Stapled haemorrhoidopexy versus Milligan-Morgan haemorrhoidectomy in teatment of haemorrhoidal disease
Adnan Bulut1, Sahil Evcimen2, İ. Oskay Kaya3, Onur Hoca4
1S.B. Ankara Dışkapı Yıldırım Beyazıt E.A.H. 4. Gen. Cer. Kliniği, ANKARA
2S.B. Giresun Şebinkarahisar Dev.Hst., GİRESUN
3S.B. Ankara Dışkapı Yıldırım Beyazıt E.A.H. 3. Gen. Cer. Kliniği, ANKARA
4S. B. Muş Hasköy Devlet Hastanesi, MUŞ
Purpose: The aim of this study was to compare, postoperative complications and effects on healing duration of stapled haemorrhoidopexy versus Milligan-Morgan haemorrhoidectomy.
Materials and Method: This trial was a prospective randomized study. 30 patients, in two groups, were included in this study who underwent stapled haemorrhoidopexy (16 patients) and Milligan-Morgan haemorrhoidectomy (14 patients).
Results: There were 9 male and 7 female patients in stapled haemorrhoidopexy group and the mean age was 44.6 (range 25-64). The Milligan-Morgan haemorrhoidectomy group had 9 male and 5 female patients and the mean age was 40.07 (range 22-61). Patients in both groups have 3rd and 4th degree haemorrhoidal disease. Preoperative faecal continence scoring was assessed and rectoscopy was performed in all patients. Postoperatively pain scores measured by visual analoge scale (=VAS) at 1st, 3rd and 7th days and urinary retention, bleeding, postoperative continence and pain scoring was assessed. In stapled haemorrhoidopexy group; postoperative pain scores at all times were lower ( day 1; 2,56 vs 4,5 day 3; 2,56 vs 4,92 day 7; 1,75 vs 2,71). Bleeding was higher at 1st-3rd days in Milligan-Morgan group (6 vs 11). There were no statistical differences for other complications.
Conclusion: Stapled haemorrhoidopexy is a safe and effective method that is associated with reduced postoperative pain and bleeding.
Keywords: Haemorrhoidal disease, stapled haemorrhoidopexy, Milligan-Morgan haemorrhoidectomy, heamorrhoidectomy