Comparative Study between Milligan Morgan and Closed Hemorrhoidectomy With or Without Plication

Background: Hemorrhoids are considered the most common and troublesome anal disorders. They can slide down, prolapse, dilate, and bleed occasionally. Aim of Study: To assess the effectiveness of plication in reduction of postoperative pain and bleeding after open and closed hemorrhoidectomy. Patients and Methods: This study included 100 patients who underwent haemorrhoidectomy at Surgery Department of Ain Shams University Hospitals & El-Mahalla General Hospital. The participants were divided into four groups: Group 1: Open haemorrhoidectomy without plication, Group 2: Open haemorrhoidectomy with plication, Group 3: Closed haemorrhoidectomy without plication and Group 4: Closed haemorrhoidectomy with plication. Results: In both close & open procedures, no patient was pain free. However, Post-operative pain scores were significantly low in the open Group than close Group during first 24 hours. Minimal intraoperative blood loss occurred in 60%, 64%, 72% & 64% of patients in group 1, 2, 3 & 4 respectively with no significant difference between the 4 groups. Conclusion: Plication of piles appears to have no significant advantages over conventional methods in terms of patient comfort and incidence of intraoperative & postoperative complications.