caa a22 4500 60620704X CHVBK 20210128101014.0 cr unu---uuuuu 210128e20150601xx s 000 0 eng 10.1007/s10353-015-0316-x doi (NATIONALLICENCE)springer-10.1007/s10353-015-0316-x Cariati A. General Surgery, San Martino, IST Hospital, Via Fratelli Coda 67/5 a, 16166, Genoa, Italy aut Stapled hemorrhoidopexy versus Milligan-Morgan hemorrhoidectomy: a short-term follow-up on 640 consecutive patients [Elektronische Daten] [A. Cariati] Summary: Background: The aim of the present study is to report our data on the treatment of third-and fourth-degree hemorrhoids with stapled technique and Milligan-Morgan operation in terms of postoperative results, costs, and recurrence. Methods: From 2008 to 2011, 640 consecutive patients with third- and fourth-degree hemorrhoids underwent hemorrhoidectomy or hemorrhoidopexy. Patients have been randomly assigned to Milligan-Morgan or stapled treatment according to the possibility of use 60 staplers/year. In all, 400 patients have been treated by Milligan-Morgan procedure: 357 in one-day surgery; 240 patients underwent stapled hemorrhoidopexy: 197 in one-day surgery (p = 0.011). Results: Immediate readmissions have been: 5 cases among Milligan-Morgan group and of 9 cases among stapled group (p two-tailed = 0.049). Acute postoperative rectal bleeding with readmission have been: 4 cases among Milligan-Morgan group (1 %) and 8 cases among stapled group (3.33 %) (p = 0.037). Recurrence have been: 2 patients after Milligan-Morgan procedure (0.5 %) and 20 patients after stapled operation (8.33) (p < 0.0000011). Total direct costs have been 668€ higher for each stapled patient. Conclusion: In conclusion, Milligan-Morgan hemorrhoidectomy for third- and fourth-degree hemorrhoids is superior to stapled operation when comparing hospital stay, major postoperative bleeding, hospital cost, and recurrence. Springer-Verlag Wien, 2015 Milligan-Morgan hemorrhoidectomy nationallicence Stapled hemorrhoidopexy nationallicence Postoperative bleeding nationallicence Hospital costs nationallicence Hemorrhoids recurrence nationallicence European Surgery Springer Vienna 47/3(2015-06-01), 112-116 1682-8631 47:3<112 2015 47 10353 https://doi.org/10.1007/s10353-015-0316-x text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s10353-015-0316-x text/html Onlinezugriff via DOI NATIONALLICENCE 100 1- Cariati A. General Surgery, San Martino, IST Hospital, Via Fratelli Coda 67/5 a, 16166, Genoa, Italy aut NATIONALLICENCE 773 0- European Surgery Springer Vienna 47/3(2015-06-01), 112-116 1682-8631 47:3<112 2015 47 10353