COMPARATIVE EVALUATION OF TRADITIONAL VERSUS MODIFIED CLOSED HEMORRHOIDECTOMY IN 346 PATIENTS WITH COMPLICATED HEMORRHOIDS: SHORT-TERM AND LONG-TERM RESULTS
DOI:
https://doi.org/10.5281/zenodo.19107515Keywords:
hemorrhoidectomy, complicated hemorrhoids, submucosal immersion, vascular pedicle stumps, postoperative complications, hemorrhage, anal canal stricture, sphincter insufficiency, posthemorrhagic anemia, thrombosed hemorrhoids, comparative study.Abstract
The surgical management of complicated hemorrhoids — encompassing posthemorrhagic anemia, stage IV disease with permanent mucosal prolapse, and grade III thrombosis — continues to pose challenges in terms of optimizing postoperative outcomes and minimizing morbidity. While traditional closed hemorrhoidectomy (Milligan–Morgan modification II) remains the most widely practiced technique, its association with retained vascular pedicle stumps and extensive mucosal excision contributes to a well-documented spectrum of early and late complications. The present study aimed to conduct a rigorous comparative analysis of clinical outcomes following traditional versus a novel modified hemorrhoidectomy technique in a large prospective cohort of patients with complicated hemorrhoids.
