OBJECTIVE: To assess the long-term functional results of Milligan-Morgan haemorrhoidectomy. DESIGN: Retrospective multicentre study. SETTING: One university hospital, one county hospital, and two community hospitals, Sweden. SUBJECTS: 507 of 556 patients who were operated on for haemorrhoids by the Milligan-Morgan technique between January 1987 and December 1995. INTERVENTION: A questionnaire was sent to all 507 patients, the questions in which focused on functional results and satisfaction. MAIN OUTCOME MEASURES: Patients' satisfaction and symptoms of anal incontinence after haemorrhoidectomy. RESULTS: 418 of the 507 responded (82%). Altogether 279 patients (67%) reported a successful result, while 139 patients (33%) reported impaired anal continence. 40 of the 139 patients (29%) claimed that the incontinence was a direct result of the haemorrhoidectomy. Female sex (p = 0.005) and an operation for hygienic problems (p = 0.02) were associated with a higher risk of incontinence. CONCLUSION: Impaired anal continence is common after Milligan-Morgan haemorrhoidectomy and a large proportion of affected patients relate their problems to the operation.
OBJECTIVE: To assess the long-term functional results of Milligan-Morgan haemorrhoidectomy. DESIGN: Retrospective multicentre study. SETTING: One university hospital, one county hospital, and two community hospitals, Sweden. SUBJECTS: 507 of 556 patients who were operated on for haemorrhoids by the Milligan-Morgan technique between January 1987 and December 1995. INTERVENTION: A questionnaire was sent to all 507 patients, the questions in which focused on functional results and satisfaction. MAIN OUTCOME MEASURES: Patients' satisfaction and symptoms of anal incontinence after haemorrhoidectomy. RESULTS: 418 of the 507 responded (82%). Altogether 279 patients (67%) reported a successful result, while 139 patients (33%) reported impaired anal continence. 40 of the 139 patients (29%) claimed that the incontinence was a direct result of the haemorrhoidectomy. Female sex (p = 0.005) and an operation for hygienic problems (p = 0.02) were associated with a higher risk of incontinence. CONCLUSION: Impaired anal continence is common after Milligan-Morgan haemorrhoidectomy and a large proportion of affected patients relate their problems to the operation.
Authors: M Spyridakis; G Christodoulidis; D Symeonidis; D Dimas; A Diamantis; E Polychronopoulou; K Tepetes Journal: Tech Coloproctol Date: 2011-10 Impact factor: 3.781
Authors: Angus J M Watson; Jemma Hudson; Jessica Wood; Mary Kilonzo; Steven R Brown; Alison McDonald; John Norrie; Hanne Bruhn; Jonathan A Cook Journal: Lancet Date: 2016-10-07 Impact factor: 79.321
Authors: Mary M Kilonzo; Steven R Brown; Hanne Bruhn; Jonathan A Cook; Jemma Hudson; John Norrie; Angus J M Watson; Jessica Wood Journal: Pharmacoecon Open Date: 2018-09