Excision Hemorrhoidectomy: New Methods to Improve the Outcomes of an Old Technique

Heng, Gregory; Tan, Kok‐Yang

doi:10.17795/jjhr-34119

Cited by 5 publications

(4 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Various modifications in the surgical procedures had been adopted to reduce the pain but not had been successful universally. 1,6 The difference between the pain experienced at rest by group A and group B was insignificant. Group B (diathermy coagulation) experienced high pain during bowel movements than group A.…”

Section: Discussionmentioning

confidence: 87%

“…Procedures to treat hemorrhoids includes ligation, excision (Milligan Morgan hemorrhoidectomy), Rubber band ligation, injection sclerotherapy, infrared photocoagulation and cryotherapy. [1][2][3][4] Surgical excision is most popular and widely practicing procedure, yet it is related with considerable post-operative pain and discomfort. Clinical trials and studies have been done for the last two decades concentrating on reducing post hemorrhoidectomy pain.…”

Section: Introductionmentioning

confidence: 99%

“…Studies showed that Ligation, Hormonic scalpel and Diathermy techniques resulted in less post-operative pain, wound healing and better satisfaction. 1,5 There are very few studies 6,7 have been done on comparing new with the conventional surgical procedure and showing their part in reducing post-operative pain. On literature search it was found that no such study done on the local population.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Comparison of hemorrhoidectomy by conventional technique and suture less technique.

Bilal

Aslam²,

Khan³

et al. 2022

TPMJ

View full text Add to dashboard Cite

Objective: To compare the surgical outcomes of hemorrhoidectomy performed by suture less with conventional technique. Study Design: Randomized Clinical Trial. Setting: DHQ Charsadda. Period: 15 May 2017 to 30 June 2018. Material & Methods: This was done on 60 admitted patients with grade 3 or grade 4 prolapsed hemorrhoids with failed conservative treatment from. These Patients were randomly assigned using sealed opaque envelopes containing computer‐generated random numbers into two groups, Group A, who would undergo scissors excision and group B would undergo diathermy without ligation. Postoperative follow up was carried till 6 months. Data were collected and analysis by using SPSS version 23. Chi square test was used to compare at level of significance <0.005. Results: Median age of Group A was 52 years with range 33-65 while In group B age ranged from 34-65 with a median age was 51 years. Length of hospital stay in both groups ranged 1-5 days, with a median of 3 days. Every patient experienced different pain at different levels but there was no statistical difference in the severity of postoperative pain between the two groups. Follow up results showed five subjects from Group A and two from Group B had mild anal strictures, which dilated with bulk laxatives alone. Conclusion: There are no significant differences in the surgical outcomes of hemorrhoidectomy done by both techniques.

show abstract

Section: Discussionmentioning

confidence: 87%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Comparison of hemorrhoidectomy by conventional technique and suture less technique.

Bilal

Aslam²,

Khan³

et al. 2022

TPMJ

View full text Add to dashboard Cite

show abstract

“…The uses of local anaesthetic infiltration, oral analgesics, topical muscle relaxants, incorporated with oral metronidazole and stool softeners have been the standards to improve post-operative pain [3,4,9]. Numerous surgical innovations such as Harmonics Scalpel® and LigaSure® have been used for excisional haemorrhoidectomy with claims of reduced pain and faster recovery.…”

Section: Discussionmentioning

confidence: 99%

The Sub-Saharan Experience of Excisional Haemorrhoidectomy with Simultaneous Lateral Internal Sphincterotomy

et al. 2020

View full text Add to dashboard Cite

Milligan-Morgan haemorrhoidectomy (MMH) is still regarded as the standard excisional haemorrhoid procedure. In our centre, prophylactic lateral internal sphincterotomy (LIS) has been routinely performed simultaneously with MMH due to increased incidence of concurrent chronic anal fissure (CAF). We aimed to review our practice, the safety and feasibility of routine MMH+ LIS among patients with or without CAF. A prospective observational study was conducted to examine the outcome of MMH + LIS in Kassala, Sudan, from 2015 to 2018. The short-term outcomes of patients undergoing MMH+LIS were compared between patients with or without CAF. There were 252 patients included in the study, with the median age of 33 (ranged 13-80), and 146 (57.94%) were male patients. Of these, 205 patients (81.3%) had third-degree prolapsed haemorrhoids, and 47 patients (18.7%) had fourthdegree prolapsed haemorrhoids, with 73 (29%) patients had a concurrent chronic anal fissure. There were no significant difference (p > 0.05) between the comparing groups with regard to the complications occurred, which were post-operative bleeding (n = 4, 1.6%), anal stenosis (n = 5, 1.98%), faecal incontinence (n = 2, 0.79%), chronic anal pain (n = 5, 1.98%), chronic anal discharge (n = 3, 1.19%), pruritus ani (n = 4, 1.58%) and obstructed defaecation symptoms (n = 4, 1.58%). The overall complication rates were 16/ 252 (6.3%). Patients without pre-existing CAF were significantly associated with increased post-operative pain (p < 0.0001) after LIS. Prophylactic LIS, along with MMH, is a safe strategy with reasonable desired short-term outcomes and low complication rates. Patients with pre-existing CAF gain better pain control having had concurrent LIS which ultimately justify the procedure.

show abstract

Effect of Topical Baclofen 5% on Post-Hemorrhoidectomy Pain: Randomized Double Blind Placebo-Controlled Clinical Trial

Ala

Alvandipour

Saeedi

et al. 2020

Journal of Gastrointestinal Surgery

View full text Add to dashboard Cite

Excision Hemorrhoidectomy: New Methods to Improve the Outcomes of an Old Technique

Cited by 5 publications

References 21 publications

Comparison of hemorrhoidectomy by conventional technique and suture less technique.

Comparison of hemorrhoidectomy by conventional technique and suture less technique.

The Sub-Saharan Experience of Excisional Haemorrhoidectomy with Simultaneous Lateral Internal Sphincterotomy

Effect of Topical Baclofen 5% on Post-Hemorrhoidectomy Pain: Randomized Double Blind Placebo-Controlled Clinical Trial

Contact Info

Product

Resources

About