| Objective: To evaluate the efficacy of the procedure for prolapse and hemorrhoid (PPH) in the treatment of patients with severe hemorrhoids (grade III IV), whether to take advantage of Milligan-Morgan operation.Methods: 30 cases(group I) of hemorrhoids at the third or fourth degree were operated by PPH and other 30 cases(group II) by Milligan-Morgan. Compare the operating time, hospitalization time, complications and the cost of these two groups.Results: Except for the cost , the group PPH is much better than the Milligan -Morgan group in terms of operating time, pain index, length of hospital stay. For complications, the incidence of occurrence of anal discharge in group I is much lower than that of group II.Conclusion: PPH is a safe and effective procedure for III, IV hemorrhoids and its shorter term outcome is better than Milligan- Morgan procedure. |