Background: Hemorrhoids are a common anorectal disorder that often requires surgical management in advanced stages. While open hemorrhoidectomy (Milligan-Morgan technique) has long been the standard, it is associated with significant post-operative pain and complications. Laser hemorrhoidoplasty offers a minimally invasive alternative with potentially improved outcomes. Aims and Objectives: The aim of the study was to compare laser hemorrhoidoplasty and open hemorrhoidectomy in terms of operative time, post-operative pain, complication rates, recovery duration, hospital stay, and patient satisfaction. Materials and Methods: This prospective comparative study was conducted at Maharani Laxmi Bai Medical College, Jhansi, between April 2023 and March 2025. A total of 100 patients with Grade II and III internal hemorrhoids were randomly assigned to either open hemorrhoidectomy (Group A) or laser hemorrhoidoplasty (Group B). Key outcomes assessed included duration of surgery, post-operative pain (Visual analogue scale scores on Days 0, 1, 2, 7, and 10), complications, hospital stay, recovery time, and patient satisfaction. Data were analyzed using Statistical Package for Social Sciences v25, with significance set at P<0.05. Results: Laser hemorrhoidoplasty significantly reduced operative time (11.02 vs. 16.20 min), hospital stay (2.44 vs. 4.02 days), pain scores across all days, and recovery duration (1.88 vs. 3.5 weeks). It also resulted in fewer complications and markedly higher patient satisfaction (92% vs. 16%). Conclusion: Laser hemorrhoidoplasty is a safe and effective alternative to open hemorrhoidectomy, offering superior post-operative outcomes, lower morbidity, and greater patient satisfaction in Grade II and III hemorrhoid cases.
Chauhan et al. (Mon,) studied this question.