BACKGROUND: Milligan-Morgan excision haemorrhoidectomy remains a very popular treatment modality for third and fourth degree hemorrhoids due to its cost effectiveness and better long-term results. Ferguson haemorrhoidectomy is believed to result in less postoperative pain because of a closed wound. The aim of this study was to compare the effectiveness of Milligan-Morgan excision haemorrhoidect...

OBJECTIVE To compare stapled haemorrhoidectomy with open diathermy haemorrhoidectomy in Chinese patients with respect to the postoperative pain, symptom control, and manometric alterations. DESIGN Prospective randomised controlled trial. SETTING A regional general surgical unit, Hong Kong. PATIENTS Twenty-four patients with second- or third-degree haemorrhoids or who have had failed medic...

OBJECTIVE To compare the postoperative outcome of stapled haemorrhoidectomy and conventional Milligan Morgan's open haemorrhoidectomy. STUDY DESIGN Comparative study. PLACE AND DURATION OF STUDY Surgical Unit 1, Ward-3, Department of Surgery, Jinnah Postgraduate Medical Centre, Karachi, from March to September 2006. METHODOLOGY Sixty patients of late 2nd, 3rd and 4th degree haemorrhoids w...

This is a prospective study aimed to compare the results of stapled hemorrhoidopexy with LigaSure Haemorrhoidectomy. This study included 50 patients who were divided into 25 patients underwent stapled hemorrhoidopexy and 25 patients underwent LigaSure Haemorrhoidectomy. Operat ion t ime and postoperative progress was assessed. Postoperative pain was assessed using visual analogue scale. Patient...

BACKGROUND Haemorrhoidectomy is associated with complications including pain, bleeding and wound infection which can result prolonged hospital stay. Haemorrhoidectomy is considered to provide a better outcome in terms of postoperative pain and wound healing. Aims were to compare postoperative pain, bleeding, operating time and wound healing in patients undergoing open and closed haemorrhoidecto...

BACKGROUND Haemorrhoid disease has become more and more frequent during the past years among western populations. Great attention has been paid in development of surgical procedures, in order to reduce post-operative pain (the main adverse effect of surgical treatment for haemorrhoids) and shorten execution time and hospital stay. This randomised clinical study compares the results obtained usi...

BACKGROUND Haemorrhoids are cushions of submucosal vascular tissue located in the anal canal starting just distal to the dentate line. Haemorrhoidal disease is a common anorectal disorder which has symptoms of bleeding, prolapse, pain, thrombosis, mucus discharge, and pruritus. Haemorrhoidectomy is one of most frequently performed anorectal operation worldwide. OBJECTIVES The aim of this stud...

Surgical innovation strives to address the perceived shortcomings and potential pitfalls associated with traditional therapeutic techniques. New devices are often recommended to patients on the basis of incomplete clinical datasets that highlight specifi c short-term gains over standard treatment but may not confi rm longterm benefi t. Enthusiasm for new technology in surgery should be balanced...

Background: Haemorrhoidectomy remains the treatment of choice for symptomatic grade-III and IV hemorrhoids. Milligan and Morgan’s haemorrhoidectomy is the most widely used procedure in the surgical management of hemorrhoids. Aim: This study was done to evaluate and analyze statistically whether stapler haemorrhoidectomy is better than Milligan Morgan haemorrhoidectomy in terms of Post operative...

Background Haemorrhoidectomy is frequently associated with significant postoperative pain and prolonged hospital stay; different techniques and devices have been developed to overcome these problems, including modifications of the technique (excision without legation) and introduction of new surgical instruments (LigasureTM, Harmonic ScalpelTM). We evaluated the surgical outcomes of Milligan Mo...