A comprative study of cryosurgery versus open (milligan-morgan) hemorrhoidectomy in second and third degree hemorrhoids

Abstract

Introduction: haemorrhoidectomy is an operation for second- and third-degree haemorrhoids. There are two methods by which haemorrhoidectomy can be done open (Millan–Morgan) in which the wound is left and allowed to heal by secondary intension and cryosurgery in which freezing of hemorrhoidal tissue done. Aim: to compare post-operative pain and recovery in cryosurgery and open (million-Morgan) methods and evaluate optimum choice of the procedure for second- or third-degree haemorrhoids. Study Design: prospective randomised study. Settings: Department of surgery, Zydus Medical College and Hospital, Dahod. Sample size: 90 cases (45 cases in each group). Inclusion Criteria: patients with second/third-degree haemorrhoids. Exclusion Criteria: Patients with associated anal and perianal condition like fissure in ano, inflammatory bowel diseases and rectal malignancy portal hypotension were excluded from the study. Result: Mean Hospital stay for open haemorrhoidectomy patients was 5 days and cryo-surgery were 2 days. Post-surgery pain was seen in 77% in open haemorrhoidectomy patients and 33% in cryo-surgery patients. Pain was relieved earlier in cryosurgery patients. Conclusion: cryosurgery is the procedure of choice for second/third-degree haemorrhoids.