A comparative study between laser hemorrhoidoplasty with digital-guided hemorrhoidal artery ligation and conventional (Milligan-Morgan) hemorrhoidectomy
Background: Hemorrhoids have a much higher incidence than rectum and colon diseases worldwide. The prevalence was estimated to be between 2.9% and 27.9% among the worldwide population, of which 4% are symptomatic. Based on the Gauss method, the highest incidence was present in patients aged between...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Manipal College of Medical Sciences, Pokhara
2024-02-01
|
| Series: | Asian Journal of Medical Sciences |
| Subjects: | |
| Online Access: | https://www.nepjol.info/index.php/AJMS/article/view/59505 |
| _version_ | 1827363349319385088 |
|---|---|
| author | Rajkumar Verma Narendra Kumar Vipin Mishra |
| author_facet | Rajkumar Verma Narendra Kumar Vipin Mishra |
| author_sort | Rajkumar Verma |
| collection | DOAJ |
| description | Background: Hemorrhoids have a much higher incidence than rectum and colon diseases worldwide. The prevalence was estimated to be between 2.9% and 27.9% among the worldwide population, of which 4% are symptomatic. Based on the Gauss method, the highest incidence was present in patients aged between 45 and 65 years.
Aims and Objectives: To compare laser hemorrhoidoplasty with digital-guided hemorrhoidal artery ligation (DGHAL) and conventional (Milligan-Morgan) open hemorrhoidectomy procedures.
Materials and Methods: A prospective follow-up study was undertaken in the Department of Surgery, Maharani Laxmi Bai Medical College, Jhansi, from January 2020 to June 2021. In this comparative and prospective study, 60 patients were included, of whom 30 were treated with open surgical hemorrrhoidectomy (Milligan-Morgan) and 30 were treated with laser hemorrhoidoplasty with the DGHAL method.
Results: Male patients numbered 41 and female patients numbered 19. Between laser hemorrhoidoplasty with DGHAL and the open surgical hemorrrhoidectomy (Milligan-Morgan) approach, there were significant differences in operating time, blood loss, bleeding; and early postoperative pain. In terms of early postoperative pain, there were statistically significant differences between the two groups (P<0.001). The mean operational time for laser hemorrhoidoplasty with DGHAL was 22.57±1.794 min, compared to 29.43±3.664 min for the open surgical hemorrrhoidectomy (Milligan-Morgan) method (P<0.002).
Conclusion: Laser hemorrhoidoplasty with Doppler-guided hemorrhoidal artery ligation (DGHAL) is safe and effective in cases of all grades of hemorrhoids as compared to open surgical (Milligan-Morgan) hemorrhoidectomy. |
| first_indexed | 2024-03-08T07:47:49Z |
| format | Article |
| id | doaj.art-677f3f5f7a1a4670a022effa33c7e1fe |
| institution | Directory Open Access Journal |
| issn | 2467-9100 2091-0576 |
| language | English |
| last_indexed | 2024-03-08T07:47:49Z |
| publishDate | 2024-02-01 |
| publisher | Manipal College of Medical Sciences, Pokhara |
| record_format | Article |
| series | Asian Journal of Medical Sciences |
| spelling | doaj.art-677f3f5f7a1a4670a022effa33c7e1fe2024-02-02T15:37:40ZengManipal College of Medical Sciences, PokharaAsian Journal of Medical Sciences2467-91002091-05762024-02-01152218222https://doi.org/10.3126/ajms.v15i2.59505A comparative study between laser hemorrhoidoplasty with digital-guided hemorrhoidal artery ligation and conventional (Milligan-Morgan) hemorrhoidectomyRajkumar Verma 0https://orcid.org/0009-0002-4645-4529Narendra Kumar 1https://orcid.org/0009-0005-3190-6109Vipin Mishra 2https://orcid.org/0009-0000-2122-1505Professor, Department of Surgery, M.L.B. Medical College, Jhansi, Uttar Pradesh, India Junior Resident, Department of Surgery, M.L.B. Medical College, Jhansi, Uttar Pradesh, India Junior Resident, Department of Surgery, M.L.B. Medical College, Jhansi, Uttar Pradesh, India Background: Hemorrhoids have a much higher incidence than rectum and colon diseases worldwide. The prevalence was estimated to be between 2.9% and 27.9% among the worldwide population, of which 4% are