A study of milligan morgan haemorrhoidectomy versus radiofrequency ablation for the treatment of grade III hemorrhoids
Journal Title: INTERNATIONAL JOURNAL OF RECENT TRENDS IN SCIENCE AND TECHNOLOGY - Year 2016, Vol 20, Issue 2
Abstract
Introduction: Hemorrhoids are common human afflictions known since the dawn of history. Surgical management of this condition has made tremendous progress from complex ligation and excision procedures in the past to simpler techniques that allow the patient to return to normal life within a short period. Aims and Objective: Study of Milligan Morgan Haemorrhoidectomy versus Radiofrequency Ablation for the Treatment of Grade III Hemorrhoids Methodology: After approval form the institutional ethical committee a prospective clinical trial on the 40 patients Diagnosed as of Grade III hemorrhoids during January 2014 to January 2015 was carried out at the tertiary care hospital, written consent of the patients were taken. All eligible Grade III hemorrhoids patients were given treatment by Milligon–Morgan Haemorrhoidectomy (Group B). An Ellman Dual 4 MHz radiofrequency generator was used for the Radiofrequency ablation and Plication of haemorrhoids (Group A). The eligible patients for the surgeries were randomly allocated to the Group A (20 patients) and Group B (20 patients) by computer generated random numbers. The statistical analysis done by Un-paired t-test by Graph Pad Prism 5 software. Result: The difference in two groups of the average age is comparable (P>0.05;t = 1.114;df=38.); Operative time was significantly lower in Group A compared to Group B(P<0.0001 ;t = 10.00; df=38.) ; Intra-operative bleeding was significantly lower in Group A compared to Group B (P< 0.0001 ; t = 41.1437 df=38); Time to first bowel movement (hr) was significantly lower in Group A compared to Group B (P<0.0001; t = 14.10;df=38); Average hospital stay (Days) was significantly lower in Group A compared to Group B (P<0.0001; t = 4.00 ;df=38); Average Analgesic required (No. of Tab.) was significantly lower in Group A compared to Group B (P<0.0001;t=15.81 ;df=38). Time required for Wound healing (Days) was significantly lower in Group A compared to Group B (P<0.0001;t=10.73;df=38).Overall the complications were, more in the Group B (70%) (Milligan Morgan Haemorrhoidectomy) as compared to Group A (10%) (Radiofrequency Ablation). The complications like Urinary retention, Bleeding, Incontinence of flatus, External tags, Recurrence, Anal stenosis, were common in Group B than Group A Conclusion: Overall the operative outcomes like less intraoperative bleeding, less time for the first bowel movement with less analgesic were better in Radiofrequency Ablation and overall complications were less in Radiofrequency Ablation compared to conventional Milligan Morgan Haemorrhoidectomy.
Authors and Affiliations
Ganesh Ganapatrao Degloorkar
Keywords
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