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TITLE:

A COMPARATIVE STUDY ON RESULTS OF FERGUSON HAEMORRHOIDECTOMY VERSUS MILLIGAN-MORGAN HAEMORRHOIDECTOMY

AUTHORS:

Dr Saleem Raza Shah, Dr Muhammad Awais Karim, Dr Zardad Khan

ABSTRACT:

Objective: To evaluate pain, wound healing time and infection-related outcomes in comparison of Ferguson haemorrhoidectomy versus Milligan-Morgan haemorrhoidectomy. Study design: A randomized case-control study. Place and Duration: In the Surgical Unit II of Aziz Bhatti Shaheed Teaching Hospital Gujrat. for one year duration from May 2018 to May 2019. Methodology: By Non-probability sampling, odds and even numbers were randomized. Fifty patients who underwent Milligan-Morgan haemorrhoidectomy (group A) were compared with 50 patients who underwent Ferguson haemorrhoidectomy (group B) for symptomatic haemorrhoids that failed rubber band ligation or medical treatment. Subjectively, postoperatively pain was assessed when patients return to normal activity level. The wound infection and wound healing time were noted and observed. For three months; all patients were follow-up. Results: 117 total subjects were included in the study. The analysis was finished when 50 patients completed the follow-up in both groups. 3 days was the average group A hospital stay and was 2 days for group B. In Group B, Pain settled earlier. The healing time was six to eight weeks for closed haemorrhoidectomy, four to six weeks postoperatively for open haemorrhoidectomy. The wound infection noted in 2 open haemorrhoidectomy patients and 1 closed patient and in 4 patients post-operative bleeding was noted in open haemorrhoidectomy and no case in closed one. Anal stenosis was observed in 2 open haemorrhoidectomy patients and 1 closed haemorrhoidectomy patient. Conclusion: While closed haemorrhoidectomy gives improved outcome than open haemorrhoidectomy, complications and recurrence rates are same in terms of the results of both methods. Keywords: Ferguson haemorrhoidectomy, Infection Milligan-Morgan haemorrhoidectomy, wound healing, anal pain.

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