After a careful review of the Author's own case list and of the literature on this subject, Milligan-Morgans' technique is assessed and compared with different surgical techniques as far as early and late complications are concerned. The Authors conclude that the Milligan-Morgan technique is to be preferred because of its simplicity, safety and flexibility, particularly if associated with sphincterectomy, with or without rhagade, in order to prevent the cicatricial scars.
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Cureus
December 2024
Surgery, Hayatabad Medical Complex, Peshawar, PAK.
Introduction The debate remains unresolved about whether an open (Milligan-Morgan) or closed (Ferguson) approach is superior for hemorrhoidectomy. Advocates from both groups state that each has its own set of advantages and disadvantages. In light of this, we intend to share our experience by comparing the two in terms of their post-operative outcomes.
View Article and Find Full Text PDFWorld J Surg
November 2024
Modibo Adama University Teaching Hospital, Yola, Adamawa State, Nigeria.
Background: Hemorrhoidectomy is considered as the most effective approach for patients with grade III and grade IV hemorrhoids; the operative procedure may be associated with significant postoperative pain and other complications. Several surgical techniques and devices have been developed to overcome these postoperative problems.
Objective: To compare perioperative and postoperative outcomes of hemorrhoidectomy performed with the LigaSure and the conventional Milligan-Morgan hemorrhoidectomy among Nigerian patients with symptomatic hemorrhoids.
Cureus
August 2024
Department of General Surgery, Dayanand Medical College and Hospital, Ludhiana, IND.
Tech Coloproctol
July 2024
Division of Colorectal Surgery, Department of Surgery, Taichung Veterans General Hospital, No. 1650, Sec. 4, Taiwan Blvd., Xitun Dist., Taichung City, 407219, Taiwan (ROC).
Background: Laser hemorrhoidoplasty has demonstrated significant therapeutic effectiveness. To diminish postoperative bleeding and enhance overall outcomes, we have additionally adopted suture ligating the feeding vessels. This study aimed to understand the treatment outcomes and any associated complications.
View Article and Find Full Text PDFJ Perianesth Nurs
December 2024
Division of Surgery, Institute of Integrated Traditional Chinese and Western Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan, China; Division of Surgery, Institute of Integrated Traditional Chinese and Western Medicine, Chengdu Shang Jin Nan Fu Hospital of West China Hospital of Sichuan University, Chengdu, Sichuan, China. Electronic address:
Purpose: To compare the clinical effects of nonpressure and pressure dressings on the postoperative complications of modified Milligan-Morgan hemorrhoidectomy.
Design: Randomized controlled trial.
Methods: A total of 186 patients with grade II to III mixed hemorrhoids who had been excluded from cardiovascular and cerebrovascular diseases and anorectal surgery were included and randomly assigned to the nonpressure dressings group and the pressure dressings group by random number table.
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