Laser Hemorrhoidoplasty with Mucopexy vs. Milligan Morgan Hemorrhoidectomy for 2nd and 3rd Degree Piles. | ||
| The Egyptian Journal of Surgery | ||
| Article 29, Volume 44, Issue 3, July 2025, Pages 1023-1030 PDF (494.59 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejsur.2025.352383.1356 | ||
| Authors | ||
| Tasnim Rizk Naeem* ; Mostafa Abd Elmohsen Ahmed; Mohy Elden Ragab ElBanna; Essam Fakhry Eldein Ebeid; Ahmed Aly Khalil | ||
| Department of General Surgery, Faculty of Medicine, Ain Shams University, Egypt | ||
| Abstract | ||
| Background: The most common anal canal complaint is hemorrhoids, which afflict most people at some point in their life and interfere with daily functioning. The best course of action for symptomatic hemorrhoids that do not improve with medication is surgery. Although hemorrhoid surgical procedures have been revised several times, people still refuse surgery because they fear pain and suffering after the procedure. There are now more options for less invasive hemorrhoid surgeries thanks to laser ablation. Objective: To evaluate the short-term postoperative outcomes of Milligan Morgan haemorrhoidectomy and laser hemorrhoidoplasty with mucopexy in instances of second- and third-degree piles: pain, bleeding and infection, healing rate, return to normal life, and early recurrence. Patients and Methods: For six months, from January to July 2024, this prospective comparison study was carried out at the Ain Shams Hospitals' Colorectal Unit and General Surgery Department. Two groups of patients with second and third degree haemorrhoids were randomly assigned to have laser hemorrhoidoplasty with mucopexy in group A and Milligan- Morgan haemorrhoidectomy in group B. Results: In terms of operative time, our study observed that laser hemorrhoidoplasty with mucopexy generally required less time compared to the Milligan-Morgan hemorrhoidectomy. The results in our study indicated that patients who underwent laser hemorrhoidoplasty with mucopexy experienced less postoperative pain compared to those who had the Milligan-Morgan hemorrhoidectomy. When comparing postoperative bleeding, infection, and recurrence, the two groups show no significant difference. Conclusion: Comparing Milligan-Morgan hemorrhoidectomy and laser hemorrhoidoplasty with mucopexy, the laser technique has number of benefits, such as a faster recovery period and reduced discomfort following surgery. These results underline the need for more study to validate these advantages in broader, more varied patient groups and support the rising trend towards less invasive surgical procedures. | ||
| Keywords | ||
| Milligan Morgan; Mucopexy; Laser Hemorrhoidoplasty | ||
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