Comparison of Two Clinical Method Results Including Milligan-Morgan Surgery and Hemorapy Machine in Patient with Hemorrhoids in 2017-2018

Introduction: There are various methods to treat hemorrhoids. It is very important to examine which hemorrhoidectomy has fewer complications and also faster recovery and return of the patient to normal life. The aim of this study was to compare the clinical outcomes of two methods, including Milligan-Morgan surgery and the hemorrhoid system in patients with hemorrhoids. Methods and Materials: In this cross-sectional study, sixteen patients were randomly chosen from all patients with hemorrhoids referring to the clinics of Bahonar and Afzalipour hospitals who needed surgical diagnosis of the surgical specialist. Patients were classified into two groups regardless of gender. Group A was operated by open or Milligan- Morgan and group B was performed by the hemorapy method. After surgery, patients’ information was recorded in a checklist and analyzed by SPSS (version 21) software. Results: 37 patients (64%) were male and 23 (36%) were female. 19 patients (32%) had hemorrhoid Fourth degree, and 41 patients (68%) had hemorrhoid Third-degree. The mean pain of patients after 8 weeks of surgery between the two groups was 1.12±0.57 in the Milligan-Morgan group and 0.55±0.47 in the hemorapy group, respectively. This difference was statistically significant. (pvalue=0.042). However, there were no bleeding events, urinary retention, and incontinence, and in 2 patients treated with the Milligan-Morgan method, it was observed that there was no anal stenosis in patients with hemorapy. Discussion and Conclusion: The results showed that the postoperative pain was less in the hemorapy method than in the Milligan-Morgan method. Furtheremore, complications such as bleeding, urinary retention and gas incontinency and anal stenosis were much less than the MilliganMorgan method. This method is used for hemorrhoidectomy.