Aims and objectives: 1. To evaluate the outcomes of open and closed hemorrhoidectomy. 2. To compare the advantages and disadvantages in open and closed hemorrhoidectomy.

Methodology: A randomised control trail was conducted on 56 patients presenting with grade 3 or grade 4 haemorrhoids at tertiary care centre. Patients were divided into groups of Group A – undergoing Open haemorrhoidectomy and Group B – undergoing Closed haemorrhoidectomy. Each group consisted of 28 patients. Patients in both groups were followed up and various parameters were assessed.

Results: Mean duration of procedure for open haemorrhoidectomy was 22.32 minutes and for closed haemorrhoidectomy was 30 minutes. Mean intraoperative blood loss in both the procedures was 23.39 ml. 64.28% of patients showed wound healing at 3 weeks in group A and 46.42% in group B. Mean VAS score at discharge was 3.71 for group A and 4.64 for group B (p <0.001). Mean hospital stay for group A – 3.7 and for group B – 5 (p < 0.001).

Conclusion: As per the observations made and data obtained in our study it showed that open haemorrhoidectomy to be superior to closed haemorrhoidectomy.