Stapled hemorrhoidopexy versus Milligan–Morgan technique (open hemorrhoidectomy) in surgical treatment of third-degree and fourth-degree circumferential piles

Aziz Ali, Mostafa M.A.; Nada, Mohamed A.; El-Wahab, Ehab H.A.; Abbas, Ahmed A.

doi:10.4103/ejs.ejs_167_22

Stapled hemorrhoidopexy versus Milligan–Morgan technique (open hemorrhoidectomy) in surgical treatment of third-degree and fourth-degree circumferential piles

Authors

Abstract

Background
Hemorrhoidal disease is one of the commonest benign anorectal problems worldwide. Hemorrhoidal disease is usually considered the most troublesome anal diseases. They can slide down, prolapse, dilate, and bleed occasionally.
Objective
This is a prospective randomized comparative study that compares between the conventional Milligan–Morgan hemorrhoidectomy and stapling hemorrhoidopexy in the surgical treatment of the third-degree and fourth-degree circumferential piles.
Results
Stapled hemorrhoidectomy (SH) had significant decrease in intraoperative blood loss and significant decrease in the recurrence rate with no effect on fecal continence.
Conclusion
From this study, we concluded that SH is superior to Milligan–Morgan technique in treatment of third-degree and fourth-degree circumferential piles, as SH had significant decrease in intraoperative blood loss and significant decrease in the recurrence rate with no effect on fecal continence. The complication rate showed a statistically nonsignificant difference with respect to the postoperative complications, such as postoperative bleeding, urinary retention, and anal stenosis.

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