Author/Authors :
Zeinalinejad Hamid Kerman University of Medical Sciences - Kerman, Iran , Pourseyedi Bahram Kerman University of Medical Sciences - Kerman, Iran , Rahmani Hossein Army University of Medical Sciences - Tehran, Iran , Amirbeigi Alireza Army University of Medical Sciences - Tehran, Iran , Ebrahimi Mehran Army University of Medical Sciences - Tehran, Iran , Najmodini Mohsen Department of Surgery - School of Medicine - Birjand University of Medical Sciences - Birjand, Iran , Jashnani Mohammad Sadegh Army University of Medical Sciences - Tehran, Iran , Naghdi Roza Clinical Psychology - Seyyed Al Shohada Hospital - Tehran, Iran , Pourdavood Amir Hossein Resident of General Surgery - Kerman University of Medical Sciences - Kerman, Iran
Abstract :
Hemorrhoids can be managed by means of several therapeutic options. Regarding this, it is of fundamental importance to
identify the hemorrhoidectomy method with fewer complications (e.g., bleeding, pain, and postoperative infections) or beneficial
outcomes (e.g., accelerated speed of wound healing and resumption of normal life activities). Such knowledge can play a significant role
in the advancement of medical and educational goals. Therefore, the present study was conducted to compare the clinical results of
Milligan-Morgan surgery and hemorapy device in the treatment of patients with hemorrhoids.
Methods: This prospective study was conducted on 60 patients aged over 20 years with hemorrhoids referring to Bahonar and Afzalipour
hospitals of Kerman, Iran, and diagnosed to need surgery by a surgical specialist. The study population was selected using a simple
randomization method and then allocated into two groups of A and B, regardless of gender. Group A was operated by open or Milligan-
Morgan technique, while group B was subjected to hemorapy method. After the surgery, the patients’ data were recorded in specific
forms and analyzed by SPSS software (version 21).
Results: Out of 60 patients with hemorrhoids, 37 (64%) cases were male. Regarding the severity of hemorrhoids, 19 (32%) and 41 (68%)
patients had fourth-degree and third-degree hemorrhoids, respectively. The mean age of the patients was 35.86±12.84 years. Four weeks
after the surgery, the mean pain scores of the patients in the Milligan-Morgan and hemorapy groups were 3.67±1.84 and 1.67±1.35,
respectively, showing a statistically significant difference (P=0.001). However, 8 weeks post-surgery, no pain, bleeding events, urinary
retention, or incontinence were observed in the patients, except for anal stenosis in two patients treated with Milligan-Morgan method.
Conclusions: According to the results, hemorapy method resulted in lower postoperative pain than Milligan-Morgan method. In addition,
the hemorapy technique was accompanied by considerably fewer complications, such as bleeding, urinary retention, gas incontinence,
and stenosis, compared to the Milligan-Morgan method. Consequently, hemorapy method can be recommended for hemorrhoidectomy.
