Abstract

Hemorrhoids are a common anorectal complaint that is considered as benign condition. Hemorrhoids seem to affect people equally between genders and typically occur during middle age, though younger patients are not uncommon. Although the exact incidence in worldwide remains unknown, a study have revealed an overall prevalence of 39% for all grades of hemorrhoids. The main aim of this study was to compare the postoperative pain in two groups of patients treated with open hemorrhoidectomy and open hemorrhoidectomy with lateral internalsphincterotomy. However, other related complications were also noted and included in the result. Methods: This is a prospective and observational study carried out at Maharani Laxmi Bai Medical College, Jhansi, Uttar Pradesh and enrolled patients over 20 years of age operated for MilliganMorgan from august 2021 to august 2022. During this period 50 patients were operated for miligan morgan haemorrhoidectomy with lateral internal sphincterotomy (LIS) {Group A} & rest 50 patients were operated for miligan morgan haemorrhoidectomy without lateral internal sphincterotomy{Group B} Result: The average follow-up for both groups was 6 months. Pain relief was observed in 37 (74%) in group A and 28 (56%) in group B patients by the end of 1 week and 47 (94%) in group A and 38(76%) in group B patients by the end of 1 month. One patient in group B took about one and half months but pain got relieved. By one month, healing of the ulcer was observed in 48 (96%) and 33 (66%) in group A and B respectively.By the end of 3 months, minor incontinence including mucous discharge was observed in 3(6%) and 1 (2%) patients in group A and B respectively and the difference was insignificant. Conclusion: Miligan -morgan hemorroidectomy with lateral internal sphincterectomy is more effective than Miligan -morgan hemorroidectomy without lateral internal sphincterectomy in relieving long term pain & in other complication.

Description

.