Stapling haemorrhoidectomy compared with Milligan-Morgan haemorrhoidectomy

ABSTRACT

This retrospective study compares the stapling haemorrhoidectomy [SH] and the Milligan-Morgan [MM] haemorrhoidectomy. Two groups of patients from Fujairah hospital were compared. The first group consisted of sixty [60] patients with third and fourth degree haemorrhoids who underwent the SH between February 2000 and February 2002. The second group was of 60 historical control patients who underwent MM haemorrhoidectomy between January 1990 and December 2001. The SH procedure had a shorter operating time [12min vs. 17min] [p<0.0001], required less postoperative narcotic analgesia [7 /60 vs. 45 /60] [p<0.0001], with a shorter hospital stay [1 vs. 3.5 days] [p<0.0001] and less time off work [6 days vs. 18 days] [p<0.0001]. There were more cases of anal stenosis in the MM group [5 /60 vs. 2 /60]. From this study, stapling haemorrhoidectomy seems to be safe and as effective as Milligan-Morgan haemorrhoidectomy and has the added advantages of a shorter operating time and less post operative pain leading to faster recovery