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World J Gastroenterol. Aug 14, 2013; 19(30): 5011-5015
Published online Aug 14, 2013. doi: 10.3748/wjg.v19.i30.5011
Published online Aug 14, 2013. doi: 10.3748/wjg.v19.i30.5011
Milligan-Morgan hemorrhoidectomy with anal cushion suspension and partial internal sphincter resection for circumferential mixed hemorrhoids
Ming Lu, Guo-Qiang Wang, Yan Wu, Yang Liu, Hao Wen, Department of General Surgery, First Affiliated Hospital of Xinjiang Medical University, Urumqi 830054, Xinjiang Uygur Autonomous Region, China
Guang-Ying Shi, Department of Gastroenterology, Xinjiang Production and Construction Corps Hospital, Urumqi 830042, Xinjiang Uygur Autonomous Region, China
Author contributions: Lu M is the principal surgeon and wrote the manuscript; Shi GY reviewed the literature; Wang GQ, Wu Y and Liu Y observed the indexes of the patients; and Wen H designed the study, revised and finalized the manuscript to be published.
Correspondence to: Hao Wen, Chief Physician, Professor, Doctoral Tutor, Department of General Surgery, First Affiliated Hospital of Xinjiang Medical University, 137 Liyushan South Road, Urumqi 830054, Xinjiang Uygur Autonomous Region, China. wenhao@163.com
Telephone: +86-991-4366594
Received: May 20, 2013
Revised: July 1, 2013
Accepted: July 12, 2013
Published online: August 14, 2013
Revised: July 1, 2013
Accepted: July 12, 2013
Published online: August 14, 2013
Core Tip
Core tip: We treated 96 patients with circumferential mixed hemorrhoids using Milligan-Morgan hemorrhoidectomy with anal cushion suspension and partial internal sphincter resection, and compared their clinical outcomes with those undergoing traditional hemorrhoidectomy. The differences are significant in favor of the modified Milligan-Morgan technique in terms of time to wound healing, anal stenosis, wound pain, edema and other complications. This approach can be widely applied in clinical practice.