Tóm tắt

Objectives: To evaluate the indication, procedural specification, and results of the Milligan - Morgan hemorrhoidectomy at the Military Hospital 103. Subjects and methods: A prospective and retrospective study on 53 patients who underwent Milligan - Morgan hemorrhoidectomy to treat of hemorrhoids from September 2020 to November 2020. Results: Average age: 46.5 ± 15.3 years. The youngest was 15 years, the oldest was 84 years. The ratio of male/female: 2.3/1. Grade III hemorrhoids: 54.7%, grade IV hemorrhoids: 45.3%. Average surgical time: 34.0 ± 10.4 minutes. The average number of removed hemorrhoidal tissues: 3.15 ± 1.45. Surgical complications: Postoperative bleeding: 4 cases (7.5%). Postoperative follow-up results: Postoperative pain: Mild pain: 9%; moderate pain 45.3%. The average length of hospital stays: 4.0 ± 1.6 days. Long - term postoperative follow-up results: No patients with recurrent hemorrhoids during the period of research were found. Time to return to normal work: 16.42 ± 7.56 days (10 - 30 days). Overall evaluation: Good 93.2%; average: 5.1%; bad 1.7%. Conclusion: The Milligan - Morgan hemorrhoidectomy is a relatively simple technique with fewer complications, lower recurrence rate, less pain and more quick surgery time, so this surgery has been widely applied to many types of hemorrhoids.

Abstract

Objectives: To evaluate the indication, procedural specification, and results of the Milligan - Morgan hemorrhoidectomy at the Military Hospital 103. Subjects and methods: A prospective and retrospective study on 53 patients who underwent Milligan - Morgan hemorrhoidectomy to treat of hemorrhoids from September 2020 to November 2020. Results: Average age: 46.5 ± 15.3 years. The youngest was 15 years, the oldest was 84 years. The ratio of male/female: 2.3/1. Grade III hemorrhoids: 54.7%, grade IV hemorrhoids: 45.3%. Average surgical time: 34.0 ± 10.4 minutes. The average number of removed hemorrhoidal tissues: 3.15 ± 1.45. Surgical complications: Postoperative bleeding: 4 cases (7.5%). Postoperative follow-up results: Postoperative pain: Mild pain: 9%; moderate pain 45.3%. The average length of hospital stays: 4.0 ± 1.6 days. Long - term postoperative follow-up results: No patients with recurrent hemorrhoids during the period of research were found. Time to return to normal work: 16.42 ± 7.56 days (10 - 30 days). Overall evaluation: Good 93.2%; average: 5.1%; bad 1.7%. Conclusion: The Milligan - Morgan hemorrhoidectomy is a relatively simple technique with fewer complications, lower recurrence rate, less pain and more quick surgery time, so this surgery has been widely applied to many types of hemorrhoids.