Abstract

Neha Thumar, Alpesh Dhandhaliya, Soham Patel, Dr. Rajesh Sharma* and Dr. Harshit Shah

ABSTRACT

Objective: To evaluate the outcome of Milligan-Morgan haemorrhoidectomy versus Ferguson haemorrhoidectomy on the basis of pain, wound healing time, infection. Methodology: patients with Grade III internal haemorrhoids randomly allocated. The entire wound was left open in the open haemorrhoidectomy and completely closed using 2-0 vicryl sutures in the closed haemorrhoidectomy. Postoperative pain was assessed. Additional consumption of analgesics on the day of surgery and at defecation during the first week was recorded. Patients were followed up 1, 2, and 3 weeks after the procedure. Results: significant differences were found between the two methods regarding complications, pain, wound healing. At follow-up after four weeks of the Ferguson patients had completely healed wounds, and none had signs of infection and pain. After the Milligan-Morgan no completely healed wounds and pain found. Conclusions: Both methods are fairly efficient treatment for third and fourth degree hemorrhoids, without serious drawbacks. The closed method has advantage in postoperative pain reduction and it is more advantageous with respect to faster wound healing.