A Comparative Study of Conventional Haemorrhoidectomy versus Minimal Invasive Procedure for Haemorrhoids (MIPH): A Prospective Study

Abstract

Background: Haemorrhoids are one of the most common anorectal disorders, affecting almost 25–30% of the population.
Aims and objectives: To compare the outcomes of conventional haemorrhoidectomy versus M.I.P.H.
Materials and Methods: The present prospective hospital-based observational study will be conducted in the department of general surgery, Indira Gandhi Institute of Medical Sciences (I.G.I.M.S), Patna, Bihar, India. After the approval of the institutional ethical committee, 120 patients of both genders who need surgical intervention for haemorrhoids will be selected.
Results: Out of 120 cases of grade III and IV haemorrhoids, 104 were males and 16 were females. The male-to-female ratio was 6.5:1. The mean age of patients was 44.85 ± 14.50 years. The most common presenting complaints of patients were bleeding and haemorrhoidal mass protruding per rectum. 84 patients (70%) had grade-III haemorrhoids.
Conclusion: MIPH is associated with a shorter duration of surgery, less postoperative pain, and a shorter hospital stay with minimal postoperative complications as compared with Milligan Morgan (open haemorrhoidectomy).