Milligan-Morgan Haemorrhoidectomy Versus Stapled Haemorrhoidopexy: A Prospective Comparative Study.
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2018, Vol 3, Issue 12
Abstract
Background: Haemorrhoids being a common anorectal problem, characterized by bleeding from anal canal is known for it’s morbidity and complications. The treatment option depends on the type and severity of the symptoms, on the degree of prolapse and on the expertise of operator and equipment available. Methods: A prospective study conducted on 30 patients diagnosed with grade 3,4 haemorrhoids attending Department of General Surgery, SCB medical college and hospital from AUGUST 2016 to JULY 2018.After routine investigations the patients were randomly allocated for one the tho surgeries after taking an informed consent. Results: Out of 30 patients 15 underwent stapler haemorrhoidopexy and rest underwent open haemorrhoidectomy. There was a significant difference (p< 0.05) between the two groups in terms of Intraoperative blood loss(63.33±11.16 ml vs 148±32.04 ml), Operative time(27.06±5.26min vs 52±11.59 min), Hospital stay(1.2±0.77 days vs 2.66 ± 1.17 days), post operative pain and time to return work(3.6±1.298 days vs 9.22±2.67 days). Conclusions: Stapler hemorrhoidopexy is superior to Milligan-Morgan haemorrhoidectomy in terms of Introperative blood loss, operating time, hospital stay, Time taken to return to work and patient’s satisfaction and it is straightforward and easy to learn.hence it is an alternative to open procedure.
Authors and Affiliations
Dr. Biplab Mishra
Keywords
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