A Comparative Study Between Milligan-Morgan Haemorrhoidectomy and Stapler Haemorrhoidectomy
Journal Title: International Journal of Interdisciplinary and Multidisciplinary Studies (IJIMS) - Year 2016, Vol 3, Issue 3
Abstract
Milligan – Morgan haemorrhoidectomy has remained most popular surgical treatment for late grade II, III and IV haemorrhoids, but has a reputation for being a painful procedure for fairly benign disease. With the advent of minimal invasive surgery, the scenario has changed. Stapler haemorrhoidectomy for haemorrhoids has the benefits of decreased postoperative pain, bleeding, anal discharge, reduced hospital stay, earlier return to routine work .The present study was conducted in NIMS Medical College & Hospital, Jaipur. Seventy patients (35 in each group) with different degrees (II, III, and IV) of symptomatic haemorrhoids underwent haemorrhoidectomy by either conventional Milligan – Morgan (Group M) or Stapler haemorrhoidectomy (Group S). The results were compared with regards to time taken for the procedure, post-operative complications, hospital stay and time to return normal activity. Statistical analysis was done using SPSS ver. 20 and p-value <0.05 was considered as significant. It was found that time required for Stapler hemorrhoidectomy was 22.4 mins which was almost half of that required for Conventional hemorrhoidectomy (39.8 mins; p< 0.05). Mean Hospital stay after MilliganMorgan haemorrhoidectomy was 4.97 days and after Stapler haemorrhoidectomy was 3 days (p< 0.05). Mean time to return routine activities after Milligan-Morgan haemorrhoidectomy was 14.42 days while after Stapler haemorrhoidectomy was 4.37 days (p< 0.05). Postoperative pain score (VAS) at day 1, 7 and 15 was significantly more in Milligan-Morgan Haemorrhoidectomy group as compared to Stapler haemorrhoidectomy group (p< 0.05; Table 3). Postoperative Complications like bleeding, anal discharge, fissure in-aano and urinary retention was seen in significantly more number of patients after Milligan-Morgan haemorrhoidecomy than Satpler haemorrhoidectoy (p< 0.05).It may be concluded that stapler haemorrhoidectomy offers a promising treatment for the treatment of haemorrhoids however long-term follow up, rate of recurrence and cost effectiveness needs further evaluation.
Authors and Affiliations
Sanjay Chatterjee, Rituraj
Keywords
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