Omar S Mansour*

Consultant Colorectal and Laparoscopic General Surgeon, Assistant Professor and Clinical Lecturer in General Surgery, Department of Surgery, School of Medicine, Al Balqa Applied University, Al Salt, Jordan

*Corresponding Author: Omar S Mansour, Consultant Colorectal and Laparoscopic General Surgeon, Assistant Professor and Clinical Lecturer in General Surgery, Department of Surgery, School of Medicine, Al Balqa Applied University, Al Salt, Jordan.

Received: July 26, 2021; Published: September 01, 2021

Citation: Omar S Mansour. “Surgical Haemorrhoidectomy is Still the Gold Standard Treatment for Prolapsing Hemorrhoids". Acta Scientific Gastrointestinal Disorders 4.10 (2021): 01.

Abstract

  There has been a recent surge in upper and lower gastrointestinal diseases in the last two years, probably secondary to COVID-19 infection and the recent tight social restrictions. Many of these diseases are limited to the anorectal area, specifically anal pain and bleeding secondary to anal fissures and haemorrhoids [1].

Haemorrhoidal disease can be treated conservatively in most cases. Complicated haemorrhoids can present with either prolapse, bleeding or with varying degrees of incontinence. Bleeding haemorrhoids can be treated with ligation or banding of haemorrhoids and ligation of the feeding haemorrhoidal arteries. This relatively new and moderately effective technique does not fully remove the causing pathology, the haemorrhoids. Drs. Milligan and Morgan developed the open hemorrhoidectomy technique in the UK in 1937. This surgical procedure was invented mostly for second, third- and fourth-degree hemorrhoids. The most common postoperative complication in the postsurgical-hemorrhoidectomy patients is severe throbbing pain. Closed hemorrhoidectomy was developed in the United States by Drs. Ferguson and Heaton in 1952 as a modification of the Milligan-Morgan procedure. The closed technique is similar to the open technique but the wounds are closed with absorbable sutures. A recent meta-analysis showed that the closed technique (Ferguson’s) is superior to the open hemorrhoidectomy operation (Milligan-Morgan) in terms of reducing post-operative complications like bleeding, severe pain. The Ferguson’s technique was also proven to be associated with faster wound healing [2].

Bibliography

1. Omar S Mansour. “Gastrointestinal Complications Post COVID-19 Infection Can be Quite Challenging and Variable in Nature". Acta Scientific Gastrointestinal Disorders6 (2021): 01-02.
2. Bhatti MI., et al. “Milligan–Morgan (Open) Versus Ferguson Haemorrhoidectomy (Closed): A Systematic Review and Meta-Analysis of Published Randomized, Controlled Trials”. World Journal of Surgery 40 (2016): 1509-1519.

Copyright: © Omar S Mansour. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.