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[Comparison of two-year efficacy between procedure for prolapse and hemorrhoids and Milligan-Morgan hemorrhoidectomy in treatment of III and IV degree internal hemorrhoids].
Zhonghua Wei Chang Wai Ke Za Zhi. 2008 May; 11(3):249-52.ZW

Abstract

OBJECTIVE

To compare the long-term efficacy of procedure for prolapse and hemorrhoids (PPH) and Milligan-Morgan hemorrhoidectomy (MMH) in the treatment of III and IV degree internal hemorrhoids.

METHODS

One hundred patients were randomly divided into two groups and received PPH (n=42) and MMH (n=58) respectively. After two years, the efficacy, complications and function of defecation were compared.

RESULTS

Two years after operation, the morbidities of hydrorrhea (2.38% vs 20.69%, P=0.007), dermal neoplasm formation (9.52% vs 25.86%, P=0.040) and narrowing in the caliber of the stools (2.38% vs 18.97%, P=0.027) were significantly lower in PPH group than those in MMH group (P<0.05). The morbidities of overall complication (9.52% vs 25.86%, P=0.040) and overall abnormal function of defecation (9.52% vs 29.31%, P=0.017) were lower in PPH group than those in MMH group (P<0.05). However, there were no significant differences of the morbidity of relapse (14.29% vs 10.34%, P=0.549), patient satisfactory degree (92.86% vs 87.93%, P=0.636) and overall symptom recurrence rate (19.05% vs 25.86%, P=0.424) between the two groups.

CONCLUSIONS

Long-term efficacies of procedure for prolapse and hemorrhoids and Milligan-Morgan haemorrhoidectomy in the treatment of III and IV degree internal hemorrhoids are similar. PPH has better safety, less complications and less effect on abnormal function of defecation compared with MMH.

Authors+Show Affiliations

Department of Surgery, Fenyang College, Shanxi Medical University, Fenyang 032200, China.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
English Abstract
Journal Article
Randomized Controlled Trial

Language

chi

PubMed ID

18478470

Citation

Gao, Rui-Zhong, et al. "[Comparison of Two-year Efficacy Between Procedure for Prolapse and Hemorrhoids and Milligan-Morgan Hemorrhoidectomy in Treatment of III and IV Degree Internal Hemorrhoids]." Zhonghua Wei Chang Wai Ke Za Zhi = Chinese Journal of Gastrointestinal Surgery, vol. 11, no. 3, 2008, pp. 249-52.
Gao RZ, Liang XB, Xu CN, et al. [Comparison of two-year efficacy between procedure for prolapse and hemorrhoids and Milligan-Morgan hemorrhoidectomy in treatment of III and IV degree internal hemorrhoids]. Zhonghua Wei Chang Wai Ke Za Zhi. 2008;11(3):249-52.
Gao, R. Z., Liang, X. B., Xu, C. N., Zhang, J. Y., Wang, P., & Niu, H. G. (2008). [Comparison of two-year efficacy between procedure for prolapse and hemorrhoids and Milligan-Morgan hemorrhoidectomy in treatment of III and IV degree internal hemorrhoids]. Zhonghua Wei Chang Wai Ke Za Zhi = Chinese Journal of Gastrointestinal Surgery, 11(3), 249-52.
Gao RZ, et al. [Comparison of Two-year Efficacy Between Procedure for Prolapse and Hemorrhoids and Milligan-Morgan Hemorrhoidectomy in Treatment of III and IV Degree Internal Hemorrhoids]. Zhonghua Wei Chang Wai Ke Za Zhi. 2008;11(3):249-52. PubMed PMID: 18478470.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Comparison of two-year efficacy between procedure for prolapse and hemorrhoids and Milligan-Morgan hemorrhoidectomy in treatment of III and IV degree internal hemorrhoids]. AU - Gao,Rui-Zhong, AU - Liang,Xiao-Bo, AU - Xu,Chang-Nian, AU - Zhang,Jin-Yan, AU - Wang,Ping, AU - Niu,Hai-Gang, PY - 2008/5/15/pubmed PY - 2010/3/10/medline PY - 2008/5/15/entrez SP - 249 EP - 52 JF - Zhonghua wei chang wai ke za zhi = Chinese journal of gastrointestinal surgery JO - Zhonghua Wei Chang Wai Ke Za Zhi VL - 11 IS - 3 N2 - OBJECTIVE: To compare the long-term efficacy of procedure for prolapse and hemorrhoids (PPH) and Milligan-Morgan hemorrhoidectomy (MMH) in the treatment of III and IV degree internal hemorrhoids. METHODS: One hundred patients were randomly divided into two groups and received PPH (n=42) and MMH (n=58) respectively. After two years, the efficacy, complications and function of defecation were compared. RESULTS: Two years after operation, the morbidities of hydrorrhea (2.38% vs 20.69%, P=0.007), dermal neoplasm formation (9.52% vs 25.86%, P=0.040) and narrowing in the caliber of the stools (2.38% vs 18.97%, P=0.027) were significantly lower in PPH group than those in MMH group (P<0.05). The morbidities of overall complication (9.52% vs 25.86%, P=0.040) and overall abnormal function of defecation (9.52% vs 29.31%, P=0.017) were lower in PPH group than those in MMH group (P<0.05). However, there were no significant differences of the morbidity of relapse (14.29% vs 10.34%, P=0.549), patient satisfactory degree (92.86% vs 87.93%, P=0.636) and overall symptom recurrence rate (19.05% vs 25.86%, P=0.424) between the two groups. CONCLUSIONS: Long-term efficacies of procedure for prolapse and hemorrhoids and Milligan-Morgan haemorrhoidectomy in the treatment of III and IV degree internal hemorrhoids are similar. PPH has better safety, less complications and less effect on abnormal function of defecation compared with MMH. SN - 1671-0274 UR - https://www.unboundmedicine.com/medline/citation/18478470/[Comparison_of_two_year_efficacy_between_procedure_for_prolapse_and_hemorrhoids_and_Milligan_Morgan_hemorrhoidectomy_in_treatment_of_III_and_IV_degree_internal_hemorrhoids]_ L2 - http://journal.yiigle.com/LinkIn.do?linkin_type=pubmed&amp;issn=1671-0274&amp;year=2008&amp;vol=11&amp;issue=3&amp;fpage=249 DB - PRIME DP - Unbound Medicine ER -