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[Hemorrhoidectomy: Milligan and Morgan technique]

F Di Bella1, M Giordano, G F Blanco

  • 1Servizio Autonomo di Proctologia Chirurgica, Ospedale S. Martino di Genova.

Annali Italiani Di Chirurgia
|November 1, 1995
PubMed
Summary

This study reviews Milligan and Morgan and Arnous anoplasty procedures for hemorrhoidectomies. Internal sphincterotomy effectively prevents complications like pain and urinary retention when indicated.

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Area of Science:

  • Colorectal surgery
  • Surgical indications
  • Anorectal pathology

Context:

  • Review of surgical techniques for hemorrhoid treatment.
  • Experience with 523 hemorrhoidectomy procedures.
  • Evaluation of Milligan and Morgan and Arnous anoplasty.

Purpose:

  • To describe and discuss Milligan and Morgan and Arnous anoplasty procedures.
  • To evaluate indications based on pathological features.
  • To assess early and late complications of sphincterotomy and anoplasty.

Summary:

  • Details Milligan and Morgan and Arnous anoplasty procedures, with indications derived from pathological findings.
  • Discusses left internal sphincterotomy, posterior sphincterotomy, and anoplasty based on author experience with 523 hemorrhoidectomies.
  • Internal sphincterotomy, when indicated, is shown to prevent pain, urinary retention, fissure, and stenosis, with complications evaluated.

Impact:

  • Provides insights into surgical management of hemorrhoids.
  • Highlights the benefits of internal sphincterotomy in preventing post-operative complications.
  • Contributes to understanding the efficacy and safety of different anoplasty techniques.

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