Minimal Invasive Procedure For Haemorrhoids (MIPH) Versus Open Haemorrhoidectomy:A Comprehensive Study.

ABSTRACT

METHODS:Prospective Comparative Study conducted on 60 patients at Santosh Medical College and Hospital, Ghaziabad. 30 patients underwent Longo technique of MIPH and rest 30 underwent Milligan Morgan technique of Open haemorrhoidectomy. Study aimed at comparing the duration of surgery, post-operative pain, analgesia requirement, duration of hospital stay, post- operative complications and the amount of days taken for return to work. RESULTS:Mean duration of surgery was 25.90+-4.21 min and 46.73+-5.10 min in MIPH and Open haemorrhoidectomy group respectively ,P<0.001. Patients undergoing MIPH had lesser VAS Pain score on postoperative day 0,1, 7 and analgesia requirement ,p<0.001. No patients in the MIPH group had residual prolapse, p<0.001.Time needed to return to work was 4.70 ± 0.83 days and 12.10 ± 2.71 days in MIPH and Open haemorrhoidectomy group respectively, p<0.001. CONCLUSIONS:MIPH is relatively faster procedure, lesser postoperative pain and analgesia requirement, faster return of bowel movements and earlier return to work.