Abstract

Background: This study was designed to compare between laser hemorrhoidoplasty and Milligan-Morgan hemorrhoidectemy and evaluate advantages of laser surgery in terms of postoperative pain, bleeding, operative time, analgesics requirements and complications. Materials and Methods: A prospective study was carried out in Department of Surgery, Dr D Y Patil medical college, Kolhapur. 100 patients with symptomatic grade 3 and grade 4 hemorrhoids were randomly divided into two groups, of which 50 patients were treated with Laser hemorrhoidoplasty and 50 patients with Milligan-Morgan hemorrhoidectomy. Postoperative pain, operative time, bleeding, complications were evaluated. Results: Post-operative pain was significantly lower in laser hemorrhidoplasty than Milligan-Morgan group (P < 0.001).The operative time and intra-operative blood loss and post-operative analgesics requirements was less in laser group.( P < 0.001). Urinary retention and anal stenosis were seen in Milligan-Morgan group and not in laser group. Less hospital stay and early resume to work was seen in laser group.( P < 0.001). Conclusion: Laser hemorrhoidoplasty is more preferred in comparison with Milligan-Morgan hemorrhoidectomy as it carries several advantages such as less post-operative pain,less operation time, less bleeding, less hospital stay,less analgesics requirements, no risk of incontinence, early resume to normal activities. Our study suggests Laser hemorrhoidoplasty is preferred to open Milligan-Morgan hemorrhoidectomy.

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