Laser hemorrhoidoplasty in focus: A modern alternative to conventional surgical techniques for symptomatic hemorrhoids

Table 1 Summary of key comparative trials and meta-analyses

Ref.	Study type	Comparison groups	Key comparative findings	Additional contributions in current review
Cemil et al[1], 2024	Comparative Study	LHP vs Milligan-Morgan (Grade II/III)	Lower pain scores, faster return to work	Referenced in pain and operative time outcomes
Wee et al[2], 2023	Meta-analysis	LHP vs conventional hemorrhoidectomy	Lower pain (24 hours, 7 days, 14 days), shorter recovery	Main data source for comparative meta-analysis
Poskus et al[3], 2020	RCT	LHP vs sutured mucopexy vs excision	Less pain early on; recurrence higher with LHP	Used to demonstrate recurrence concern
Cheng et al[4], 2024	Meta-analysis	Diode LHP vs MM & Ferguson	Lower pain, shorter hospital stay	Supported benefits in hospital stay and pain
Lie et al[5], 2022	Meta-analysis	LHP vs Various Controls	Less pain, faster recovery; recurrence concerns	Cited in recurrence and long-term efficacy debate
Jin et al[6], 2024	RCT	LHP vs RBL (Grade II)	LHP less painful; similar short-term efficacy	Highlighted minimally invasive alternative to RBL
Eray et al[7], 2025	Retrospective Study	LHP + Ferguson vs conventional	Combined technique reduced pain and bleeding	Introduced vessel ligation adjunct concept
Maloku et al[8], 2014	Comparative Clinical Study	LHP vs Open Hemorrhoidectomy	Shorter OR time, less postoperative pain	Provided real-world timing and pain data
Tan et al[9], 2022	Systematic Review & Meta-analysis	LHP vs milligan-morgan hemorrhoidectomy	LHP had lower pain, bleeding, faster recovery	Framed entire evidence base; critical meta-analysis

LHP: Laser hemorrhoidoplasty.