COMPARATIVE STUDY BETWEEN MODERN TECHNIQUES AND MILLIGAN-MORGAN OPERATION IN TREATMENT OF HAEMORRHOIDS

Abstract

Haemorrhoidal disease is one of the most common ailments to afflict mankind. Different treatment modalities are available for the management of haemorrhoidal disease. Surgery was shown to be the appropriate form of the treatment for third and fourth degree of haemorrhoidal disease.

Surgical excision of third, fourth degree haemorrhoidal disease was followed in considerable number of patients by some complication. Stapler haemorrhoidectomy as described by Longo (1998), is a newly introduced treatment modality aiming at avoiding the most common post­ operative complications.

This study was conducted on 100 patients divided randomly into 4 groups, 25 patients in each. 1st group was submitted for st pler haemorrhoidectomy, 2"d group was submitted for rubber band ligation of haemorrhoids, 3'd group was submitted for Good sall's stitch technique and the 4th group was submitted for conventional haemorrhoidectomy and the results were compared.

Complete history taking, general and anorectal examination. Proctoscopy and anal manometry was done for each patient before surgery.

Follow up of pain ccore, need for analgesia, hospital stay, time off work, occurrence of complications, post-operative anal manometry was done for each patient for 3 months after surgery.