Laser Hemorrhoidoplasty with Mucopexy vs. Milligan Morgan Hemorrhoidectomy for 2nd and 3rd Degree Piles.

Naeem, Tasnim Rizk; Ahmed, Mostafa Abd Elmohsen; ElBanna, Mohy Elden Ragab; Ebeid, Essam Fakhry Eldein; Khalil, Ahmed Aly

doi:10.21608/ejsur.2025.352383.1356

Laser Hemorrhoidoplasty with Mucopexy vs. Milligan Morgan Hemorrhoidectomy for 2nd and 3rd Degree Piles.

Document Type : Original Article

Authors

Department of General Surgery, Faculty of Medicine, Ain Shams University, Egypt

10.21608/ejsur.2025.352383.1356

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.

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