Early and Late Complications of Haemorrhoidal Artery Ligation Compared to Milligan Morgan Surgery

Haemorrhoidal artery ligation (HAL) is a non-excisional procedure involves ligating the haemorridal arteries with sutures. Other method is known as milligan-morgan surgery (MMS) which is most widely used surgical technique for treating hemorrhoids. In the present study, 120 patients with heamorrhoid visited at Al Fayhaa Teaching hospital between March 2017 and March 2018 were enrolled. The patients were divided into two groups viz. haemorrhoidal artery ligation (HAL, n=60) and milligan-morgan surgery (MMS, n=60). Early and late complications, degree of bleeding and postoperative pain were recorded for the enrolled patients. About 45 males and 15 females were included in HAL. While, 32 males and 28 females were included in the MMS. The number of individual, grouped in the age range i.e. 20–39, 40–59 years and about 60 years. HAL surgery was done on the 37, 16 and 07 patients of age 20–39, 40–59 and 60 years, respectively. MMS was done on the 25, 24 and 11 patients of age 20–39, 40–59 and 60 years, respectively. HAL showed significantly (p≤0.001) less urine retention, infection and mild bleeding as compared to MMS. It also showed significantly less post operative pain and complications (p≤0.001) as compared to MMS. Maximum HAL patients (n=31) showed fast recovery i.e. within 7–10 after an operation. In the present study concluded that the haemorrhoidal artery ligation (HAL) was found to be more effective than milliganmorgan surgery (MMS).