A Comparative Study OF Three Lines Of Surgical Management Of Hemorrhoidal


background: Disease is a common problem in surgical practice is hemorrhoidaldisease.Objective: to compare three different methods of treatment of second and uncomplicated third degree piles.Subject and Methods: This prospective study compares three different methods of treatment in 180 patients of second and uncomplicated third degree piles. The patients were allocated randomly in equal numbers to three groups: Group A- treated by conventional excision ligation Milligan Morgan, Group B-treated by pilesuture and Group C-treated by rubber band ligation.Results and Discussion: The average period of follow up after completion of treatment was 36 months. Patients were assessed for early complications; Pain-Urine Retention-and bleeding. Late complications;-anal stenosis, recurrence-Length of hospital stay and Time-off work. We consider that conservative treatment methods are preferable to conventional excision ligation for treatment of second and early third degree piles.Conclusion: Of the two conservative methods used in this study, the pile suture seems to be the method of choice.