Hemorrhoids are one of the most common diseases of the anal canal and rectum, affecting 10-15% of the adult population, according to epidemiological studies. The aim of the study is to improve the methods of prevention and treatment of cicatricial narrowing of the anal canal after radical hemorrhoidectomy. The clinical part of the study included 297 patients with stage II-IV chronic combined hemorrhoids who underwent radical hemorrhoidectomy operations from 2010 to 2025 at the Khorezm Regional Multidisciplinary Medical Center, as well as 35 patients with cicatricial narrowing of the anal canal after hemorrhoidectomies performed in other institutions. In the main group, the average intraoperative blood loss was 27.6±17.2 ml, which was significantly lower (t=6.65; P<0.001) than in the comparison group (82.3±15.8 ml and 96.2±15.8 ml). The improved Milligan Morgan hemorrhoectomy technique with preservation of the mucocutaneous bridge and without suturing wounds in the transition zone helps to reduce pain reception, reduce hospital stay from 7.4±1.2 to 2.3±0.4 (P<0.05), reduce rehabilitation time from 28.4±2.9 to 17.5±2.6 days, and reduce the frequency of scarring anal canal stenosis from 7-12 to 0.9% (P<0.05).

laser technology; hemorrhoidectomy; Milligan-Morgan operation; anal canal stricture.

Tournu G, Abramowitz L, Couffignal C, Juguet F, Sénéjoux A, et al.; GREP study group; MG-PREVAPROCT study group. Correction to: Prevalence of anal symptoms in general practice: a prospective study. BMC Fam Pract. 2019;20(1):14.

Sun Z, Migaly J. Review of Hemorrhoid Disease: Presentation and Management. Clin Colon Rectal Surg. 2016;29(1):22-9.

Yakubov F.R., Erniyazov E.A., Sapaev D.S. (2023). Modern Treatment of Mallory-Weiss Syndrome. International journal of health systems and medical sciences, 2(4), 27–33. Retrieved from https://inter-publishing.com/index.php/IJHSMS/article/view/1415

Pata F, Sgró A, Ferrara F, Vigorita V, Gallo G, Pellino G. Anatomy, Physiology and Pathophysiology of Haemorrhoids. Rev Recent Clin Trials. 2021;16(1):75-80.

Zagriadskiǐ E.A, Bogomazov A.M, Golovko EB. Conservative Treatment of Hemorrhoids: Results of an Observational Multicenter Study. Adv Ther. 2018;35(11):1979-92.

Ismailov Saidmurad Ibragimovich et al. (2024). Novel Endoscopic Technique in Treating Colon Neoplasms with Improved Clinical Outcomes, Journal of Angiotherapy, 8(6), 1-6, 9748. https://doi.org/10.25163/angiotherapy.869748

Ataullaevich, A. K., Khasanovich, B. A., Abrarovich, S. R., Eshmurodovich, R. A., Bazarbaevich, O. G., Sultanbaevich, B. A., Radjabovich, Y. F., & Shukhratovich, S. D. (2023). A new method of surgical treatment of rectal prolapse. Migration Letters, 20(S8), 1512–1519. https://doi.org/10.59670/ml.v20iS8.6111

Акилов Хабибулла Атауллаевич, Рустамов Абдусамад Эшмуродович, & Сапаев Дусчан Шухратович (2023). Оценка эффективности нового способа хирургического лечения выпадения прямой кишки. Вестник хирургии имени И. И. Грекова, 182 (3), 47-53. doi: 10.24884/0042-4625-2023-182-3-47-53