Comparative study between Milligan Morgan Haemorrhoidectomy and Laser Ablation for the Management of third and fourth Degree of hemorrhoids

Abstract

Background: In were comparative study, using a hemorrhoid laser process (LHP) was found to be more successful, easy to use, noninvasive, non-toxic, painless, and extremely effective. Aim of the study: to compare the safety, efficacy, and benefits and complication between Laser-operative technique and the open-operative technique (Milligan Morgan) for the treatment of patients suffering from haemorrhoids of third and fourth degree. Patients and Methods: In this research, 30 patients were included with third and fourth degree of hemorrhoids. The included patients were partitioned into two groups. In Group (I): included fifteen patients that managed by using LHP operative technique, and Group (II): included fifteen patients were managed by using Open-Milligan Morgan operative technique. Appraisal of both operative techniques applied of the procedure timing, operative and postoperative bleeding, post-operative pain, and return to normal life were all assessed using a visual analogue scale. Results: Male patients numbered 17 and female patients numbered 13. Between laser haemorhoidoplasty and open surgical approach, there were significant differences in operating time, postoperative bleeding, and early postoperative pain. In terms of early postoperative pain, there were statistically significant differences between the two groups (P value less than 0.001). The mean operational time for LHP was 15.9 ± 5.9 minutes, compared to 25.9 ± 4.7 minutes for the milgan and morgan method (p < 0.0001). Conclusion: LHP had greater effectiveness than the open approach concerning Postoperative pain, bleeding and operative time, recovery and recurrence Keywords: Laser Hemorhoidoplasty, Open hemorrhoidectomy, post-operative pain, third and fourth degree.