milligan-morgan hemorrhoidectomy vs stapled hemorrhoidopexy
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چکیده
background: the stapled hemorrhoidopexy (sh) is a procedure for prolapse and hemorrhoids . at first sh seemed to be a good alternative for the milligan morgan (mm) hemorrhoidectomy and preliminary results in early 2000 confirmed it. however, further studies and evaluation of long-term results showed poorer outcomes. objectives: this study aimed to evaluate and compare the results of these 2 surgical procedures in terms of recovery, improvement of symptoms and incidence of complications. conclusions: both techniques are efficient treatment methods for grade iii and iv hemorrhoids and are associated with greater than 95% recovery rate. overall, outcomes are the same in both techniques. lower postoperative pain was the only advantage of sh over mm technique. materials and methods: this study was conducted from april 2008 to august 2010. a total of 80 patients were divided into 2 groups of 40 each. in the sh group, there were 24 males (60%) and 16 females (40%) with a mean age of 48 ± 12.5 yrs. in the mm group, there were 30 males (75%) and 10 females (25%) with a mean age of 50.6 ± 17.3 yrs. patients with grade 3 and 4 prolapsed hemorrhoids were entered in the study. data were entered using spss software and analyzed using t-test and chi-square test. results: the two groups had no significant difference in terms of age or sex. duration of surgery was 35 ± 7 minutes in the sh and 23.6 ± 13.5 minutes in the mm group. this difference was statistically significant (p = 0.000). post-operative pain and complete pain relief was slightly lower in the mm group (not significant). hospital stay was significantly longer in the mm group (p = 0.003). return to work was similar in both groups. three patients in the sh group (7.5%) and 2 in the mm group (5%) had hemorrhoid recurrence.
منابع مشابه
Milligan-Morgan Hemorrhoidectomy vs Stapled Hemorrhoidopexy
BACKGROUND The stapled hemorrhoidopexy (SH) is a procedure for prolapse and hemorrhoids . At first SH seemed to be a good alternative for the Milligan Morgan (MM) hemorrhoidectomy and preliminary results in early 2000 confirmed it. However, further studies and evaluation of long-term results showed poorer outcomes. OBJECTIVES This study aimed to evaluate and compare the results of these 2 sur...
متن کاملPartial Stapled Hemorrhoidopexy Versus Circular Stapled Hemorrhoidopexy
A stapled hemorrhoidopexy (SH) is a recently rising therapy and is widely performed. Side effects, such as anal stenosis, rectal stenosis, and fecal urgency, have been continuously associated with the practical uses of the SH, despite its having many advantages [1-4], including remarkably decreased anal pain after surgery, shortened recovery periods, and faster resumption of normal activities, ...
متن کاملLong-term outcomes of stapled hemorrhoidopexy vs conventional hemorrhoidectomy: a meta-analysis of randomized controlled trials.
OBJECTIVES To assess the long-term results of stapled hemorrhoidopexy (SH) compared with conventional hemorrhoidectomy (CH) and to define the role of SH in the treatment of hemorrhoids. DATA SOURCES Published randomized controlled trials of CH vs SH with a minimum clinical follow-up of 12 months were searched and selected in the MEDLINE, EMBASE, and Cochrane Library databases using the keywor...
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Have Any Changes in Pain Been Noted After a Hemorrhoidectomy Since the Establishment of the Milligan-Morgan Hemorrhoidectomy?
Postoperative pain is the major drawback of a hemorrhoidectomy. Researchers have sought solutions to this problem by looking at surgical techniques, topical medications, and surgical devices. First, surgical techniques have drawn attention since the basic techniques of a hemorrhoidectomy were established. Which technique is ideal or more suitable for a hemorrhoidectomy has long been a subject o...
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The Milligan-Morgan (MM) operation is the most widely practiced procedure for prolapsed hemorrhoids. But it is also associated with a fair amount of postoperative pain, a long period of convalescence, and complications like bleeding and anal stenosis. The aim of this study was to evaluate the efficacy of in-situ radiofrequency ablation (RA) of hemorrhoids. During a 6-month period, 40 patients w...
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عنوان ژورنال:
trauma monthlyجلد ۱۶، شماره ۴، صفحات ۱۷۵-۱۷۷
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