69 -3 (89) 2026 - Mirzakhmedov M.M., Sarmanov D.I. - FEATURES OF DIAGNOSIS AND SURGICAL TREATMENT OF VARIOUS FORMS OF HEMORRHOIDS
FEATURES OF DIAGNOSIS AND SURGICAL TREATMENT OF VARIOUS FORMS OF HEMORRHOIDS
Mirzakhmedov M.M. - Tashkent State Medical University
Sarmanov D.I. - Nano Medical Clinic
Bobonazarov Sh.B. - Star Med Clinic, Tashkent
Resume
Objective. To improve surgical outcomes in patients with chronic hemorrhoids stages III–IV through a hybrid minimally invasive technique combining LigaSure bipolar coagulation with laser ablation. Materials and Methods. A prospective comparative study of 101 patients with chronic hemorrhoids stages III–IV (2022–2026). Study group (n=43): hybrid hemorrhoidectomy (LigaSure + laser ablation, 1560 nm). Control group (n=58): conventional Milligan–Morgan hemorrhoidectomy. Results. The study group demonstrated a 41.8% reduction in operative time, 66.3% decrease in blood loss, 60.3% reduction in VAS pain scores, complication rate reduction from 31.0% to 4.7%, 50.8% shorter hospitalization, and 56.5% faster return to work (p<0.001). Conclusion. Hybrid hemorrhoidectomy is a highly effective and safe method that significantly surpasses traditional hemorrhoidectomy across key clinical parameters.
Keywords: hemorrhoids, hemorrhoidectomy, LigaSure, laser ablation, hybrid technique.
First page
425
Last page
429
For citation:Mirzakhmedov M.M., Sarmanov D.I., Bobonazarov Sh.B. - FEATURES OF DIAGNOSIS AND SURGICAL TREATMENT OF VARIOUS FORMS OF HEMORRHOIDS//New Day in Medicine 3(89)2026 425-429 https://newdayworldmedicine.com/en/new_day_medicine/3-89-2026
List of References
- Barbu LA, Mărgăritescu ND, Cercelaru L, Țenea Cojan TS, Stănică MC, Enăchescu I, et al. Laser hemorrhoidoplasty: postoperative outcomes and predictive factors for pain, bleeding, and recovery. Life (Basel). 2025;15(11):1777. doi:10.3390/life15111777
- Khadr MA, El Shazly WG, Zakria MM, Moaz AM. Laser hemorrhoidoplasty versus LigaSure™ hemorrhoidectomy versus diathermy hemorrhoidectomy in treatment of grade III and IV hemorrhoids: a non-randomized prospective trial. Surg Open Dig Adv. 2024.
- Liao YT, Chang KS, Wu BC, et al. Short-term and patient-reported outcomes of laser hemorrhoidoplasty plus excisional hemorrhoidectomy for the treatment of grade IV hemorrhoid. Sci Rep. 2025;15:41510. doi:10.1038/s41598-025-25263-2
- Naderan M, Shoar S, Nazari M, Elsayed A, Mahmoodzadeh H, Khorgami Z. A randomized controlled trial comparing laser intra-hemorrhoidal coagulation and Milligan-Morgan hemorrhoidectomy. J Investig Surg. 2017;30(5):325–331. doi:10.1080/08941939.2016.1248304
- Verma R, Kumar N, Mishra V. A comparative study between laser hemorrhoidoplasty with digital-guided hemorrhoidal artery ligation and conventional (Milligan-Morgan) hemorrhoidectomy. Asian J Med Sci. 2024;15(2):218–222. doi:10.3126/ajms.v15i2.59505
- Rustamov AE, Navruzov BS, Egamberdieva EX, et al. Tactics of surgical treatment for rectal prolapse. Toshkent tibbiyot akademiyasi axborotnomasi. 2019;(2):119–122.
- Trompetto M, Clerico G, Cocorullo GF, Giordano P, Marino F, Martellucci J, et al. Evaluation and management of hemorrhoids: Italian society of colorectal surgery (SICCR) consensus statement. Tech Coloproctol. 2015;19(10):567–575. doi:10.1007/s10151-015-1371-9
- Tümer H, Ağca MH. Comparing outcomes of laser hemorrhoidoplasty and LigaSure hemorrhoidectomy in grade II–III hemorrhoidal disease: a retrospective analysis. ANZ J Surg. 2023;93(7-8):1885–1889. doi:10.1111/ans.18568
- Watson AJ, Hudson J, Wood J, Kilonzo M, Brown SR, McDonald A, et al.; eTHoS study group. Comparison of stapled haemorrhoidopexy with traditional excisional surgery for haemorrhoidal disease (eTHoS): a pragmatic, multicentre, randomised controlled trial. Lancet. 2016;388(10058):2375–2385. doi:10.1016/S0140-6736(16)31803-7
- Сухроб Усмонович Алимов, Олимбой Раззакович Мавлянов, Хамид Якубович Каримов, Ахмаджон Баходирович Бабажонов. Особенности системы гемостаза при осложненных кровотечением гастродуоденальных язвах. Re-health journal. 2021;(1(9)):217–219. doi:10.24411/2181-0443-2021-10037
- Бабажонов АБ. Современная тактика хирургического лечение осложненных форм дивертикулеза ободочной кишки (обзор литературы). Тошкент; 2021. 17 с.
- Тешаев ОР, Наврузов БС, Бабажонов АБ, Гозиев ЖО. Современная тактика хирургического лечение осложненных форм дивертикулеза ободочной кишки. Re-health journal. 2021;(2(10)):267–270.
file
download