Circumfrential mucosectomy (stapled hemorrhoidectomy) vs. conventional haemorrhoi-dectomy: randomised controlled trial
- M. Rowsell, M. Bello, D. M. Hemmingway
- The Lancet,
Aim: To compare the severity of postoperative pain in stapled versus open Milligan Morgan hemorrhoidectomy for hemorrhoids”. Study design: Randomized Controlled Trials (RCT). Place and duration of study: 6 month Department of surgery, Multan Medical and Dental College, Ibne Siena Hospital and Research Institute, Multan Methods: After approval from local ethics committee, one hundered and eighty patients with symptomatic hemorrhoidal disease fulfilling the inclusion criteria selected from out patient department. They were divided into two groups A and B randomly by using computer generated random list having the assigned treatment. The patients in group A operated with Circular stapler and patients in group B operated with the open Milligan-Morgan technique. All the patients monitored for severity of postoperative pain on 1 st and 2 nd post operative days. Results: One hundred and eighty patients with haemorroids were chosen for the study with mean age of 45.20±9.5 in group A and 44.83±9.7 in group B, with 78 patients shown satisfactory while 12 patients shown unsatisfactory results group A while in group B 21 patients shown satisfactory while 69 patients shown unsatisfactory. Conclusions: Stapled hemorrhoidectomy is associated with less postoperative pain.