Outcome of a modified Park's submucosal hemorrhoidectomy versus Milligan-Morgan for grade III-IV circumferential prolapsed hemorrhoids

This prospective randomized controlled study compared the short- and long-term efficacy and advantages of modified Park's submucosal over Milligan-Morgan hemorrhoidectomy (MMH) in the treatment of grade III and IV circumferential prolapsed hemorrhoids (CPH). A total of 186 consecutive patients...

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Published in:Asian journal of surgery 2022-11, Vol.45 (11), p.2208-2213
Main Authors: Song, Xianqing, Sun, Wei, Bao, Yintong, Tu, Jinjin, Zhang, Tongcheng
Format: Article
Language:English
Subjects:
Circumferential prolapsed hemorrhoids (CPH)
Milligan-Morgan hemorrhoidectomy (MMH)
Modified Park's submucosal hemorrhoidectomy (MPSH)
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description This prospective randomized controlled study compared the short- and long-term efficacy and advantages of modified Park's submucosal over Milligan-Morgan hemorrhoidectomy (MMH) in the treatment of grade III and IV circumferential prolapsed hemorrhoids (CPH). A total of 186 consecutive patients with grade III or IV CPH were enrolled. The patients were randomized to MPSH (n = 93) or MMH (n = 93) treatment groups. Patient data included demographics, clinical characteristics, surgical parameters, underlying or arising complications, and CPH recurrence. The patients were closely followed up for at least 24 months. The patient demographic data and clinical parameters were comparable in the two groups (P > 0.05). MPSH took significantly longer operative time (P 
doi_str_mv 10.1016/j.asjsur.2021.11.032
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A total of 186 consecutive patients with grade III or IV CPH were enrolled. The patients were randomized to MPSH (n = 93) or MMH (n = 93) treatment groups. Patient data included demographics, clinical characteristics, surgical parameters, underlying or arising complications, and CPH recurrence. The patients were closely followed up for at least 24 months. The patient demographic data and clinical parameters were comparable in the two groups (P &gt; 0.05). MPSH took significantly longer operative time (P &lt; 0.05). Although there was no significant difference in mean postoperative pain between the two groups at days 3 and 14, pain at day 7 was significantly more frequent and severe in the MMH group (P &lt; 0.05). There were no significant group differences in postoperative bleeding, intraoperative blood loss, or development of anal stenosis (P &gt; 0.05). However, the cumulative relapse-free rate was substantially higher in the MPSH group (P &lt; 0.05). 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subjects Circumferential prolapsed hemorrhoids (CPH)
Milligan-Morgan hemorrhoidectomy (MMH)
Modified Park's submucosal hemorrhoidectomy (MPSH)
title Outcome of a modified Park's submucosal hemorrhoidectomy versus Milligan-Morgan for grade III-IV circumferential prolapsed hemorrhoids
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