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Milligan-Morgan Hemorrhoidectomy vs Stapled Hemorrhoidopexy
BACKGROUND: The stapled hemorrhoidopexy (SH) is a procedure for prolapse and hemorrhoids . At first SH seemed to be a good alternative for the Milligan Morgan (MM) hemorrhoidectomy and preliminary results in early 2000 confirmed it. However, further studies and evaluation of long-term results showed...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Kowsar
2012
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3989568/ https://www.ncbi.nlm.nih.gov/pubmed/24749096 http://dx.doi.org/10.5812/kowsar.22517464.3363 |
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author | Towliat Kashani, Seyed Mohsen Mehrvarz, Shaban Mousavi Naeini, Seyed Morteza Erfanian, Reza |
author_facet | Towliat Kashani, Seyed Mohsen Mehrvarz, Shaban Mousavi Naeini, Seyed Morteza Erfanian, Reza |
author_sort | Towliat Kashani, Seyed Mohsen |
collection | PubMed |
description | BACKGROUND: The stapled hemorrhoidopexy (SH) is a procedure for prolapse and hemorrhoids . At first SH seemed to be a good alternative for the Milligan Morgan (MM) hemorrhoidectomy and preliminary results in early 2000 confirmed it. However, further studies and evaluation of long-term results showed poorer outcomes. OBJECTIVES: This study aimed to evaluate and compare the results of these 2 surgical procedures in terms of recovery, improvement of symptoms and incidence of complications. MATERIALS AND METHODS: This study was conducted from April 2008 to August 2010. A total of 80 patients were divided into 2 groups of 40 each. In the SH group, there were 24 males (60%) and 16 females (40%) with a mean age of 48 ± 12.5 yrs. In the MM group, there were 30 males (75%) and 10 females (25%) with a mean age of 50.6 ± 17.3 yrs. Patients with grade 3 and 4 prolapsed hemorrhoids were entered in the study. Data were entered using SPSS software and analyzed using t-test and Chi-square test. RESULTS: The two groups had no significant difference in terms of age or sex. Duration of surgery was 35 ± 7 minutes in the SH and 23.6 ± 13.5 minutes in the MM group. This difference was statistically significant (P = 0.000). Post-operative pain and complete pain relief was slightly lower in the MM group (not significant). Hospital stay was significantly longer in the MM group (P = 0.003). Return to work was similar in both groups. Three patients in the SH group (7.5%) and 2 in the MM group (5%) had hemorrhoid recurrence. CONCLUSIONS: Both techniques are efficient treatment methods for grade III and IV hemorrhoids and are associated with greater than 95% recovery rate. Overall, outcomes are the same in both techniques. Lower postoperative pain was the only advantage of SH over MM technique. |
format | Online Article Text |
id | pubmed-3989568 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2012 |
publisher | Kowsar |
record_format | MEDLINE/PubMed |
spelling | pubmed-39895682014-04-18 Milligan-Morgan Hemorrhoidectomy vs Stapled Hemorrhoidopexy Towliat Kashani, Seyed Mohsen Mehrvarz, Shaban Mousavi Naeini, Seyed Morteza Erfanian, Reza Trauma Mon Original Article BACKGROUND: The stapled hemorrhoidopexy (SH) is a procedure for prolapse and hemorrhoids . At first SH seemed to be a good alternative for the Milligan Morgan (MM) hemorrhoidectomy and preliminary results in early 2000 confirmed it. However, further studies and evaluation of long-term results showed poorer outcomes. OBJECTIVES: This study aimed to evaluate and compare the results of these 2 surgical procedures in terms of recovery, improvement of symptoms and incidence of complications. MATERIALS AND METHODS: This study was conducted from April 2008 to August 2010. A total of 80 patients were divided into 2 groups of 40 each. In the SH group, there were 24 males (60%) and 16 females (40%) with a mean age of 48 ± 12.5 yrs. In the MM group, there were 30 males (75%) and 10 females (25%) with a mean age of 50.6 ± 17.3 yrs. Patients with grade 3 and 4 prolapsed hemorrhoids were entered in the study. Data were entered using SPSS software and analyzed using t-test and Chi-square test. RESULTS: The two groups had no significant difference in terms of age or sex. Duration of surgery was 35 ± 7 minutes in the SH and 23.6 ± 13.5 minutes in the MM group. This difference was statistically significant (P = 0.000). Post-operative pain and complete pain relief was slightly lower in the MM group (not significant). Hospital stay was significantly longer in the MM group (P = 0.003). Return to work was similar in both groups. Three patients in the SH group (7.5%) and 2 in the MM group (5%) had hemorrhoid recurrence. CONCLUSIONS: Both techniques are efficient treatment methods for grade III and IV hemorrhoids and are associated with greater than 95% recovery rate. Overall, outcomes are the same in both techniques. Lower postoperative pain was the only advantage of SH over MM technique. Kowsar 2012-01-15 2012 /pmc/articles/PMC3989568/ /pubmed/24749096 http://dx.doi.org/10.5812/kowsar.22517464.3363 Text en Copyright ©2012, Kowsar M.P.Co. All rights reserved. http://creativecommons.org/licenses/by/3.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Towliat Kashani, Seyed Mohsen Mehrvarz, Shaban Mousavi Naeini, Seyed Morteza Erfanian, Reza Milligan-Morgan Hemorrhoidectomy vs Stapled Hemorrhoidopexy |
title | Milligan-Morgan Hemorrhoidectomy vs Stapled Hemorrhoidopexy |
title_full | Milligan-Morgan Hemorrhoidectomy vs Stapled Hemorrhoidopexy |
title_fullStr | Milligan-Morgan Hemorrhoidectomy vs Stapled Hemorrhoidopexy |
title_full_unstemmed | Milligan-Morgan Hemorrhoidectomy vs Stapled Hemorrhoidopexy |
title_short | Milligan-Morgan Hemorrhoidectomy vs Stapled Hemorrhoidopexy |
title_sort | milligan-morgan hemorrhoidectomy vs stapled hemorrhoidopexy |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3989568/ https://www.ncbi.nlm.nih.gov/pubmed/24749096 http://dx.doi.org/10.5812/kowsar.22517464.3363 |
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