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Related Experiment Videos

Suture haemorrhoidectomy: a day-only alternative

N Patel1, T O'Connor

  • 1Department of Colorectal Surgery, St Vincent's Hospital, Sydney, New South Wales, Australia.

The Australian and New Zealand Journal of Surgery
|December 1, 1996
PubMed
Summary

Suture haemorrhoidectomy (SH) offers a safe, less painful day-only procedure for symptomatic hemorrhoids compared to Milligan-Morgan haemorrhoidectomy (MMH). SH significantly reduces recovery time and hospital stay, with no recurrence observed.

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Area of Science:

  • Colorectal Surgery
  • Surgical Techniques
  • Minimally Invasive Procedures

Background:

  • Hemorrhoidectomy is a common surgical treatment for symptomatic third-degree hemorrhoids.
  • Increasing demand for hospital beds drives the adoption of day-surgery procedures.
  • Conventional Milligan-Morgan haemorrhoidectomy (MMH) is compared against a novel suture haemorrhoidectomy (SH) technique.

Purpose of the Study:

  • To describe a suture haemorrhoidectomy (SH) technique performed as a day-only procedure.
  • To compare the effectiveness and outcomes of SH against the conventional Milligan-Morgan haemorrhoidectomy (MMH).

Main Methods:

  • A prospective study of 18 patients undergoing SH was compared to a historical control group of 17 patients who underwent MMH.
  • Patients were followed up via telephone questionnaire.

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  • Exclusion criteria included intercurrent anal pathology, thrombosed hemorrhoids, or loss to follow-up.

    • Main Results:

    • The SH group demonstrated significantly shorter times to first void (3h vs 11h) and first bowel action (11h vs 48h).
    • SH resulted in a significantly shorter mean in-hospital stay (10h vs 77h) and reduced pain scores (1 vs 3).
    • Complications included two readmissions for pain in the SH group and one urinary retention case in the MMH group; no hemorrhoid recurrence was noted in the SH group.

    Conclusions:

    • Suture haemorrhoidectomy (SH) is a safe and effective day-only procedure for hemorrhoids.
    • SH is associated with reduced pain and shorter hospital admission times compared to MMH.
    • Long-term effectiveness and potential complications of SH require further investigation.