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CHIRURGIA

A Journal on Surgery


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Chirurgia 2001 February;14(1):17-20

language: Italian

Hemorrhoidectomy. Analysis of comparison between Milligan-Morgan versus Ferguson technique

Carrabetta S., Nikzat K., Guardini R., Segre D.


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Background. Hemorrhoidectomy can be performed by closed (i.e. Ferguson) or open techniques (i.e. Milligan-Morgan). The aim of this study was to evaluate the advantages of the two methods in terms of anatomical and clinical healing of the wound.
Methods. The authors report a prospective randomised study including 103 patients, 56 men and 47 women, with third-fourth degree haemorrhoids allocated to undergo a Ferguson (51 patients) or Milligan-Morgan (52 patients) procedure.
Results. Postoperative complications included: bleeding (8 cases), urinary retention (11 cases), partial dehiscence of the wound (12 cases), minimal anal stenosis (9 cases). No significant differences were found between the two surgical procedures as to post- operative pain, hospital stay, bowel function and wound healing time. The only significant difference was represented by the operative time (p<0.001).
Conclusion. Either operative technique achieved complete healing of the condition. The choice between the two is left to the objective data and to the personal preference of the surgeon.

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