Comparison of Perioperative Outcome, Post Operative Pain and Early Complications between Laser Haemorrhoidoplasty and Stapled Heamorrhoidopexy: A Prospective Observational Study

Open Access

Abstract

Background: Haemorrhoidal disease is a common anorectal disorder requiring surgery in persistent or advanced cases. Laser haemorrhoidoplasty (LHP) and stapled haemorrhoidopexy (SH) are minimally invasive techniques offering reduced postoperative morbidity and faster recovery. However, comparative evidence in Bangladesh is limited. This study compared LHP and SH regarding perioperative outcomes, postoperative pain, and early complications. Methods & Materials: A prospective observational comparative study was conducted at Mymensingh Medical College Hospital from January to December 2025. One hundred patients with symptomatic Grade III-IV haemorrhoids underwent LHP (n=50) or SH (n=50). Operative outcomes, postoperative pain, analgesic requirement, recovery, and early complications were assessed over 2 weeks. Data were analyzed using SPSS 27, with p<0.05 considered statistically significant. Ethical approval and informed consent were obtained. Results: Among 100 patients, 50 underwent LHP and 50 SH. Baseline characteristics were comparable between groups. LHP resulted in significantly shorter operative time, lower blood loss, shorter hospital stays, lower postoperative pain and analgesic requirements, and faster return to daily activities and work than SH (all p<0.05). Early complications were less frequent with LHP (16.0% vs. 32.0%), although the difference was not statistically significant (p=0.065). Symptomatic improvement and patient satisfaction were also higher with LHP, but these differences were not statistically significant. Conclusion: LHP demonstrated better short-term outcomes than SH, with less operative blood loss and postoperative pain, shorter hospital stays, and faster recovery. Thus, LHP may be a preferable minimally invasive option for Grade III-IV haemorrhoidal disease.