Comparative Study Between Stapled Hemorrhoidectomy and Milligan Morgan Method for 3rd Degree Piles | ||
| Al-Azhar International Medical Journal | ||
| Volume 2024, Issue 8, August 2024 | ||
| DOI: 10.58675/2682-339X.2625 | ||
| Authors | ||
| Eslam Mohamed; Abd El Hafez Abd El Hafez; Abd El Salam Emad | ||
| Department of General Surgery, Faculty of Medicine for Boys, Al-Azhar University, Cairo, Egypt | ||
| Abstract | ||
| Background: Hemorrhoids, or piles, are collections of submucosal, fibrovascular, and arteriovenous sinusoids in the anus and rectum, classified into four grades based on severity. Third-degree piles are more severe, causing discomfort, bleeding, and infection. Aim: To compare stapled hemorrhoidectomy and Milligan-Morgan hemorrhoidectomy in 3rd-degree piles. Patients and methods: This prospective observational research involved forty cases which were selected from attendees of the surgery department of Al Azhar University Hospitals. Samples were collected using a random systematic method. Cases were randomized and divided into two groups, as follows: Group (1): 20 patients undergo stapled hemorrhoidectomy, and Group (2): 20 patients undergo Milligan-Morgan hemorrhoidectomy from April 2023 to February 2024. Results: There was a highly statistically significant distinction among Group one and Group two regarding the duration of surgery (minutes), intraoperative blood loss by (cubic centimeters (CC)) and pain (VAS score) while there wasn't statistically significant variance among Group one & Group two regarding bleeding, stenosis, incontinence, perianal fistula, and return to activity (days). Conclusion: This study found that the stapled hemorrhoidectomy (SH) method is better than the Milligan-Morgan hemorrhoidectomy (MM) method for treating third-degree circumferential piles. This is because the SH method reduced intraoperative blood loss and the rate of recurrence while having no effect on fecal continence. We concluded that stapled hemorrhoidectomy can thus be considered a safe, reliable, and better surgical procedure for treating 3rd-degree hemorrhoids. | ||
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