New approaches to choice of surgical treatment of patients with combined diseases of anorectal region
DOI:
https://doi.org/10.11603/2414-4533.2016.1.5886Abstract
We aimed to compare long-term outcomes in patients undergoing circular stapled hemorrhoidopexy with dearterialization to those who had Milligan-Morgan hemorrhoidectomy. 94 patients who underwent Milligan-Morgan hemorrhoidectomy and 156 patients who underwent circular stapled hemorrhoidopexy with dearterialization were reviewed. Long-term follow-up was assessed. Postoperative period was longer in the Milligan-Morgan hemorrhoidectomy subgroups (7.2 ± 2.0 vs. 2.7 ± 1.1 days, p = 0.003). Short-term need for additional medical treatment was similar in the Milligan-Morgan hemorrhoidectomy and circular stapled hemorrhoidopexy groups (6.4 % vs. 5.8 %, respectively). Long-term need for additional surgical treatment was higher in the Milligan-Morgan group (2,1 % vs. 1,3%). Compared with Milligan-Morgan hemorrhoidectomy, stapled hemorrhoidopexy with dearterialization resulted in less postoperative pain, shorter operating time, a shorter hospital stay, and a shorter convalescence. Patient satisfaction, resolution of symptoms, quality of life, and functional outcome appear similar after circular stapled hemorrhoidopexy with dearterialization and Milligan-Morgan hemorrhoidectomy in long term in patients with grade III-IV hemorrhoids combined anal fissure and fistula.
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