This study compares three different ways surgeons close the wound after removing hemorrhoids (piles): leaving it completely open, stitching it completely closed, or stitching only half of it closed (semi-closed). The goal is to see which method leads to faster healing, less pain, fewer complications, and better long-term results. Patients undergoing hemorrhoidectomy will be randomly assigned to one of the three groups. All patients will receive standard post-operative care. Researchers will measure healing time, pain levels, need for pain medication, hospital stay, complications, and check if hemorrhoids come back within one year.
Patients aged 18 to 75 years.
Clinical diagnosis of mixed hemorrhoids requiring surgical intervention.
Scheduled to undergo hemorrhoidectomy with ligation of internal hemorrhoids and excision of external hemorrhoids.
Willing and able to provide written informed consent.
History of mental illness or cognitive impairment that may affect the ability to provide informed consent or comply with the study protocol.
Diagnosis of diabetes mellitus.
Planned concomitant procedures (e.g., radiofrequency ablation, sclerotherapy) in addition to hemorrhoidectomy.
Inability or unwillingness to comply with scheduled follow-up visits.