Milligan-Morgan Hemorrhoidectomy vs Stapled Hemorrhoidopexy

Area of Science:

• Colorectal Surgery
• Surgical Procedures
• Hemorrhoid Treatment

Background:

• Stapled hemorrhoidopexy (SH) emerged as an alternative to Milligan Morgan (MM) hemorrhoidectomy for prolapsed hemorrhoids.
• Initial results suggested SH was a viable option, but long-term data indicated poorer outcomes compared to MM.

Purpose of the Study:

• To compare the efficacy of SH and MM hemorrhoidectomy.
• Evaluate differences in patient recovery, symptom improvement, and complication rates between the two surgical techniques.

Main Methods:

• A comparative study involving 80 patients with grade 3 and 4 prolapsed hemorrhoids from April 2008 to August 2010.
• Patients were divided into two groups: 40 undergoing SH and 40 undergoing MM hemorrhoidectomy.
• Data were analyzed using SPSS, employing t-tests and Chi-square tests to compare outcomes.

Main Results:

• No significant differences in age or sex distribution between the SH and MM groups.
• SH surgery duration was longer (35 min) than MM (23.6 min), a statistically significant difference (P=0.000).
• MM group had a significantly longer hospital stay (P=0.003), while postoperative pain and recurrence rates were similar between groups.

Conclusions:

• Both SH and MM are effective treatments for grade III and IV hemorrhoids, with over 95% recovery rates.
• Overall patient outcomes were comparable between the two surgical methods.
• Stapled hemorrhoidopexy (SH) offered a minor advantage due to lower postoperative pain compared to Milligan Morgan (MM) hemorrhoidectomy.