British Journal of Medicine and Medical Research, ISSN: 2231-0614,Vol.: 21, Issue.: 12
Open (Miligan Morgan) Haemorrhoidectomy versus Stapled Haemorrhoidopexy: A Comparative Study
Ashwani Kumar1, Manisha Aggarwal1*, Rachan Lal Singla1, Tarun Kansal2 and Sunita Goyal3 1Department of Surgery, Rajindra Hospital, Patiala, India. 2Infogain India Pvt Ltd, Noida, India. 3Civil Hospital, Sangrur, India.
Ashwani Kumar1, Manisha Aggarwal1*, Rachan Lal Singla1, Tarun Kansal2 and Sunita Goyal3
1Department of Surgery, Rajindra Hospital, Patiala, India.
2Infogain India Pvt Ltd, Noida, India.
3Civil Hospital, Sangrur, India.
(1) Shigeki Taga, Department of Obstetrics and Gynecology, Kagawa Prefectural Central Hospital, Japan.
(1) Mushtaq Chalkoo, Govt. Medical College, Srinagar, India.
(2) Kenji Okumura, UT Southwestern Medical Center, USA.
(3) Edwin Samson Otieno, University of Nairobi, Kenya.
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Background: Haemorrhoidal disease, one of the most common anorectal disorders, when complicated, is a painful concern to the patient. Miligan Morgan haemorrhoidectomy is a commonly performed gold standard procedure for haemorrhoids with good results but is a very painful procedure. Stapled haemorrhoidopexy has emerged as a possible alternative promising lesser immediate post operative complications.
Methods: Sixty patients between age group of 20-70 years with symptomatic haemorrhoidal disease planned for surgical technique were randomized into two groups: A stapled haemorrhoidopexy(SH) group operated on using PPH 03 kit and a Miligan Morgan (MM) group operated on using a standard open haemorrhoidectomy technique.
Results: The mean operative time, average pain scores and consequent parenteral and oral analgesics requirement was significantly lower in stapled group. There was no significant difference in immediate complications between the two groups. Duration of hospital stay was significantly lower in SH group and they returned to work significantly earlier and were more satisfied than the open group.
Conclusion: Stapled haemorrhoidopexy is an effective procedure for haemorrhoids with minimal immediate complications but the cost is exorbitant.
Haemorrhoids; miligan morgan haemorrhoidectomy; stapled haemorrhoidopexy.
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DOI : 10.9734/BJMMR/2017/33489Review History Comments