Stapled hemorrhoidopexy versus Milligan–Morgan technique (open hemorrhoidectomy) in surgical treatment of third-degree and fourth-degree circumferential piles | ||||
| The Egyptian Journal of Surgery | ||||
| Article 48, Volume 41, Issue 3, July 2022 PDF (4.01 MB) | ||||
| DOI: 10.4103/ejs.ejs_167_22 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
| Mostafa M.A. Aziz Ali; Mohamed A. Nada; Ehab H.A. El-Wahab; Ahmed A. Abbas | ||||
| Abstract | ||||
| Background Hemorrhoidal disease is one of the commonest benign anorectal problems worldwide. Hemorrhoidal disease is usually considered the most troublesome anal diseases. They can slide down, prolapse, dilate, and bleed occasionally. Objective This is a prospective randomized comparative study that compares between the conventional Milligan–Morgan hemorrhoidectomy and stapling hemorrhoidopexy in the surgical treatment of the third-degree and fourth-degree circumferential piles. Results Stapled hemorrhoidectomy (SH) had significant decrease in intraoperative blood loss and significant decrease in the recurrence rate with no effect on fecal continence. Conclusion From this study, we concluded that SH is superior to Milligan–Morgan technique in treatment of third-degree and fourth-degree circumferential piles, as SH had significant decrease in intraoperative blood loss and significant decrease in the recurrence rate with no effect on fecal continence. The complication rate showed a statistically nonsignificant difference with respect to the postoperative complications, such as postoperative bleeding, urinary retention, and anal stenosis. | ||||
| Keywords | ||||
| circumferential piles; Milligan–Morgan; Stapled hemorrhoidopexy | ||||
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