STEPLERLI GEMORROIDOPEKSIYA VERSUS MILLIGAN–MORGAN GEMORROIDEKTOMIYASI: UZOQ MUDDATLI ANATOMIK VA FUNKTSIONAL NATIJALAR BO‘YICHA SISTEMATIK TAHLI
##article.subject##:
staplerli gemorroidopeksiya, Milligan–Morgan gemorroidektomiyasi, PPH, gemorroy, uzoq muddatli natijalar, qaytalash, anal nazorat, hayot sifatini yaxshilash##article.abstract##
Gemorroy klinik amaliyotda eng keng tarqalgan anorektal kasalliklardan biri bo‘lib, global tarqalishi 4,4% dan 36% gacha. III–IV darajadagi gemorroyni jarrohlik davolash an’anaviy ravishda Milligan–Morgan gemorroidektomiyasiga (GMM) asoslangan bo‘lib, u aralashuvning “oltin standarti” sifatida tan olingan. 1998-yilda Antonio Longo muqobil usulni taklif qildi — staplerli gemorroidopeksiya (SGP, yoki PPH protsedurasi), bu esa postoperatsion og‘riq sindromini sezilarli darajada kamaytiradi va tiklanishni tezlashtiradi. Ushbu sistematik sharh ikkala usulning uzoq muddatli anatomik va funksional natijalarini tasodifiy nazoratli tadqiqotlar, meta-tahlillar va perspektiv kohort tadqiqotlar ma’lumotlariga asoslanib taqqoslaydi. Ma’lumotlar to‘plami aniq kompromisni ko‘rsatadi: SGP qisqa muddatli davrda afzalliklar beradi — kamroq og‘riq, operatsiya vaqtining qisqarishi va ish qobiliyatining tez tiklanishi, — ammo uzoq muddatli qaytalashlar va qayta aralashuvlar chastotasi sezilarli darajada yuqori, ayniqsa IV darajadagi gemorroyda. GMM rivojlangan kasallik shakllarida uzoq muddatli radikal natijalar bo‘yicha ustunligini saqlaydi. Sharh natijalari gemorroy darajasi va bemor afzalliklarini hisobga olgan holda usulni tanlash uchun differentsiyalangan algoritmni shakllantirish imkonini beradi.
Библиографические ссылки
Chen, Yanyan et al. “Modified procedure for prolapse and hemorrhoids: Lower recurrence, higher satisfaction.” World Journal of Clinical Cases 9 (2021): 36 - 46.
Cuk, Vladimir et al. “WH ERE ARE WE NOW IN THE TREATMENT OF HEMORRHOIDS.” Acta Medica Medianae 54 (2015): 97-106.
Bangaradka, N., et al. "A Comparative Study between Stapler and Open Surgical Techniques for Grade III & IV Hemorrhoids: Insights from a Tertiary Care Centre." International Journal of Science and Research (IJSR) 13.1 (2024): 900-3.
Sobrado, Carlos Walter, et al. "Stapled hemorrhoidopexy: results, late complications, and degree of satisfaction after 16 years of follow-up." ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo) 35 (2022): e1689.
Kim, Tae Gyu et al. “A comparative study on efficacy and safety of modified partial stapled hemorrhoidopexy versus conventional hemorrhoidectomy: a prospective randomized controlled trial.” Annals of Coloproctology 41 (2025): 145 - 153.
Zhang, Chaojie, Weiping Zhang, and Jian Xu. "Comparison of the outcomes of hemorrhoidectomy and PPH in the treatment of grades III and IV hemorrhoids." Medicine 101.11 (2022): e29100.
Batheja, Sagar et al. “Comparative study between stapler hemorrhoidectomy and open hemorrhoidectomy.” International Surgery Journal (2025): n. pag.
Mir Mohammad Sadeghi, Pouya et al. “Short term results of stapled versus conventional hemorrhoidectomy within 1 year follow-up.” International journal of burns and trauma 11 1 (2021): 69-74 .
Kumar, Mohalingam Siva et al. “A Prospective Study Comparing Stapler and Open Surgical Technique of Hemorrhoidectomy.” Cureus 15 3 (2023): e36304.
Sturiale, Alessandro et al. “Long-term outcomes of high-volume stapled hemorroidopexy to treat symptomatic hemorrhoidal disease.” Annals of Coloproctology 39 (2021): 11 - 16.
Anitha, L. et al. “A comparative study on post-operative outcomes of stapled haemorrhoidopexy versus milligan–Morgan haemorrhoidectomy in patients above 60 years.” Kerala Surgical Journal 29 (2023): 75 - 78.
Gani, Mubashir, et al. "Outcome of stapled haemorrhoidopexy versus open haemorrhoidectomy in grade third and fourth haemorrhoids." International Surgery Journal 11.5 (2024): 727.
Manzoor, Shahzad et al. “Comparative study of the outcome and early complications between stapled and open hemorrhoidectomy.” International Journal of Research in Medical Sciences (2025)
Arif, Saleem et al. “STAPLED HEMORRHOIDECTOMY; IS IT REALLY SUPERIOR TO CONVENTIONAL HEMORRHOIDECTOMY? A LONGTERM ANALYSIS.” The professional medical journal 23 (2016): 1505-1512.
