EXAMINING OPEN (MILLIGAN MORGAN) HAEMORRHOIDECTOMY WITH AND WITHOUT LATERAL INTERNAL SPHINCTEROTOMY (LIS)- A COMPARATIVE STUDY

Abstract

Background: Both men and women, as well as those in their middle years, are frequently afflicted with haemorrhoids, a 
benign ailment of the anorectal area. Haemorrhoids' precise incidence is yet unclear.  
Aim: The purpose of this study was to compare the postoperative discomfort experienced by patients who underwent open 
(Milligan Morgan) haemorrhoidectomy with and without lateral internal sphincterectomy (LIS). 
Methods: In Group I, 100 participants aged 20 years or older who had Milligan Morgan haemorrhoidectomy with LIS were 
evaluated, while in Group II, 100 participants did not have LIS. In terms of postoperative discomfort and results, the data 
were compared.  
Results: For both groups, the average follow-up period was six months. After a week, 74% (n=74) and 56% (n=56) of the 
participants in Group I and II, respectively, reported feeling less pain. After a month, 94% (n=94) and 76% (n=76) of the 
participants in Group I and II, respectively, reported feeling less discomfort. By one month, 96% (n=96) and 66% (n=66) of 
the participants in Group I and II had healed ulcers. By the end of three months, 6% (n=6) and 2% (n=2) of the individuals in 
Groups I and II, respectively, had mild incontinence with mucous discharge, with non-significant findings. 
Conclusions: Based on fewer complications and longer-lasting pain alleviation, the current study indicates that Miligan
Morgan haemorrhoidectomy with LIS is a more successful surgical strategy than Miligan-Morgan haemorrhoidectomy 
without LIS.