Tags

Type your tag names separated by a space and hit enter

Surgical treatment of piles: prospective, randomized study of Parks vs. Milligan-Morgan hemorrhoidectomy.
Dis Colon Rectum. 1998 Feb; 41(2):159-64.DC

Abstract

PURPOSE

The present prospective, randomized clinical trial compares the outcome of surgical hemorrhoidectomy according to Parks and Milligan-Morgan in terms of hospital stay, duration of incapacity to work, symptom relief, length of morbidity, and patient convenience.

METHODS

Thirty-four consecutive patients with third or fourth degree internal hemorrhoids were randomly allocated to the two groups. Before surgery, all patients were interviewed using a standard questionnaire, followed by rectal examination. All patients underwent a follow-up interview and examinations 1, 2, 4, 8, and 12 weeks after the operation.

RESULTS

No serious postoperative complications were seen. Length of hospital stay (3.2 days for Parks hemorrhoidectomy vs. 4.6 days for Milligan-Morgan hemorrhoidectomy; 95 percent confidence interval, 0.2 and 2.6, respectively; P = 0.02) and mean duration of incapacity to work (12.3 days for Parks hemorrhoidectomy vs. 20.2 days for Milligan-Morgan hemorrhoidectomy; 95 percent confidence interval, 5.7 and 10.2, respectively; P < 0.001) differed significantly between the Milligan-Morgan and Parks patients. Until two weeks after the operation, Milligan-Morgan hemorrhoidectomy patients experienced significantly more pain.

CONCLUSIONS

Our study confirms that both operations are safe, easy to perform, and lead to satisfactory results. However, the Parks procedure is the preferred option, because it minimizes patients' postoperative discomfort, is more economic, has a significantly reduced hospital stay, and has a shorter time for return to work.

Authors+Show Affiliations

Department of Surgery, University of Hamburg, Germany.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Clinical Trial
Comparative Study
Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

9556238

Citation

Hosch, S B., et al. "Surgical Treatment of Piles: Prospective, Randomized Study of Parks Vs. Milligan-Morgan Hemorrhoidectomy." Diseases of the Colon and Rectum, vol. 41, no. 2, 1998, pp. 159-64.
Hosch SB, Knoefel WT, Pichlmeier U, et al. Surgical treatment of piles: prospective, randomized study of Parks vs. Milligan-Morgan hemorrhoidectomy. Dis Colon Rectum. 1998;41(2):159-64.
Hosch, S. B., Knoefel, W. T., Pichlmeier, U., Schulze, V., Busch, C., Gawad, K. A., Broelsch, C. E., & Izbicki, J. R. (1998). Surgical treatment of piles: prospective, randomized study of Parks vs. Milligan-Morgan hemorrhoidectomy. Diseases of the Colon and Rectum, 41(2), 159-64.
Hosch SB, et al. Surgical Treatment of Piles: Prospective, Randomized Study of Parks Vs. Milligan-Morgan Hemorrhoidectomy. Dis Colon Rectum. 1998;41(2):159-64. PubMed PMID: 9556238.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Surgical treatment of piles: prospective, randomized study of Parks vs. Milligan-Morgan hemorrhoidectomy. AU - Hosch,S B, AU - Knoefel,W T, AU - Pichlmeier,U, AU - Schulze,V, AU - Busch,C, AU - Gawad,K A, AU - Broelsch,C E, AU - Izbicki,J R, PY - 1998/4/29/pubmed PY - 1998/4/29/medline PY - 1998/4/29/entrez SP - 159 EP - 64 JF - Diseases of the colon and rectum JO - Dis Colon Rectum VL - 41 IS - 2 N2 - PURPOSE: The present prospective, randomized clinical trial compares the outcome of surgical hemorrhoidectomy according to Parks and Milligan-Morgan in terms of hospital stay, duration of incapacity to work, symptom relief, length of morbidity, and patient convenience. METHODS: Thirty-four consecutive patients with third or fourth degree internal hemorrhoids were randomly allocated to the two groups. Before surgery, all patients were interviewed using a standard questionnaire, followed by rectal examination. All patients underwent a follow-up interview and examinations 1, 2, 4, 8, and 12 weeks after the operation. RESULTS: No serious postoperative complications were seen. Length of hospital stay (3.2 days for Parks hemorrhoidectomy vs. 4.6 days for Milligan-Morgan hemorrhoidectomy; 95 percent confidence interval, 0.2 and 2.6, respectively; P = 0.02) and mean duration of incapacity to work (12.3 days for Parks hemorrhoidectomy vs. 20.2 days for Milligan-Morgan hemorrhoidectomy; 95 percent confidence interval, 5.7 and 10.2, respectively; P < 0.001) differed significantly between the Milligan-Morgan and Parks patients. Until two weeks after the operation, Milligan-Morgan hemorrhoidectomy patients experienced significantly more pain. CONCLUSIONS: Our study confirms that both operations are safe, easy to perform, and lead to satisfactory results. However, the Parks procedure is the preferred option, because it minimizes patients' postoperative discomfort, is more economic, has a significantly reduced hospital stay, and has a shorter time for return to work. SN - 0012-3706 UR - https://www.unboundmedicine.com/medline/citation/9556238/Surgical_treatment_of_piles:_prospective_randomized_study_of_Parks_vs__Milligan_Morgan_hemorrhoidectomy_ L2 - http://link.springer.com/article/10.1007/BF02238242 DB - PRIME DP - Unbound Medicine ER -