Comparative Analysis of Open & Closed Hemorrhoidectomy: Evaluating the Postoperative Outcomes and Patient Satisfaction

Abstract

Background: Haemorrhoidectomy is the standard treatment for advanced haemorrhoids. Open (Milligan-Morgan) and closed (Ferguson) techniques are widely used, but their comparative outcomes remain debated. This study evaluates postoperative pain, healing time, operative duration and patient satisfaction between the two methods. Methods: A prospective study was conducted with 50 patients (25 in each group) presenting with Grade III or IV haemorrhoids. Open hemorrhoidectomy was performed using the Milligan-Morgan method, while the closed technique followed the Ferguson method. Postoperative pain was assessed using a 0–10 scale at Day 1, Week 1 and Week 3. Healing time, hospital stay and complications were recorded. Statistical analysis was performed, with p < 0.05 considered significant. Results: Patients in the closed group reported lower pain levels compared to the open group, particularly by Week 3. Healing time was significantly shorter for the closed group (2.8 weeks vs. 3.5 weeks; P < 0.001). Operative time was shorter in the open group (17 minutes vs. 25 minutes; P < 0.001). Satisfaction scores were higher for the closed group (4.2 vs. 3.8; P = 0.01). Complication rates, including bleeding and infection, were low and comparable in both groups.