Aim: To study the outcome of the Chivate’s transanal suture rectopexy with milligan morgan procedure in patients of haemorrhoids from clinical perspective.
Methods: From April 2018 to September 2019,30 patients of haemorrhoids(grade III/ IV) were randomly assigned to undergo either the transanal suture rectopexy (n= 15) or Milligan Morgan procedure (n=15). Outcome assessment was performed at 12 hours,24 hours,3days,weekly once for 1 month,monthly once for 5months. Variables included Post-operative complications, resolution of symptoms.
Results: Both the groups were comparable in terms of demographic data. Of the 15 patients who underwent Chivate’s procedure, none of the patients complained of Pain. 1pt had minimal bleeding intra-operatively. 3 pts had urinary retention and another 2 pts had transient anal incontinence to flatus. Mild mucous discharge per rectum noted in 1 patient. All the patients were discharged in 24hrs. Of the 15 patients who underwent Milligan-Morgan procedure, 10 patients complained of severe pain in the post-operative periods. Bleeding was seen intra operatively in 3 pts and urinary retention seen in 1 pt. Mild mucus discharge per rectum was seen in the early post-operative period in 1 pt. Most of the patients stayed under admission for 3-4days. There was difficulty in passing stools postop in 3patients, thus, requiring increased use of laxatives in these patients. None of the patients had residual pile masses or recurrence in this study after long term follow up.
Conclusion: Transanal suture rectopexy certainly offers lower incidence of post-op morbidities and better patient compliance than milligan morgan open hemorrhoidectomy.
A CLINICALANALYSIS OF THE OUTCOME OF CHIVATE'S PROCEDURE AND MILLIGAN-MORGAN PROCEDURE FOR HAEMORRHOIDS
