Surgical Outcomes of Haemorrhoidectomy along With Suture Haemorrhoidopexy in Multiple Haemorrhoids

Khalil, Mohammad Ibrahim; Rahman, Ashiqur; Ahmed, Adnan; Uddin, Samia Shihab; Alauddin, M.; Alam, Arshad; Hossain, Altaf

doi:10.3329/jcamr.v6i2.42697

Cited by 2 publications

(1 citation statement)

References 8 publications

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“…Cryotherapy, infrared coagulation, rubber band ligation, sclerotherapy, and radiofrequency ablation are some of the non-operative treatment methods available. 12,13 Hemorrhoids of the first and second degrees are typically managed without surgery. However, stapled haemorrhoidopexy, Ferguson hemorrhoidectomy, and Milligan Morgan hemorrhoidectomy are the standard treatments for third and fourth degree haemorrhoids.…”

Section: Introductionmentioning

confidence: 99%

Comparative Study between Milligan Morgan Versus Ligasure Haemorrhoidectomy

Baig¹,

Mehmood²,

Khalid³

et al. 2022

PJMHS

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Purpose of Study: To compare the short term outcome of Ligasure haemorrhoidectomy with Milligan Morgan technique for third and fourth degree haemorrhoids. Design of Study: The present study was a single-blind randomized controlled trial. Duration and Location of Study: This trial was conducted at Akhtar Saeed Trust Teaching Hospital, Lahore. Duration of study is 6 months June 2021 to December 2021. Patients and Methods: A total of 80 subjects suffering from 3rd or 4th degree haemorrhoids were enrolled in the study and divided into two groups using lottery method. An informed written consent was taken from all the patients. Patients in group A (LS group) underwent Ligasure haemorrhoidectomy while patients in group B (MM group) underwent Milligan Morgan haemorrhoidectomy. Mean and standard deviation was calculated for numerical variables like age, operation time and postoperative pain on VAS score. Frequency and percentage was calculated categorical variables like gender, disease severity, bleeding, occurrence of urinary retention, anal stenosis and necrosis. SPSS version 22.0 was used for data analysis. Results of the Study: The patients had a mean age of 41.54±6.380 years within age range of 35-62 years. Number of male participants was high as 49 (61.3%) while compared with females who were 31 (38.7%) in total study sample of 80 subjects with a male to female ratio of 1.58:1. Number of patients with 3rd degree haemorrhoids was 53 (66.3%) whereas 27 (33.8%) patients had 4th degree haemorrhoids. LS was found to have significantly less operation time as 15.03±1.928 vs. 20.40±2.228 minutes; p-value=0.000. Postoperative pain was significantly less in LS group than MM group (4.20±0.883 vs. 5.23±0.891; p-value=0.000). Frequency of postoperative bleeding was also significantly less in LS group than MM group (5.0% vs. 25.0%; p-value=0.013). Occurrence of urinary retention was high in the LS group but the difference was not significant (p=0.247). Frequency of anal stenosis and necrosis was also less in LS group than MM group but the difference was not statistically significant with p-value=0.077 and 0.500, respectively. Conclusion: Ligasure haemorrhoidectomy was found superior to Milligan Morgan hemorrhoidectomy in managing patients with third and fourth degree haemorrhoids because it has considerably less operation time, postoperative pain and bleeding. Thus, Ligasure haemorrhoidectomy should be favored in the treatment of such cases in future surgical practice on the basis of benefits of Ligasure haemorrhoidectomy. Keywords: Hemorrhoids, Ligasure Haemorrhoidectomy, Milligan Morgan Hemorrhoidectomy

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Section: Introductionmentioning

confidence: 99%

Comparative Study between Milligan Morgan Versus Ligasure Haemorrhoidectomy

Baig¹,

Mehmood²,

Khalid³

et al. 2022

PJMHS

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Local anesthesia versus saddle block for open hemorrhoidectomy: cost-analysis from a randomized, double blind controlled trial

Sikakulya,

Ssebuufu,

Okedi

et al. 2023

BMC Health Serv Res

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Background Despite the benefits attributed to the use of local anesthesia (LA) for open hemorrhoidectomy (OH) in developed countries, this technique is still not considered as the first line technique in low-income countries such as Uganda; therefore, we aimed at comparing the cost of OH under LA versus Saddle block among patients with 3rd or 4th degree hemorrhoids. Methods This trial was conducted from December 2021 to May 2022 among patients with primary uncomplicated 3rd or 4th degree hemorrhoids. The operating time, and direct costs in (US$) including medical and non-medical were recorded. We analysed the cost in the two groups (local anesthesia versus saddle block) using SPSS version 23.0. Results Findings of fifty-eight patients were analysed including 29 participants per group. There was a significant difference in operating time and cost among the two groups (p < 0.05). The mean operating time was 15.52 ± 5.34(SD) minutes versus 33.72 ± 11.54 min for OH under LA and SB respectively. The mean cost of OH under LA was 57.42 ± 8.90 US$ compared to 63.38 ± 12.77US$ in SB group. Conclusion The use of local anesthesia for OH was found to have less operating time with high-cost effectiveness. Being affordable, local anesthesia can help to increase the turnover of patients who would otherwise wait for the availability of anesthesia provider. Policy makers should emphasize its applicability in low-income settings to help in the achievement of 2030 global surgery goals. Trial registration Pan African Clinical Trials Registry, PACTR202110667430356. Registered on 08/10/2021.

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Surgical Outcomes of Haemorrhoidectomy along With Suture Haemorrhoidopexy in Multiple Haemorrhoids

Cited by 2 publications

References 8 publications

Comparative Study between Milligan Morgan Versus Ligasure Haemorrhoidectomy

Comparative Study between Milligan Morgan Versus Ligasure Haemorrhoidectomy

Local anesthesia versus saddle block for open hemorrhoidectomy: cost-analysis from a randomized, double blind controlled trial

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