Hasan, M., et al. “Surgical Outcomes of Stapled Hemorrhoidopexy and Open Milligan Morgan Procedure for Treatment of Hemorrhoids in Tertiary Level Hospital.” International Surgery Journal, vol. 12, 2025, pp. 302–306.
Mohammed, Serbin et al. “Stapled versus open haemorrhoidectomy: a prospective study.” International Surgery Journal 7 (2020): 3740.
Reddy, Y. B., D. K. S. KotlaBalaraju, and K. Lalitha. "The comparative study of conventional vs stapled haemorrhoidectomy." Int J Surg 4.3 (2020): 04.
Rahman, Md Atiar, et al. "Evaluation of Outcome Between Excisional Haemorrhoidectomy and Longo's Technique (PPH)." Journal of Surgical Sciences 17.2 (2013): 66-72.
Suhail Riyaz, Wasim Qadir Kar, Ishfaq Ramzan, Pankaj Kaul, Suhail Anjum Rather (2024), Postoperative Recovery Profile of the Patients Undergoing Conventional and Stapler Hemorrhoidectomy. International Journal of Innovative Science and Research Technology (IJISRT) IJISRT24AUG343, 422-426.
Ram, Mahesh Kumar et al. “Higher patient satisfaction levels after Stapled Hemorrhoidopexy compared to Conventional Hemorrhoidectomy- a single-center experience.” (2020).
Sachin, Idoor D. and Om Prakash Muruganathan. “Stapled hemorrhoidopexy versus open hemorrhoidectomy: a comparative study of short term results.” International Surgery Journal 4 (2017): 472-478.
Didelot, Jean-Michel et al. “What can patients expect in the long term from radiofrequency thermocoagulation of hemorrhoids on bleeding, prolapse, quality of life, and recurrence: “no pain, no gain” or “no pain but a gain”?” Annals of Coloproctology 40 (2022): 481 - 489.
He, Jun, et al. "The comparison of an accessible C-shaped partial stapled hemorrhoidopexy (C-PSH) versus circular stapled hemorrhoidopexy (CSH) in patients with grade IV hemorrhoids: a retrospective cohort study." BMC gastroenterology 23.1 (2023): 443.
Shaukat, Waleed, et al. "Stapled Hemorhoidopexy vs. Open Hemorrhoidectomy: A Comparative Study of Short-Term Results." Journal of Health and Rehabilitation Research 3.2 (2023): 427-430.
Shafiquzzaman, H., et al. "A Comparison between Stapled Hemorrhoidopexy and Conventional Milligan Morgan Procedure in the Treatment of Hemorrhoids." SAS J Surg 3 (2022): 168-172.
Lin, Hong-Cheng et al. “Partial Stapled Hemorrhoidopexy Versus Circumferential Stapled Hemorrhoidopexy for Grade III to IV Prolapsing Hemorrhoids: A Randomized, Noninferiority Trial.” Diseases of the Colon and Rectum 62 (2018): 223 - 233.
Malyadri, Nambula and Veera Allu. “A Prospective Comparative Study of Stapler Hemorrhoidectomy Vs Open Haemorrhoidectomy (Milligan Morgan) in its Outcome and Postoperative Complications.” Journal of Surgical Research 4 (2021): 4-13.
Puia, Ion Cosmin et al. “Stapled Hemorrhoidopexy: Technique and Long Term Results.” Chirurgia 116 1 (2021): 102-108 .
Ahsan, Manawor. “Stapled Haemorrhoidopexy vs Conventional (Open) Haemorrhoidectomy--A Comparative Study.” journal of medical science and clinical research 05 (2017): 23269-23274.
Ruan, Q. Z. et al. “A systematic review of the literature assessing the outcomes of stapled haemorrhoidopexy versus open haemorrhoidectomy.” Techniques in Coloproctology 25 (2020): 19 - 33.
Narayanaswamy, Chetty Y. V. et al. “Association of Muscle Fibers with Histopathology in Doughnut Specimens Following Stapled Hemorrhoidopexy and Their Impacts on Postoperative Outcomes.” The Surgery Journal 8 (2022): e199 - e207.
Aggarwal, Naman, Saurabh Agrawal, and Jitendra P. Ray. "Stapled haemorrhoidopexy vs. open haemorrhoidectomy: a comparative study." International Surgery Journal 6.4 (2019): 1259-1263.
Yadav, Anil Kumar and Nikhil Khantal. “To study postoperative complications between circular stapler hemorrhoidopexy and conventional hemorrhoidectomy.” (2020).
Rahman, Anharur, Mahmud Hasan, and R. P. Ashraf Uddin. "Comparative study of outcome of surgical treatment of haemorrhoid between open haemorrhoidectomy and stapled haemorhoidopexy." East African Scholars J Med Sci 6.2 (2023): 34-9.
