A Comparative Study between MIPH versus Open Haemorrhoidectomy in a Tertiary Care Hospital

Background: Haemorrhoids are one of the commonest ano-rectal problems worldwide. Open haemorrhoidectomy and MIPH are the currently available surgical interventions in the management of haemorrhoids. The aim of our study is to evaluate the effectiveness of MIPH over Open haemorrhoidectomy. Method: 60 cases were selected on the basis of inclusion criteria & divided into two groups of 30 each. MIPH was done in one group and Open Haemorrhoidectomy in other group .The duration of study was one year. The duration of Post-operative pain, Complications, Level of satisfaction was documented. Result: MIPH is a safe and effective procedure for grade 3rd & 4th haemorrhoids. Duration of hospital stay and post-operative complications are less and hence return to work is earlier. Conclusion: MIPH can be considered as a procedure of choice in patients presenting with grade 3rd & graden4th haemorrhoids.