Comparing Two Types of Hemorrhoid Surgery
Author Information
Author(s): Muacevic Alexander, Adler John R, Chishti Syed Saad Ali, Niaz Abdal, Kashif Muhammad, Ali Wajid
Primary Institution: Pakistan Institute of Medical Sciences, Islamabad, PAK
Hypothesis
Is the open (Milligan-Morgan) approach superior to the closed (Ferguson) approach for hemorrhoidectomy in terms of post-operative outcomes?
Conclusion
Both the Milligan-Morgan and Ferguson techniques for hemorrhoidectomy show no significant differences in post-operative complications.
Supporting Evidence
- 23.3% of patients experienced surgical site infections, with no significant difference between the two techniques.
- 15.3% of patients had hemorrhage, again with no significant difference between the techniques.
- The mean post-operative pain score was slightly lower in the Milligan-Morgan group, but not statistically significant.
Takeaway
This study looked at two ways to do surgery for hemorrhoids and found that neither way is better than the other.
Methodology
A retrospective study analyzing post-operative outcomes in 137 patients who underwent either Milligan-Morgan or Ferguson hemorrhoidectomy.
Potential Biases
Potential biases due to the non-probability sampling technique and reliance on patient records.
Limitations
The study's retrospective design and single-center focus limit the generalizability of the findings.
Participant Demographics
Participants included both male and female patients aged 20-80 years, with a mean age of 46.87 years in the open group and 44.59 years in the closed group.
Digital Object Identifier (DOI)
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