| PURPOSE: To compare the results of PPH and Milligan-Morgan haemorrhoidectomy in the treatment of hemorrhoids. METHODS: From January 2005 to December 2005, the clinical data of 214 patients who underwent haemorrhoidectomy were retrospectively reviewed: 91 patients with PPH(group PPH) and 123 patients with Milligan-Morgan operations(group MM). Parameters investigated were hospitalization postoperative complications time of changing dressings time of dietary convalescence and the costs.RESULTS: The average hospitalization time were 9.56±3.31 days in group PPH compared with 10.10±4.20 days in group MM, and these differences were not statistically significant(P=0.602), the average postoperative hospitalization time were 6.08±2.89 days and 7.45±3.35days respectively, there were significant statistical differences between the two groups(P=0.001). The postoperative pain were present for 0.21 day in group PPH but 3.05 days in group MM(P=0.000). The time of changing dressings were 1.02±2.39 days in group PPH compared with 7.38±3.41 days in group MM(P=0.000). There also had significant statistical differences in the time of dietary convalescence. There were not statistical differences in some postoperative complications rates, such as bleeding dysuria and edema of the incision, but except the rates of complaining bearing-down pain. The total related medical costs were 7036±1115RMB in group PPH compared with 2829±726RMB in group MM (P=0.000), but there were not statistical differences excepted the costs of apparatus itself ( P=0.245 ).CONCLUSIONS: The advantages of PPH for hemorrhoids include shortening the postoperative time reducing the time of changing dressings and the postoperative pain shortened convalescence. However, the total related medical costs were more expensive than MM operation, but it got much benefis from quicker recovery and less time needed off work. PPH is a safe and effective option in treating of hemorrhoids. |
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