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Abstract

Haemorrhoid is a common anorectal disorder which usually requires surgical intervention.Conventional haemorrhoidectomy had been practiced for long time but in 1993 Longo introduced a newer minimally invasive procedure for haemorrhoids.In this study we have compared the postoperative results of MIPH with conventional open haemorrhoidectomy.To analyze and compare various Pre and postoperative factors such as duration of surgery, post-operative pain and analgesia, duration of hospital stay, post-operative complications, recurrence and early return to work in the patients suffering Haemorrhoids undergoing Open Miligan-Morgan's haemorrhoidectomy and Minimal Invasive Procedure for Haemorrhoids (MIPH).In this prospective study a total 60 patients underwent surgery for haemorrhoids at Gujarat Adani Institute of Medical Science, Bhuj .Thirty patients in group A underwent Milligan Morgan technique of open haemorrhoidectomy and thirty patients in group Bunderwent Longo's technique of MIPH (Minimal Invasive Procedure for Haemorrhoids).The average duration of surgery was significantly less in MIPH group as compared to open haemorrhoidectomy group.Only 6.6% of MIPH developed early post-operative complications whereas atleast 25% of open haemorrhoidectomy developed early complications such as pain, bleeding per rectum and wound infection.Shorter hospital stay and Early return to work was significantly with minimal postoperative complications as compared with Milligan Morgan (open haemorrhoidectomy).