symptomatic. Based on the Gauss method, the highest incidence was present in patients aged between 45 and 65 years. Aims and Objectives: To compare laser hemorrhoidoplasty with digital-guided hemorrhoidal artery ligation (DGHAL) and conventional (Milligan-Morgan) open hemorrhoidectomy procedures. Materials and Methods: A prospective follow-up study was undertaken in the Department of Surgery, Maharani Laxmi Bai Medical College, Jhansi, from January 2020 to June 2021. In this comparative and prospective study, 60 patients were included, of whom 30 were treated with open surgical hemorrrhoidectomy (Milligan-Morgan) and 30 were treated with laser hemorrhoidoplasty with the DGHAL method. Results: Male patients numbered 41 and female patients numbered 19. Between laser hemorrhoidoplasty with DGHAL and the open surgical hemorrrhoidectomy (Milligan-Morgan) approach, there were significant differences in operating time, blood loss, bleeding; and early postoperative pain. In terms of early postoperative pain, there were statistically significant differences between the two groups (P<0.001). The mean operational time for laser hemorrhoidoplasty with DGHAL was 22.57±1.794 min, compared to 29.43±3.664 min for the open surgical hemorrrhoidectomy (Milligan-Morgan) method (P<0.002). Conclusion: Laser hemorrhoidoplasty with Doppler-guided hemorrhoidal artery ligation (DGHAL) is safe and effective in cases of all grades of hemorrhoids as compared to open surgical (Milligan-Morgan) hemorrhoidectomy.https://www.nepjol.info/index.php/AJMS/article/view/59505hemorrhoids; laser hemorhoidoplasty; open hemorrhoidectomy; post-operative pain |
| spellingShingle | Rajkumar Verma Narendra Kumar Vipin Mishra A comparative study between laser hemorrhoidoplasty with digital-guided hemorrhoidal artery ligation and conventional (Milligan-Morgan) hemorrhoidectomy Asian Journal of Medical Sciences hemorrhoids; laser hemorhoidoplasty; open hemorrhoidectomy; post-operative pain |
| title | A comparative study between laser hemorrhoidoplasty with digital-guided hemorrhoidal artery ligation and conventional (Milligan-Morgan) hemorrhoidectomy |
| title_full | A comparative study between laser hemorrhoidoplasty with digital-guided hemorrhoidal artery ligation and conventional (Milligan-Morgan) hemorrhoidectomy |
| title_fullStr | A comparative study between laser hemorrhoidoplasty with digital-guided hemorrhoidal artery ligation and conventional (Milligan-Morgan) hemorrhoidectomy |
| title_full_unstemmed | A comparative study between laser hemorrhoidoplasty with digital-guided hemorrhoidal artery ligation and conventional (Milligan-Morgan) hemorrhoidectomy |
| title_short | A comparative study between laser hemorrhoidoplasty with digital-guided hemorrhoidal artery ligation and conventional (Milligan-Morgan) hemorrhoidectomy |
| title_sort | comparative study between laser hemorrhoidoplasty with digital guided hemorrhoidal artery ligation and conventional milligan morgan hemorrhoidectomy |
| topic | hemorrhoids; laser hemorhoidoplasty; open hemorrhoidectomy; post-operative pain |
| url | https://www.nepjol.info/index.php/AJMS/article/view/59505 |
| work_keys_str_mv | AT rajkumarverma acomparativestudybetweenlaserhemorrhoidoplastywithdigitalguidedhemorrhoidalarteryligationandconventionalmilliganmorganhemorrhoidectomy AT narendrakumar acomparativestudybetweenlaserhemorrhoidoplastywithdigitalguidedhemorrhoidalarteryligationandconventionalmilliganmorganhemorrhoidectomy AT vipinmishra acomparativestudybetweenlaserhemorrhoidoplastywithdigitalguidedhemorrhoidalarteryligationandconventionalmilliganmorganhemorrhoidectomy AT rajkumarverma comparativestudybetweenlaserhemorrhoidoplastywithdigitalguidedhemorrhoidalarteryligationandconventionalmilliganmorganhemorrhoidectomy AT narendrakumar comparativestudybetweenlaserhemorrhoidoplastywithdigitalguidedhemorrhoidalarteryligationandconventionalmilliganmorganhemorrhoidectomy AT vipinmishra comparativestudybetweenlaserhemorrhoidoplastywithdigitalguidedhemorrhoidalarteryligationandconventionalmilliganmorganhemorrhoidectomy |