COMPARISON OF POSTOPERATIVE HEMORRHAGE IN STAPLED VERSUS MILLIGAN MORGAN HEMORRHOIDECTOMY SURGERY COMPARISON OF POSTOPERATIVE HEMORRHAGE IN STAPLED VERSUS MILLIGAN MORGAN HEMORRHOIDECTOMY SURGERY

Abstract

Background: The objective of the study was to compare Milligan Morgan hemorrhidectomy with Stapled Hemorrhoidopexy in terms of frequency of moderate to severe post operative hemorrhage.

Materials and Methods: This Retrospective Comparative study was done from January 2024 to November 2024. Hospital records were checked for patients undergoing Miligan Morgan Haemorrhoidectomy (MMH) and Stapled Hemorrhoidopexy (SH) from January 2024 to November 2024. A total of 91 patients were found to undergo surgery for hemorrhoids who developed post

operative hemorrhage. They were divided in to two groups Group A had undergone standard MMH with electrocautery and consisted of 52 patients. The remaining 39 patients were found to undergo SH by using PPH03 circular stapling gun and thus were included in Group B. Both groups were compared for moderate to severe post operative bleeding.

Results: Although a higher frequency of moderate to severe post operative hemorrhage was observed in SH Group (25.6%) as compared to MMH Group (17.3%), However, the difference was not statistically significant between MMH and SH in terms of bleeding post operatively (p=0.339).

Conclusion: SH and MMH are not superior to each other in terms of moderate to severe postoperative hemorrhage. Both procedures can be performed as per the surgeon’s preference or patient’s choice.