Open (Miligan Morgan) Haemorrhoidectomy versus Stapled Haemorrhoidopexy: A Comparative Study

Abstract

Background: Haemorrhoidal disease, one of the most common anorectal disorders, when complicated, is a painful concern to the patient. Miligan Morgan haemorrhoidectomy is a commonly performed gold standard procedure for haemorrhoids with good results but is a very painful procedure. Stapled haemorrhoidopexy has emerged as a possible alternative promising lesser immediate post operative complications. Methods: Sixty patients between age group of 20-70 years with symptomatic haemorrhoidal disease planned for surgical technique were randomized into two groups: A stapled haemorrhoidopexy(SH) group operated on using PPH 03 kit and a Miligan Morgan (MM) group operated on using a standard open haemorrhoidectomy technique. Results: The mean operative time, average pain scores and consequent parenteral and oral analgesics requirement was significantly lower in stapled group. There was no significant difference in immediate complications between the two groups. Duration of hospital stay was significantly lower in SH group and they returned to work significantly earlier and were more satisfied than the open group. Conclusion: Stapled haemorrhoidopexy is an effective procedure for haemorrhoids with minimal immediate complications but the cost is exorbitant.