Abstract
<jats:p>The article presents the results of a comparative clinical study on the effectiveness of laser treatment of hemorrhoids using coagulation with the Giga device (1470 nm, 12 W) and conventional Milligan–Morgan hemorrhoidectomy. The study included 84 patients: 44 patients in the main group who underwent laser intervention and 40 patients in the control group who underwent conventional surgery. Outcomes were assessed according to clinical efficacy, severity of pain syndrome using the VAS scale, quality of life indicators according to SF-36, frequency of postoperative complications according to the Clavien–Dindo classification, continence function according to the Wexner scale, and dynamic anoscopic findings. It was established that the laser technique provided faster symptom relief, lower postoperative pain intensity, shorter wound healing time, a reduced frequency of complications, and higher quality-of-life scores. Complete symptom resolution at 1 month was achieved in 93.2% of patients in the main group versus 85.0% in the control group, while stable remission at 3 months was maintained in 95.4% and 87.5% of patients, respectively. The mean pain score on postoperative day 3 was 2.3±0.8 versus 4.6±1.2, and severe complications were observed only in the control group.</jats:p>