Tags

Type your tag names separated by a space and hit enter

An evaluation of Milligan-Morgan and Ferguson procedures for haemorrhoidectomy at Liaquat University Hospital Jamshoro, Hyderabad, Pakistan.
Pak J Med Sci. 2013 Jan; 29(1):122-7.PJ

Abstract

OBJECTIVE

o compare the outcome of Milligan-Morgan (MMH) and Ferguson (FH) techniques for haemorrhoidectomy with regard to postoperative pain, control of bleeding, early mobilization of patients and wound healing.

METHODOLOGY

In this prospective, randomized clinical study conducted between January 2005 to December 2008, 213 patients with late 2(nd) degree; third or fourth degree hemorrhoids were assigned to two groups. One hundred ten patients in group A were operated by an open method and 103 patients in group B were operated by closed method.

RESULTS

Age ranged from 22-70 years with mean age of 45.5 years. Peak incidence was between 41-50 years. Out of 213 patients, 170 (79.81%) were male and 43 (20.18%) were females. The mean ± SD operating time was significantly more in group B (31.3±4.8 min) than group A (25.2±5.6). The duration of hospitalization and duration off from work was more in group A than the group B. Wound healing was quicker in group B than the group A. Post operative pain scores were significantly low in the Group A than Group B during first 24 hours and at first bowel movements. Reactionary hemorrhage occurred in 4 (3.63%) patients of group A, no patient in group B developed this complication. Retention of urine was seen in 13 (11.81%) patients in group A and 4 (3.88%) in group B. No patient in group A developed anal stenosis, while 3 (2.91%) patients in group B developed anal stenosis. Wound infection was one (0.9%) in group A and two (1.9%) in group B. Two (3.63%) patients in group A came with recurrent hemorrhoids and in group B, only one (0.97%) patient reported recurrence.

CONCLUSIONS

The closed technique is more beneficial with respect to postoperative pain, control of bleeding, early mobilization of patients and wound healing.

Authors+Show Affiliations

Dr. Abdul Razaque Shaikh, Department of General Surgery, Liaquat University of Medical Health & Sciences Jamshoro, Sindh, Pakistan.Dr. Abdul Ghafoor Dalwani, MS, Department of General Surgery, Liaquat University of Medical Health & Sciences Jamshoro, Sindh, Pakistan.Dr. Nasuarullah Soomro, MBBS, Department of General Surgery, Liaquat University of Medical Health & Sciences Jamshoro, Sindh, Pakistan.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

24353522

Citation

Shaikh, Abdul Razaque, et al. "An Evaluation of Milligan-Morgan and Ferguson Procedures for Haemorrhoidectomy at Liaquat University Hospital Jamshoro, Hyderabad, Pakistan." Pakistan Journal of Medical Sciences, vol. 29, no. 1, 2013, pp. 122-7.
Shaikh AR, Dalwani AG, Soomro N. An evaluation of Milligan-Morgan and Ferguson procedures for haemorrhoidectomy at Liaquat University Hospital Jamshoro, Hyderabad, Pakistan. Pak J Med Sci. 2013;29(1):122-7.
Shaikh, A. R., Dalwani, A. G., & Soomro, N. (2013). An evaluation of Milligan-Morgan and Ferguson procedures for haemorrhoidectomy at Liaquat University Hospital Jamshoro, Hyderabad, Pakistan. Pakistan Journal of Medical Sciences, 29(1), 122-7. https://doi.org/10.12669/pjms.291.2858
Shaikh AR, Dalwani AG, Soomro N. An Evaluation of Milligan-Morgan and Ferguson Procedures for Haemorrhoidectomy at Liaquat University Hospital Jamshoro, Hyderabad, Pakistan. Pak J Med Sci. 2013;29(1):122-7. PubMed PMID: 24353522.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - An evaluation of Milligan-Morgan and Ferguson procedures for haemorrhoidectomy at Liaquat University Hospital Jamshoro, Hyderabad, Pakistan. AU - Shaikh,Abdul Razaque, AU - Dalwani,Abdul Ghafoor, AU - Soomro,Nasarullah, PY - 2012/08/24/received PY - 2012/10/19/revised PY - 2012/10/25/accepted PY - 2013/12/20/entrez PY - 2013/12/20/pubmed PY - 2013/12/20/medline KW - Closed haemorrhoidectomy KW - Complications KW - Open haemorrhoidectomy SP - 122 EP - 7 JF - Pakistan journal of medical sciences JO - Pak J Med Sci VL - 29 IS - 1 N2 - OBJECTIVE: o compare the outcome of Milligan-Morgan (MMH) and Ferguson (FH) techniques for haemorrhoidectomy with regard to postoperative pain, control of bleeding, early mobilization of patients and wound healing. METHODOLOGY: In this prospective, randomized clinical study conducted between January 2005 to December 2008, 213 patients with late 2(nd) degree; third or fourth degree hemorrhoids were assigned to two groups. One hundred ten patients in group A were operated by an open method and 103 patients in group B were operated by closed method. RESULTS: Age ranged from 22-70 years with mean age of 45.5 years. Peak incidence was between 41-50 years. Out of 213 patients, 170 (79.81%) were male and 43 (20.18%) were females. The mean ± SD operating time was significantly more in group B (31.3±4.8 min) than group A (25.2±5.6). The duration of hospitalization and duration off from work was more in group A than the group B. Wound healing was quicker in group B than the group A. Post operative pain scores were significantly low in the Group A than Group B during first 24 hours and at first bowel movements. Reactionary hemorrhage occurred in 4 (3.63%) patients of group A, no patient in group B developed this complication. Retention of urine was seen in 13 (11.81%) patients in group A and 4 (3.88%) in group B. No patient in group A developed anal stenosis, while 3 (2.91%) patients in group B developed anal stenosis. Wound infection was one (0.9%) in group A and two (1.9%) in group B. Two (3.63%) patients in group A came with recurrent hemorrhoids and in group B, only one (0.97%) patient reported recurrence. CONCLUSIONS: The closed technique is more beneficial with respect to postoperative pain, control of bleeding, early mobilization of patients and wound healing. SN - 1682-024X UR - https://www.unboundmedicine.com/medline/citation/24353522/An_evaluation_of_Milligan_Morgan_and_Ferguson_procedures_for_haemorrhoidectomy_at_Liaquat_University_Hospital_Jamshoro_Hyderabad_Pakistan_ L2 - https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/24353522/ DB - PRIME DP - Unbound Medicine ER -
Try the Free App:
Prime PubMed app for iOS iPhone iPad
Prime PubMed app for Android
Prime PubMed is provided
free to individuals by:
Unbound Medicine.