Randomized clinical trial of the effects on anal function of Milligan–Morgan<i>versus</i>Ferguson haemorrhoidectomy

Johannsson, Helgi Örn; Påhlman, Lars; Graf, Wilhelm

doi:10.1002/bjs.5408

Cited by 49 publications

(51 citation statements)

References 24 publications

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“…When comparing the open Milligan-Morgan method to the closed Ferguson procedure, the closed method leads to faster wound healing, but some studies state that the closed method requires a longer operating time compared to the open technique [72][73][74][75] . Some studies assert that early postoperative pain is less with the open technique 72,73) , but other accounts state that there is no difference 74,75) .…”

Section: ) Lementioning

confidence: 99%

“…Some studies assert that early postoperative pain is less with the open technique 72,73) , but other accounts state that there is no difference 74,75) . Some studies report postoperative bleeding to be less with the closed method; 9) however, other studies claim there is no difference in postoperative bleeding between the procedures 72,74,75) . In studies citing no difference between the two methods, there is also no discernible difference with regard to recurrence rates 72) .…”

Section: ) Lementioning

confidence: 99%

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Japanese Practice Guidelines for Anal Disorders I. Hemorrhoids

Yamana

2017

J Anus Rectum Colon

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The pathogenesis of hemorrhoids is a weakening of the anal cushion and spasm of the internal sphincter. Bowel habits and lifestyles can be risk factors for hemorrhoids. The prevalence of hemorrhoids can encompass 4 to 55% of the population. Symptoms include bleeding, pain, prolapsing, swelling, itching, and mucus soiling. The diagnosis of hemorrhoids requires taking a thorough history and conducting an anorectal examination. Goligher's classification, which indicates the degree of prolapsing with internal hemorrhoids, is useful for choosing treatment. Drug therapy for hemorrhoids is typically utilized for bleeding, pain, and swelling. Ligation and excision (LE) is considered for Grade III and IV internal and external hemorrhoids. Rubber band ligation is used to treat up to Grade III internal hemorrhoids. Phenol almond oil is effective for internal hemorrhoids up to Grade III, while aluminum potassium sulfate and tannic acid have shown efficacy in treating prolapsing in internal hemorrhoids at Grades II, III, and IV. Procedure for prolapse and hemorrhoids (PPH) is surgically effective for Grade III internal hemorrhoids; however, the long-term prognosis is not favorable, with high recurrence rates. Separating ligation is effective surgical treatment for internal/external hemorrhoids Grade III and Grade IV. The basic approach to thrombosed external hemorrhoids and incarcerated hemorrhoids is conservative treatment; however, in some acute or severe cases, surgical resection is considered. Comparing the different instruments used for hemorrhoid surgery, all reduce operating time, blood loss, post-operative pain, and length of time until the return to normal activity. They do, of course, increase the cost of the procedure.

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Section: ) Lementioning

confidence: 99%

Section: ) Lementioning

confidence: 99%

Japanese Practice Guidelines for Anal Disorders I. Hemorrhoids

Yamana

2017

J Anus Rectum Colon

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“…Vorteile sind die Rekonstruktion des Analkanals und die fehlende postoperative Sekretion. Nachteile sind das, wenn auch geringe Risiko einer Abszessbildung in der geschlossenen Wunde [74] und eventuell Schmerzen von den Nähten im Hautbereich.…”

Section: Submuköse Haemorrhoidektomie Nachunclassified

“…Weder vorhersehbar noch vermeidbar sind die mit 1-3 % als sporadisch zu erachtenden Komplikationen Nachblutung, Stenose, Fissur, Abszess und Fistel [74] sowie die häufi gere Harnretention in bis zu 21 % der Fälle [68].…”

Section: Zusammenfassung Zu Resektionsverfahrenunclassified

Konsensusbericht Hämorrhoidalleiden

Aigner

Conrad²,

Haunold

et al. 2012

Wien Klin Wochenschr

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Haemorrhoidal disease belongs to the most common benign disorders in the lower gastrointestinal tract. Treatment options comprise conservative as well as surgical therapy still being applied arbitrarily in accordance with the surgeon's expertise. The aim of this consensus statement was therefore to assess a stage-dependent approach for treatment of haemorrhoidal disease to derive evidence-based recommendations for clinical routine. The most common methods are discussed with respect of haemorrhoidal disease in extraordinary conditions like pregnancy or inflammatory bowel disease and recurrent haemorrhoids. Tailored haemorrhoidectomy is preferable for individualized treatment with regard to the shortcomings of the traditional Goligher classification in solitary or circular haemorrhoidal prolapses.

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“…3 Comparatively, traditional surgical techniques have an estimated 15% to 20% complication rate including haemorrhage, stenosis and urinary retention. 4,5 Haemorrhoidal disease is a common anorectal condition with a prevalence of 38.4%, and a common cause of haemorrhage. Patients with haemorrhoidal disease experience a broad spectrum of symptoms, which can impact on their quality of life.…”

Section: Introductionmentioning

confidence: 99%

Coil occlusion of anal cushions in severe lower gastrointestinal haemorrhage

Najran

Wilson

Mullan

2016

Int J Gastrointest Interv

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A B S T R A C TCoil occlusion of colonic vessels is uncommon due to a risk of colonic ischemia and perforation, and should only be performed as a bridge to emergent surgery. Colonic haemorrhage can occur in haemorrhoidal disease which is managed conservatively in most cases. Endovascular management of haemorrhoids has been described in a non acute setting with effective results and little complications. We present a case of a 46-year-old male admitted with haemorrhage secondary to abnormal vascular rests within the anal cushions, similar to that described in haemorrhoidal disease. Both clinical and endoscopic examination did not identify haemorrhoids; however, catheter angiogram identified ectatic distal rectal arteries with arterial blush demonstrating a haemorrhagic focus. This was subsequently embolised. The patient experienced no ischemic complications or further haemorrhage. Endovascular management in this setting has both a diagnostic and therapeutic benefit allowing rapid effective management of the patient.

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Randomized clinical trial of the effects on anal function of Milligan–MorganversusFerguson haemorrhoidectomy

Abstract: Closed Ferguson haemorrhoidectomy was superior to the open Milligan-Morgan procedure with respect to long-term anal continence and patient satisfaction.

Cited by 49 publications

References 24 publications

Japanese Practice Guidelines for Anal Disorders I. Hemorrhoids

Japanese Practice Guidelines for Anal Disorders I. Hemorrhoids

Konsensusbericht Hämorrhoidalleiden

Coil occlusion of anal cushions in severe lower gastrointestinal haemorrhage

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