Surgical outcomes of stapled hemorrhoidopexy and open Milligan Morgan procedure for treatment of hemorrhoids in tertiary level hospital
DOI:
https://doi.org/10.18203/2349-2902.isj20250559Abstract
Background: Milligan-Morgan open hemorrhoidectomy (MM) is the standard surgical method for hemorrhoids. Stapled hemorrhoidectomy (SH) is now considered a well-established procedure that is used to minimize postoperative discomfort, facilitate rapid wound healing, and accelerate recovery to regular activity. This study aimed to evaluate the surgical outcomes of SH and MM open hemorrhoidectomy.
Methods: This quasi-experimental study was conducted at the department of surgery, Rajshahi medical college hospital (RMCH), Rajshahi, Bangladesh, from January 2022 to December 2022. A total 108 hemorrhoids patients underwent SH and MM open hemorrhoidectomy are included in this study and divide equally in two group. SPSS software was used to perform statistical analysis of the quantitative data.
Results: The mean operative time for SH (27.59±8.56 min) was shorter than MM (35.21±7.13 min). SH resulted in significantly lower pain scores at 6, 12, and 24 hours postoperatively (p<0.05). Patients undergoing SH had significantly shorter hospital stays (1.32±0.84 days) compared to MM (3.1±2.8 days; p<0.001). Although SH patients had lower incidences of postoperative hemorrhage (7.4% vs. 12.96%) and wound infections (7.4% vs. 11.11%), these differences were not statistically significant. Anal stenosis decreased over time in both groups, with SH showing the lowest rate at six months (1.85%).
Conclusions: SH offers superior postoperative outcomes with reduced pain and length of hospital stay, making it a favorable alternative to the MM procedure for grade III hemorrhoids.
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References
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