-operative sequelae such as stenosis was insignificant. Conclusion: Diode laser therapy has been shown to be a safe, less invasive at third-degree haemorrhoids than MM procedure, with the added benefit of significantly less post-operative pain and discharge following surgery. In LHP there was a significantly shorter operative duration and earlier return to regular activities as compared to MM operation. However, it is crucial to understand that LHP is more expensive than MM procedure. | ||
| Keywords | ||
| 3rd Degree Hemorrhoids; Milligan-Morgan Hemorrhoidectomy; Laser Hemorrhoidoplasty | ||
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