Prospective Randomized Study to Evaluate Surgical Hemorrhoidectomy, Laser Hemorrhoidoplasty and Conservative Treatment of Third-Degree Hemorrhoids

Kawashti, Ahmed Ibrahim Shehata; Elgohary, Said Abdelmonem; Elgazzar, Elhosiny Radwan Elhosiny

doi:10.21608/aimj.2025.446426

Prospective Randomized Study to Evaluate Surgical Hemorrhoidectomy, Laser Hemorrhoidoplasty and Conservative Treatment of Third-Degree Hemorrhoids

Document Type : Original Article

Authors

General Surgery, Faculty of Medicine for Boys, Al-Azhar University, Cairo, Egypt

10.21608/aimj.2025.446426

Abstract

Background: On a global scale, hemorrhoids outnumber rectum and colon disorders by a significant margin. Their current global prevalence is thought to be 4% symptomatic, with estimates ranging from 2.9% to 27.9%. Patients between the ages of 45 and 65 have the greatest incidence, according to the Gauss technique. It disproportionately affects men.
Aim of study: To compare third-degree hemorrhoid patients treated with conservative measures, laser hemorrhoidoplasty, and the traditional Milligan-Morgan method.
Patients and method: Sixty patients with third-degree piles who visited the general surgery department at Al-Azhar University Hospitals between August 2023 and June 2024 were randomly assigned to one of three groups: Group A, which consisted of twenty patients who had Milligan morgan hemorrhoidectomy, Group B, which consisted of twenty patients who had laser hemorrhoidectomy, and Group C, which consisted of twenty patients who had conservative treatment.
Results: Laser ablation of third-degree hemorrhoids was found to be superior to Milligan-Morgan hemorrhoidectomy and conservative treatment regarding post-treatment pain, complications, rehabilitation and returning to the mundane. Operative time is significantly shorter in laser hemorrhoidectomy than in Milligan-Morgan hemorrhoidectomy.
Conclusion: In view of the result of the present study as well as recent published data in literature in the treatment of 3rd degree hemorrhoids, it can be suggested that laser hemorrhoidoplasty shows better patient satisfaction, shorter treatment time, less complications, and early return to normal life. compared to Milligan morgan hemorrhoidectomy and conservative treatment.

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