MIPH versus Open Haemorrhoidectomy in a Tertiary Care Hospital –A Comparative Study

ABSTRACT

Background: Haemorrhoids are one of the most common benign anorectal problems worldwide. The treatment of thirdand fourth-degree haemorrhoids is surgical. Surgical haemorrhoidectomy and Stapled haemorrhoidopexy are the currently available surgical interventions in the management of haemorrhoids. The aim of the study is to evaluate the effectiveness of open haemorrhoidectomy with minimal invasive procedure for haemorrhoids (MIPH). Methods: 80 cases were selected for this study which were divided into two groups of 40 each. Open surgery (Milligan-morgan haemorrhoidectomy ) was done in one group and MIPH in the other group .The follow up period was one year. The duration of post. operative pain, complications, level of satisfaction was documented. The relative merits and demerits of the procedures were assessed and the results documented.Results: MIPH is a safe and effective procedure in patients presenting with haemorrhoids .Duration of hospital stay is less and hence return to work is earlier. Conclusion: MIPH can be considered as a procedure of choice in patients presenting with grade II,grade III and grade-IV haemorrhoids.